• Title/Summary/Keyword: Anxiety-management

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Observational Clinical Study on Mibyeong Based on Korean Medicine Diagnosis, Questionnaire, and Radial Artery Tonometry (한의사의 진단, 설문지, 맥진을 이용한 미병 관리에 관한 관찰적 임상연구)

  • Heeyoung Moon;Minsoo Kim;Su Hyun Lim;Younbyoung Chae;In-Seon Lee
    • Korean Journal of Acupuncture
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    • v.40 no.2
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    • pp.44-53
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    • 2023
  • Objectives : This study was conducted to reveal the relationship between multiple factors of traditional Korean Medicine diagnosis and consider the further probabilities of treating people with physical and mental problems not defined as diseases, which is called 'Mibyeong' in traditional Korean Medicine. Methods : 40 healthy participants were included in the observational clinical trial. The participants were asked to complete health questionnaires (e.g. State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, Stress Response Inventory) and they went through a traditional diagnosis process, including four stages of diagnosis (looking, listening/smelling, inquiring, and pulse taking), by a Korean Medicine doctor. Both the Korean Medicine doctor and an artery tonometry device performed the pulse diagnosis. Results : Although all participants were healthy people with no history of disease, more than half of participants had a problem related with severe level of fatigue (n=19), sleep disturbance (n=26) and stress (n=27) status according to the related questionnaires. Participants diagnosed with phlegm syndrome by the Korean Medicine doctor showed significantly greater score in phlegm pattern questionnaires than participants who were not. However, there was little agreement between the doctor's pulse diagnosis and radial artery tonometry results. Conclusions : We conducted a pulse diagnosis and measured health-related information along with the traditional Korean Medicine diagnose procedure, including four stages of diagnosis, and we found a linkage between diagnosis of phlegm and the phlegm pattern questionnaire score. The results suggest that a number of healthy participants, with no disease diagnosed, have Mibyoung symptoms which need further clinical management. Thus, we suggest that Mibyoung management programs based on qualified diagnosis tools and traditional Korean medicine diagnosis procedures be developed, and that future research using various diagnostic tools be carried out on a large population.

The Effect Of Social Network Game Users' Attachment Factors On Their Intention To Continue To Use Through Immersion And Addiction. (소셜 네트워크 게임(SNG) 이용자의 애착 요인이 몰입과 중독을 통해 지속이용의도에 미치는 영향)

  • Kim, TaeYoung;Jeon, JoongYang;Kwon, DoSoon;Park, DongCheul
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.18 no.1
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    • pp.93-113
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    • 2022
  • Among Korea's content industries, the game industry is growing in size to the extent that it can be said to be a representative export-benefiting industry. Accordingly, many users are immersed in the game, and furthermore, they are addicted. This study aims to derive factors for social game users to continue to use by identifying the factors of domestic social network game users' attachment to social network games and empirically studying the causal relationship between these factors and the intention to continue to use them through immersion and addiction. To this end, a research model was presented that applies the main variables of the attachment theory of social network game users to games. The research model of this study surveyed general college students at S University in Seoul who tended to use social network games. As a result of the study, first, it was found that perceived stability had a significant effect on immersion and addiction. Second, it was found that perceived avoidance had a significant effect on immersion and did not have a significant effect on addiction. Third, perceived anxiety was found to have a significant effect on immersion, and it was found that it did not significantly affect addiction. Fourth, it was found that immersion did not significantly affect addiction, and it was found that it had a significant effect on continuous use intention. Fifth, addiction was found to have a significant effect on the intention to continue use. Through this, social network game users' attachment to games can provide useful implications for social network game companies to become attached to existing consumers, spreading social network game users, and improving the possibility of continuous use.

