• 제목/요약/키워드: Health symptoms

검색결과 3,624건 처리시간 0.039초

부산지역 조선업 용접공들의 진폐증에 관한 역학적 조사연구 (The Epidemiologial Study on the Welders' Pneumoconiosis among Shipyard Welders in Pusan Area)

  • 이채언;이종태;손혜숙;김성천;배기택;박형종;김용완;윤임중
    • Journal of Preventive Medicine and Public Health
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    • 제22권1호
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    • pp.153-161
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    • 1989
  • Authors studied on the prevalence of 94 cases of pneumoconiosis who were found out through the screening test on 1,062 workers engaged in welding process at 36 shipyard in Pusan area from March 1st, 1986 to November 30th, 1986. The result were as follows; 1. Dust concentration was measured $4.49{\pm}0.54mg/m^3$ in the small scale shipyard while it was $6.25{\pm}1.08mg/m^3$ in the large one. 2. The prevalence of welder's lung was 8.9% (male:8.5%, female:12.0%) and this is consist of 4.9% suspected pneumoconiosis and 4.0% pneumoconiosis more than category 1/0. 3. The prevalence was significantly increased according to the duration of dust exposure(p<0.05), and it showed the increasing tendency by the age group. 4. The prevalence was significantly higher in the large scale shipyard than is the small scale one(p<0.01). 5. The type and shape of opacities were 71.4% of p type and 28.6% of q type, however no pneumoconiosis with r type observed in this study. 6. The main subjective symptoms were the sputum(29.8%), coughing(25.5%), shortness of breath(20.2%), fatique(6.4%), and chest pain(5.3%). In other hand, 57.4% of pneumoconiosis were asymptomatic. 7. The prevalence of pulmonary tuberculosis was radiologically 1.7% in all subjects including 5.3% in pneumoconiosis and 1.3% in no pneumoconiosis(p<0.01).

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작업유형별 근골격계 증상 호소율에 관한 조사연구 (A Survey on the Prevalence of Musculoskeletal Symptom according to Work Task)

  • 오혜주;이덕희;박인근;장세한
    • Journal of Preventive Medicine and Public Health
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    • 제27권2호
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    • pp.230-241
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    • 1994
  • Though people occupationally exposed to machineries and automation in the industrialized society desire work involving decreased strength, due to the continuous and repetitive activities, a new industrial stress is present. Studies on prevalence of musculoskeletal disease and their related risk factors have evolved. In this study in relation to work tasks, we investigated the differences in musculoskeletal symptoms occurring In each body region. The results of the survey were as follows. 1. When comparing age, level of education, work duration, job satisfaction and leisure time activities according to work task, age in control group was $38.83{\pm}5.5$, in comparison to the other 2 groups was smaller(p<0.05), and level of education in control group was higher (p<0.05). Work duration in the cutting department was $8.04{\pm}4.99$ years longer than the other 2 groups (p<0.05), but there was no difference in the job satisfaction and leisure time activities. 2. The mean of symptom scores of each work task was 1.54 in the cutting department, 1.57 in the press department and 1.59 in the control group, and there was no significant differnce in the 3 groups. The mean of symptom scores for upper extremities in the control group was low but no statistically significant diffrence was shown. 3. When comparing the mean of symptom score according to work task in the each body region, in the shoulder region, the symptom score in the press department which desired strength was higher than the other 2 groups but no significant difference was shown. In the wrist region the cutting department scored 1.01 and in comparison to the other 2 groups was significantly increased (p<0.05). 4. The results of the univariate regression analysis on the major individual risk factors associated with musculoskeletal symptom relating work showed that previous symptom complaints in the same body region was significant risk factor(p<0.001) in the whole body Besides wrist, hip, and knee, psychological problem was shown to be a significant factor(p<0.05). And the body regions which work task was significant risk factor were wrist and neck region (p<0.05). 5. The results of the multiple regression analysis involving significant factors of each body region from the univariate regression analysis showed that previous symptom complaint in whole body region(p<0.001) and psychological problem in the shoulder, elbow and lumbar region (p<0.05) were significant factors, and work task was significant factor in the wrist (p<0.05).

