• 제목/요약/키워드: Disorders

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DASH로 평가한 상지 근골격계 질환자의 기능 제한 (Determining the Degree of Disability in Workers with Upper Limb Musculoskeletal Disorders using DASH)

  • 김규상;장기언
    • 대한인간공학회지
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    • 제29권3호
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    • pp.311-320
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    • 2010
  • This study aimed to examine the development and characteristics of the workers with upper limb musculoskeletal symptoms and disorders and to analyze the upper limb musculoskeletal symptoms and disorders for its relationship with the individual socio-demographic characteristics. This study investigated the effect on the limitations of physical activities using standardized surveillance tool and clinical diagnosis. Musculoskeletal symptoms and the limitations of physical activities were examined. The clinical diagnosis of musculoskeletal disorders were carried out by physical examination, radiological examination and electromyography-electroneuronography for 22 workers in kitchen hood assembly process and 50 workers in toggle process of leather product manufacturing. The proportion of workers with musculoskeletal disorders was higher and the DASH score was also statistically higher in female and aged workers with longer working hours, longer household working hours, less leisure/hobby activity and higher physical load. Physical activities component score increased in the following order: workers in normal health, workers with musculoskeletal symptoms, and workers with musculoskeletal disorders as clinically diagnosed. Score for each DASH component increased in the following order: sports/performing arts ability, social activities, specific physical functional activities, work or other regular daily activities, work ability, psychological activities, insomnia and upper limb symptoms. The overall and each component DASH scores were higher in workers with symptoms of status praesens and of more severity, and receiving medical intervention. Musculoskeletal symptoms and disorders are associated with individual socio-demographic characteristics, and DASH score for physical activities of upper limb was higher in workers with musculoskeletal disorders. Musculoskeletal symptoms and disorders have a remarkable epidemiological significance for physical activities, social activities, work or other regular daily activities, upper limb symptoms and insomnia, where work ability, sports/performing arts ability and preventive measure is needed.

일부 여성 미용종사자들의 근골격계 증상의 위험요인 (A Study on Risk Factors of Musculoskeletal Disorders among Selected Female Hair Dressers)

  • 송미라;한성현
    • 한국산업보건학회지
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    • 제15권3호
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    • pp.250-260
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    • 2005
  • This study was designed to find the symptom prevalence rates of musculoskeletal disorders and the risk factors of musculoskeletal disorders among selected hair dressers. Methods; The survey were conducted from July 1 to 30, 2004 for 459 hair dressers working in Seoul and Gwangju using self-administration questionnaire. The risk factors on musculoskeletal disorders have analysed by multiple linear regression analysis. The results of this study are summarized as follows: The experience rate of musculoskeletal disorders symptom in the last one year was 56.4%. The experience rates of each body parts were 36.4% on the shoulders, 30.5% on the legs and the feet, 28.5% on the low back, 27.0% on the hand and the fingers, 23.3% on the neck and 17.0% on the arms and the elbows. The prevalence rate of musculoskeletal disorders symptom in the last one week was 40.5%, those of each body parts were 24.0% on the legs and the feet, 21.4% on the shoulders, 20.7% on the low back, 15.7% on the hand and the wrists, 15.0% on the neck, 9.4% on the arms. The risk factors on musculoskeletal disorders were working posture(${\beta}=0.32$), perceived stress(${\beta}=0.19$), working period(${\beta}=0.16$), standing working over 10 hour(${\beta}=0.16$), hard working(${\beta}=0.11$). The adjusted determinant coefficient($R^2$) of this regression model was 0.267. Based on the results, in order to prevent musculoskeletal disorders of hair dressers, working posture shall be improved and leisure opportunities to relieve stress, and health management program shall be provided.