A Study on the Analysis of Bus Machine Learning in Changwon City Using VIMS and DTG Data (VIMS와 DTG 데이터를 이용한 창원시 시내버스 머신러닝 분석 연구)

  • Park, Jiyang;Jeong, Jaehwan;Yoon, Jinsu;Kim, Sungchul;Kim, Jiyeon;Lee, Hosang;Ryu, Ikhui;Gwon, Yeongmun
    • Journal of Auto-vehicle Safety Association
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    • v.14 no.1
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    • pp.26-31
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    • 2022
  • Changwon City has the second highest accident rate with 79.6 according to the city bus accident rate. In fact, 250,000 people use the city bus a day in Changwon, The number of accidents is increasing gradually. In addition, a recent fire accident occurred in the engine room of a city bus (CNG) in Changwon, which has gradually expanded the public's anxiety. In the case of business vehicles, the government conducts inspections with a short inspection cycle for the purpose of periodic safety inspections, etc., but it is not in the monitoring stage. In the case of city buses, the operation records are monitored using Digital Tacho Graph (DTG). As such, driving records, methods, etc. are continuously monitored, but inspections are conducted every six months to ascertain the safety and performance of automobiles. It is difficult to identify real-time information on automobile safety. Therefore, in this study, individual automobile management solutions are presented through machine learning techniques of inspection results based on driving records or habits by linking DTG data and Vehicle Inspection Management System (VIMS) data for city buses in Changwon from 2019 to 2020.

Effects of Job Stress and Hazard Factors on Pilot Safety Behavior (비행안전 위해(Hazard)요인이 조종사의 안전행동에 미치는 영향)

  • Dong-ryeol Lee;Hyeon-deok Kim
    • Journal of Advanced Navigation Technology
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    • v.28 no.1
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    • pp.87-94
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    • 2024
  • Despite the development of the aviation industry, aircraft accidents due to pilots' human errors continue to occur. The cause of aircraft accidents due to human errors is that they cannot remove hazard factors that hinder flight safety in advance, leading to accidents. This study examined how job stress, fatigue, and anxiety, which psychologically and physically affect flight safety among various hazard factors, affect pilots' safety behavior for flight crew and pilots of general aviation working in domestic airlines. In addition, an empirical analysis was conducted to confirm the mediating effect of safety culture between job stress and safety behavior. According to the results of the study, job stress not only directly affects the safety behavior of pilots, but also affects the safety culture of airlines such as safety atmosphere and reporting culture. The purpose of this study is to improve the performance of the safety management system through the correlation between the pilot's job stress and safety culture and safety behavior.

Public Electric Car Charging Locations Based on Car Navigation Data in Seoul (네비게이션 데이터를 바탕으로 한 서울시의 공공 전기차 충전소 위치)

  • Taekyung Kim;Jangyoung Kim;Yoon Gi Yang
    • Information Systems Review
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    • v.18 no.4
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    • pp.1-15
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    • 2016
  • Electric cars are expected to increase quality of life by reducing air pollution and to contribute to economic growth by creating new businesses. However, electric car adoption has lagged and has not satisfied public expectation. One of the primary reasons for this outcome is the slow charging speed or inconvenience of charging a battery. Under the insufficient diffusion of electric cars, pushing business entities to construct charging facilities is undesirable for a policy maker to increase the adoption rate because of cost and management issues. This study adopts the design science methodology to interpret the problem of deploying electric car charging stations in the view of information systems. A trip planning algorithm is suggested on the basis of the theory of range anxiety. We investigate issues related to the current charging locations using data from drivers' car navigation devices. We also review its applicability to trip planning to obtain insights.

Effectiveness of Electroacupuncture for Managing Urinary Retention Post Lumbar Spine Surgery: a retrospective single-cohort study