VDT 증후군(症候群)과 견비통(肩臂痛)의 문헌적(文獻的) 고찰(考察)을 통(通)한 상관성(相關性) 연구(硏究) (A study of similarities between VDT syndrome and Kyunbitong (jianbeitong, 肩臂痛) on the ground of medical records)

  • 송인광;김갑성;이승덕
    • Journal of Acupuncture Research
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    • 제18권2호
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    • pp.37-50
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    • 2001
  • Objects : This study is to be applied effectively to the acupuncture treatment for VDT syndrome. Methods : I referred to occidental and oriental medical records. Results and Conclusion : VDT syndrom is the concept focalizing work environment and labor load, and named all that symptoms according to excessive VDT works. The disorders of VDT syndrome is divided into 2 groups with muscaloskeletal disorders and non-musculoskeletal disorders, and non-musculoskeletal disorders is secondly divided into 3 groups with visual disorders, stress disorders and others. The risk factor of VDT syndrome is divided 4 groups with repetitive acts, consistent works, uncomfortable work postures, unprofitable light environments, jobs needs for excessive power and mental or physical fatigues. In oriental medicine area, I apply VDT syndrome to Kyunbitong(jianbeitong, 肩臂痛) to base on similarities of the risk factors and disorders between VDT syndrome and Kyunbitong(jianbeitong, 肩臂痛), that is painful illness on shoulders, arms, hands and fingers. And, Kyunbitong(jianbeitong, 肩臂痛) is divided 3 groups into Susamuhm(shousanyin, 手三陰), Susamyang(shousanyang, 手三陽) and Joktaeyang(zutaiyang, 足太陽) on the ground of meridian. Disorders related to Kyunbitong(jianbeitong, 肩臂痛) is grounded on kyungmaek(Jingmai, 經脈) disorder called sidongbyung(shidongbing, 是動病) and sosaengbyung(suoshengbing, 所生病) and Kyungkeun(Jingjin,經筋) disorder related to Kyunbitong(jianbeitong, 肩臂痛). As a result of this study, there is many similarities between VDT syndrome and Kyunbitong (jianbeitong, 肩臂痛). On acupuncture treatment, VDT syndrome can be applied to Kyunbitong(jianbeitong, 肩臂痛)'s on the basis of meridians, because of similarities of risk factors and disorders between VDT syndrome and Kyunbitong(jienbeitong, 肩臂痛).

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Burden of Psychiatric Disorders among Pediatric and Young Adults with Inflammatory Bowel Disease: A Population-Based Analysis

  • Thavamani, Aravind;Umapathi, Krishna Kishore;Khatana, Jasmine;Gulati, Reema
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제22권6호
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    • pp.527-535
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    • 2019
  • Purpose: There is increasing prevalence of psychiatric disorders among inflammatory bowel Disease (IBD) population. Further, presence of psychiatric disorders has been shown as an independent predictor of quality of life among patients with IBD. We intended to explore the prevalence of various psychiatric disorders among pediatric and young adult population with IBD as a population-based analysis. Methods: We did a retrospective case control analysis using a deidentified cloud-based database including health care data across 26 health care networks comprising of more than 360 hospitals across USA. Data collected across different hospitals were classified and stored according to Systematized Nomenclature of Medicine-Clinical Terms. We preidentified 10 psychiatric disorders and the queried the database for the presence of at least one of the ten psychiatric disorders among IBD patients between 5 and 24 years of age and compared with controls. Results: Total of 11,316,450 patients in the age group between 5 and 24 years and the number of patients with a diagnosis of IBD, Crohn's disease or ulcerative colitis were 58,020. The prevalence of psychiatric disorders was 21.6% among IBD mainly comprising of depression and anxiety disorder. Multiple logistic regression analysis showed, IBD is 5 times more likely associated with psychiatric disorders than controls, p<0.001). We showed a steady increasing trend in the incidence of psychiatric disorders among IBD patients (2% in 2006 to 15% in 2017). Conclusion: Largest population-based analysis demonstrated an increased prevalence of psychiatric disorders among IBD patients. Our study emphasizes the need for psychological and mental health services to be incorporated as a part of the routine IBD clinic.