  • Phuong Dong Tran;Quoc Dung Nguyen;Thanh Duc Ngo
    • Journal of Pharmacopuncture
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    • v.27 no.2
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    • pp.123-130
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    • 2024
  • Objectives: Post-operative urinary retention (POUR) is a frequent complication following surgical procedures, characterized by an acute inability to void, leading to additional complications and extended hospitalization. Acupuncture has been shown to be effective in facilitating spontaneous urination and alleviating anxiety in patients experiencing poor urination. The present study aims to evaluate the effectiveness of electroacupuncture in the management of POUR in patients who have undergone lumbar spine surgery. Methods: This retrospective study conducted at the National Hospital of Acupuncture in Vietnam and reviewed the medical records of patients over 18 years old who underwent lumbar spine surgery and were diagnosed with POUR between January to December 2019. Electroacupuncture was administered at five specific acupuncture points: Qugu (CV2), Zhongji (CV3), Zhibian (BL54), Pangguanshu (BL28), and Kunlun (BL60). This study monitored key parameters related to the effectiveness of the acupuncture treatment, including the number of acupuncture treatment sessions required until a patient was successfully treated was recorded, with a maximum of three acupuncture treatment sessions per patient, the time elapsed until urination following the treatment (minutes), and urinary bladder volume before and after treatment (mL). Results: The study demonstrated a 93.3% success rate in treating POUR with electroacupuncture. A significant reduction in post-void residual volume was noted, and patients could void within 30 minutes post-treatment. No significant differences in treatment effectiveness were observed across difference genders and age groups. Conclusion: Electroacupuncture proved to be a highly effective treatment for POUR in patients post-lumbar spine surgery, with a rapid response time and substantial reduction in PVR. However, the retrospective nature of the study and single-center focus limit its generalizability. Future research incorporating randomized controlled trials or multi-center observational studies are recommended to validate these findings and explore the potential of acupuncture in POUR management on a broader scale.

A Preliminary Study on Depressive Symptoms and Glycemic Controls in Diabetic Patients (당뇨병 환자에서의 우울 및 관련증상에 관한 예비적 연구)

  • Ko, Seung-Hyun;Jeong, Jong-Hyun;Hong, Seung-Chul;Han, Jin-Hee;Lee, Seung-Pil;Ahn, Yoo-Bae;Song, Ki-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.2
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    • pp.165-173
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    • 2004
  • Objectives: Diabetes mellitus is a heterogeneous, chronic, progressive disease characterized by hyperglycemia and abnormality in protein, carbohydrate, fat metabolism. Recent studies have reorted two times prevalence of depression in individuals with diabetes compared to individuals without diabetics. This study was designed to investigate glycemic controls, anxiety, alexithymia, stress responses between depressed diabetic patients and non-depressed diabetic patients. Methods The subjects were 60 diabetic patients(mean age : $50.3{\pm}9.7$ years, 31 men and 29 women) who were confirmed to have diabetes depending on the laboratory findings as welt as clinical symptoms at the St. Vincent Hospital Diabetes Clinic, from Mar. 2004 to Sep. 2004. Laboratory test including, blood chemistry. glycated hemoglobin, urinalysis for proteinuria and Korean version of Beck Depression Inventory(BDI), State and Trait Anxiety Inventory(STAI), Toronto Alexithymia Scale(TAS) and Stress Response Inventory(SRI) were used for assessment. Based on BDI scores, all diabetics were divided into 13 depressed-diabetics group(above 20 point) and 47 non-depressed group(below 20 point). We compared demographic data. glycemic controls, STAI, TAS and SRI scores between two groups by independent t-test. Results : 1) Depressed diabetic groups were 13(mean age : $55.4{\pm}7.2$ years, 7 men and 6 women) and non depressed groups were 47(mean age $48.9{\pm}9.8$ years, 24 men and 23 women). In depressed diabetics, compared with non-depressed group, manifested aged(p=0.031), but other demographic data showed no difference between two groups. 2) No significant differences were noted in FBS, PP2h, Hb A1C, total cholesterol, HDL-cholesterol, SGOT/SGPT, BUN levels between depressed and non-depressed groups. But, blood creatine levels of depressed group were significantly increased than non-depressed group(p=0.026). 3) No significant differences were found in the score of STAI, STAI-S, STAI-T, TAS between depressed and non-depressed groups. 4) The SRI scores of depressed groups were significantly higher than non-depressed groups$(59.7{\pm}24.9\;vs.\;31.5{\pm}22.0)(p=0.000)$. Conclusion : The above results suggest that depressed diabetic patients are have more stress responses and higher blood creatine levels. However, there were no differences in laboratory data related to glycemic controls, and anxiety. alexithymia levels between two groups. We suggest that physicians should consider integrated approaches for psychiatric problems in the management of diabetes.