기능적 조음음운장애 아동의 조음복잡성에 따른 자음과 단어의 음향학적 길이 (Acoustic Duration of Consonants and Words by Phonetic Complexity in Children with Functional Articulation and Phonological Disorders)

  • 강은영
    • 대한통합의학회지
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    • 제9권4호
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    • pp.167-181
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    • 2021
  • Purpose : This study was conducted to investigate whether phonetic complexity affected the type and frequency of articulation errors and the acoustic duration of consonants and words produced by children with functional articulation and phonological disorders. Methods : The participants in this study were 20 children with functional articulation and phonological disorders and 20 children without such disorders who were between 3 years 7 months old and 4 years 11 months old. The participants were asked to name what they saw in pictures and their responses were recorded. The types and frequencies of articulation errors and the acoustic duration of words were analyzed and words were categorized as being of either 'high' or 'low' phonetic complexity. The acoustic duration of initial and final consonants and vowels following initial consonants were compared between the groups according to articulatory complexity. Results : Children with functional articulation and phonological disorders produced articulation errors more frequently when saying high complexity words and had longer word duration when saying low-complexity words than children without such disorders. There was no major difference in initial and final consonant duration between the groups. but the main effect of articulatory complexity on the duration of both consonants was significant. Conclusion : These results suggest that the articulatory-phonic structure of words influences the speech motor control ability of children with functional articulation and phonological disorders. When articulating consonants, children with functional articulation and phonological disorders had speech motor control ability similar to that of children without such disorders.

Rising Burden of Psychiatric and Behavioral Disorders and Their Adverse Impact on Health Care Expenditure in Hospitalized Pediatric Patients with Inflammatory Bowel Disease

  • Aravind Thavamani;Jasmine Khatana;Krishna Kishore Umapathi;Senthilkumar Sankararaman
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제26권1호
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    • pp.23-33
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    • 2023
  • Purpose: The incidence and prevalence of inflammatory bowel disease (IBD) are increasing along with an increasing number of patients with comorbid conditions like psychiatric and behavioral disorders, which are independent predictors of quality of life. Methods: Non-overlapping years (2003-2016) of National Inpatient Sample and Kids Inpatient Database were analyzed to include all IBD-related hospitalizations of patients less than 21 years of age. Patients were analyzed for a concomitant diagnosis of psychiatric/ behavioral disorders and were compared with IBD patients without psychiatric/behavioral disorder diagnoses for outcome variables: IBD severity, length of stay and inflation-adjusted hospitalization charges. Results: Total of 161,294 IBD-related hospitalizations were analyzed and the overall prevalence rate of any psychiatric and behavioral disorders was 15.7%. Prevalence rate increased from 11.3% (2003) to 20.6% (2016), p<0.001. Depression, substance use, and anxiety were the predominant psychiatric disorders. Regression analysis showed patients with severe IBD (odds ratio [OR], 1.57; confidence interval [CI], 1.47-1.67; p<0.001) and intermediate IBD (OR, 1.14; CI, 1.10-1.28, p<0.001) had increased risk of associated psychiatric and behavioral disorders than patients with a low severity IBD. Multivariate analysis showed that psychiatric and behavioral disorders had 1.17 (CI, 1.07-1.28; p<0.001) mean additional days of hospitalization and incurred additional $8473 (CI, 7,520-9,425; p<0.001) of mean hospitalization charges, independent of IBD severity. Conclusion: Prevalence of psychiatric and behavioral disorders in hospitalized pediatric IBD patients has been significantly increasing over the last two decades, and these disorders were independently associated with prolonged hospital stay, and higher total hospitalization charges.