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A SURVEY ON THE PARENTAL PREFERENCE ON PEDIATRIC DENTIST AND THEIR BEHAVIOR MANAGEMENT TECHNIQUE (소아치과 의사와 행동조절방법에 대한 보호자의 선호도 조사)

  • Park, Soo-Jin;Jung, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.2
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    • pp.204-209
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    • 2002
  • The purpose of this survey was to investigate parental recognition and preference on pediatric dentist and their behavior management technique. The subjects were the parents of new children visiting the Department of Pediatric Dentistry, Pusan National University Hospital for 6 months. The questionnaire was performed over 2 times : at 1st visit and 1 month after that. The parental preference about pediatric dentist - one's sex, color of gown and glass-wearing - and about behavior management technique - parental separation, oral sedation, voice control and physical restraints-were asked through the questionaire and obtained the results were as fellows: 1. The preference on sex of dentists was not shown. 2. The parents recognized not so close relation between glass-wearing and children's anxiety level, but on color of gown, showed various opinions. 3. Most parents opposed to the separation from their children in operatory. 4. For the behavior management technique, parents accepted generally. 5. There was no significant difference between the first and second survey.

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Management of Non-pain Symptoms in Terminally Ill Cancer Patients: Based on National Comprehensive Cancer Network Guidelines (말기암환자에서 통증 외 증상의 관리: 최신 NCCN(National Comprehensive Cancer Netweork) 권고안을 중심으로)

  • Lee, Hye Ran
    • Journal of Hospice and Palliative Care
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    • v.16 no.4
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    • pp.205-215
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    • 2013
  • Most terminally ill cancer patients experience various physical and psychological symptoms during their illness. In addition to pain, they commonly suffer from fatigue, anorexia-cachexia syndrome, nausea, vomiting and dyspnea. In this paper, I reviewed some of the common non-pain symptoms in terminally ill cancer patients, based on the National Comprehensive Cancer Network (NCCN) guidelines to better understand and treat cancer patients. Cancer-related fatigue (CRF) is a common symptom in terminally ill cancer patients. There are reversible causes of fatigue, which include anemia, sleep disturbance, malnutrition, pain, depression and anxiety, medical comorbidities, hyperthyroidism and hypogonadism. Energy conservation and education are recommended as central management for CRF. Corticosteroid and psychostimulants can be used as well. The anorexia and cachexia syndrome has reversible causes and should be managed. It includes stomatitis, constipation and uncontrolled severe symptoms such as pain or dyspnea, delirium, nausea/vomiting, depression and gastroparesis. To manage the syndrome, it is important to provide emotional support and inform the patient and family of the natural history of the disease. Megesteol acetate, dronabinol and corticosteroid can be helpful. Nausea and vomiting will occur by potentially reversible causes including drug consumption, uremia, infection, anxiety, constipation, gastric irritation and proximal gastrointestinal obstruction. Metoclopramide, haloperidol, olanzapine and ondansetron can be used to manage nausea and vomiting. Dyspnea is common even in terminally ill cancer patients without lung disease. Opioids are effective for symptomatic management of dyspnea. To improve the quality of life for terminally ill cancer patients, we should try to ameliorate these symptoms by paying more attention to patients and understanding of management principles.

The Effects of Horizontal Eye Movement on Mental Health Indices and Psychophysiological Activities in Healthy Subjects

  • Choi, Kyung-Mook;Min, Jung-Ah;Park, Gewn-Hi;Lee, Seung-Hwan;Chae, Jeong-Ho
    • Korean Journal of Biological Psychiatry
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    • v.18 no.3
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    • pp.148-158
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    • 2011
  • Objectives The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects. Methods Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups. Results In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI). Conclusions The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.