불안장애 (Anxiety Disorder)

  • 정한용
    • 보험의학회지
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    • 제29권1호
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    • pp.7-11
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    • 2010
  • Anxiety disorders Anxiety disorders are among the most prevalent mental disorders in the general population. Anxiety disorders can be viewed as a family of related but distinct mental disorders, which include following as classified in the text revision of fourth edition of Diagnostic and Statistical Manual Disorders(DSM-IV-TR): (1) panic disorder with or without agoraphobia; (2) agoraphobia with or without panic disorder; (3) specific phobia; (4) social phobia; (5) obsessive-compulsive disorder; (6) posttraumatic stress disorder; (7) acute stress disorder; (8) generalized anxiety disorder. An acute intense attack of anxiety accompanied by feeling of impending doom is known as panic disorder. The term phobia refer to an excessive fear of a specific object, circumstance, or situation. Obsessivecompulsive disorder is represented by a diverse group of symptoms that include intrusive thoughts, rituals, preoccupations, and compulsions. Posttraumatic stress disorder is a condition marked by development of symptoms after exposure to traumatic life events. Generalized anxiety disorder is defined as excessive anxiety and worry about several events or activities for most days during at least a 6-month period.

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성별에 따른 학령기 후기 아동의 섭식장애 관련 요인 (Gender Differences in Eating Disorders and Risk Factors in Upper Primary School Children)

  • 문소현
    • Child Health Nursing Research
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    • 제14권4호
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    • pp.361-369
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    • 2008
  • Purpose: The purpose of this study was to examine gender differences in eating disorders and in several risk factors; body dissatisfaction, perfectionism, self-esteem, and depression. Method: The data were collected from 423 students in grades 5 or 6 (230 male and 193 female) in this cross-sectional study. For data analysis, descriptive statistics, t-test, Pearson correlation coefficient, and stepwise multiple regression were used with the SPSS/PC ver 12.0 program. Results: Girls experienced more symptoms of eating disorders, body dissatisfaction, and depression than boys. There were also gender differences in risk factors. For girls, depression, socially-prescribed perfectionism, and body dissatisfaction were related to eating disorder behaviors, whereas for boys, depression, self-oriented perfectionism, body dissatisfaction, and self-esteem were related to eating disorder behaviors. Conclusions: The results of the present study indicate that risk factors for eating disorders for boys and girls may be different, and these differences have implications for understanding the etiology of eating disorders and should be considered in planning possible nursing interventions.

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근골격계질환 예방과 인간공학의 역할 (Ergonomics' Role for Preventing Musculoskeletal Disorders)

  • 정병용
    • 대한인간공학회지
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    • 제29권4호
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    • pp.393-404
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    • 2010
  • The purpose of this study is to identify the trends and features of existing articles on work-related musculoskeletal disorders (WMSD), and to suggest the direction for future work. Articles on WMSD were reviewed and analyzed by research objects and characteristics. This paper describes a number of issues related to strategies and practices which were done in order to prevent work-related musculoskeletal disorders; 1) trends and characteristics of work-related musculoskeletal disorders, 2) legal enforcement related to systems preventing WMSD, 3) workplace assessment methods and guidelines for manual material handling, 4) ergonomic intervention, ergonomics program and its effectiveness. A list of recommendations presented in this study can be used to provide a baseline for the prevention of work-related musculoskeletal disorders.

정신장애자의 치아우식병역학적 조사 연구 (The Study of the Caries Experience of Korean Mental Disorders)

  • 김남규
    • 대한치과의사협회지
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    • 제17권2호통권117호
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    • pp.141-145
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    • 1979
  • The author, through oral examination, had surveyed the caries experienced teeth in 250 Korean mental Disorders(153 males and 97 fameles) who took it a rule consume a Vegetable diet and had litte chance to Consume refimed Corbohydrates, unlike the Common populars. DMF rate DMFT rate index DT rate MT rate and FT rate had been calculated and Compared with Common Popular's in same ages group. Following are the obtained results 1. In the mental Disorders, Caries experience rate was 52.19% 2. D.M.F. rate and index were lower in the females than in the males 3. The Caries experience rate in the mental Disorders was lower than in the Common Populars 4. In the mental Disorders the F.T. rate was higher in females than in males D.T. rate higher in males than in females and MT rate, lower in males than in females 5. In generally D.T. rate in the mental Disorders was lower than in Controls, M.T. rate resembled as Controls and F.T. rate higher

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