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측두하악장애 치료에 있어서 반복적 주의사항 교육의 효과 (Role of Repeated Education to the Patients with Temporomandibular Disorders)

  • 옥수민;허준영;안용우;고명연;정성희
    • Journal of Oral Medicine and Pain
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    • 제38권1호
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    • pp.69-76
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    • 2013
  • 목적 : 측두하악장애 치료에서 기존의 다른 치료 방법이 동일한 경우, 초진 시에만 서면으로 된 주의사항을 보고 읽어주며 교육했을 때와 내원 시마다 자가평가 설문지를 통한 반복적 주의사항 교육을 시행했을 때의 치료효과 차이를 알아본다. 방법 : 2012년 10월부터 12월까지 부산대학교치과병원 구강내과에 내원한 측두하악장애 환자(n=62, 실험군)와 2011년 10월부터 12월까지 내원한 측두하악장애 환자(n=156, 대조군)를 대상으로 하였다. 측두하악장애로 진단된 후 내원횟수, 치료방법을 동일하게 시행한 환자를 표본으로 선정하였다. 실험군은 자가평가 설문지를 통한 반복적 주의사항 교육을 초진일, 2주 후, 4주 후 시행하였고 또한 Pain NRS(Numerical Rating Scale), MCO(Maximum comfortable opening), Noise NRS, LOM(Limitation of Mouth opening) NRS를 조사했다. 대조군은 초진 시만 주의사항 교육을 하였고, 실험군과 동일 항목을 조사하였다. 실험 군과 대조 군간의 조사항목의 1,2회 내원 시 차이와 1,3회 내원 시 차이를 전체, 연령, 성별, 골 변화 유무별로 독립표본 T검정을 시행하였다. 결과 : 반복적인 주의사항 교육으로 인한 주의사항 준수는 약물치료를 중단한 후에도 MCO개선을 유지 및 증가 시켰다(p=0.001). 반복적인 주의사항 교육으로 인한 주의사항 준수로 인한 MCO개선 효과는 남자에서 두드러졌으며(p=0.001) 젊은 연령에서 크게 나타났다(p=0.004) 결론: 측두하악장애 환자의 행동조절을 위한 주의사항 교육은 반복적으로 시행할수록 치료효과가 크게 나타난다.

폐경후 호르몬대체요법에 대한 인터넷 웹싸이트 자료 내용 및 학술 연구 경향 분석과 국내 한방병원 내원환자에 관한 연구 (A Study about the News Searched on Web-site Related to HRT and Analysis of Perimenopausal and Postmenopausal Patient Who Visited Dept, of Ob&Gy Korean Medicine Hospital)

  • 김동일
    • 대한한방부인과학회지
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    • 제19권1호
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    • pp.219-235
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    • 2006
  • Purpose : To investigate the medical information related to HRT online and the medical treatment of perimenopausal and postmenopausal women in the Dept. of Ob&Gy Korean Medicine Hospital, after the discontinuance of the WHI trial in U.S, July 2002. Methods : With the key-words "HRT", "Hormone Replacement therapy", "호르몬 대체요법(HRT)", 갱년기 증후군(perimenopausal syndrome)", “폐경기후증후군(postmenopausal syndrome)", I searched for the information from July 2002 to 2005 on DAUM, the representative portal site in Korea, and I've got a grasp of the tendency of the informational propagation on HRT. Moreover, I investigated chief complaints and tendency of give up HRT of the perimenopausal and postmenopausal women(aged between 47 and 60) who visited Dept. of Ob&Gy Korean Medicine Hospital for 2 years and 6 months since July 2002. Results : 1) Searching for the news on DAUM, I found; 2 articles on the methods of HRT: 4 on the positive effects of HRT: 4 on the general items including the positive effects of HRT: 19 on the side effects of HRT: 1 on the insignificant effect of HRT :4 on the apprehensions about HRT: 3 on the strengthening of the criteria on medical fees review: 3 on the discontinuance of HRT: 8 on the alternative materials and medicines to HRT: 4 on the guidance for the phyto-estrogen. 2) I analyzed chief complaints of 120 women. The majority of chief complaints were vasomotor symptoms like hot flush and sweating. There were only 4 patients who wanted to give up HRT. Conclusion : The side effects of HRT were objectively dealt with online but there was not enough effective and continuous guidance. In the case that a woman not on HRT wishes to overcome perimenopausal period through KM therapy, this information may have affected her decision. However, not many women who were already on HRT terminated the therapy for fear of side effects and switched to KM therapy. Promotion of KM therapy in improving health during perimenopausal and postmenopausal period is desperately needed.

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미취학 아동의 시력검진 실태와 시력저하 관련요인 (State of Visual Acuity Test and Factors Related to Vision Deterioration of Preschoolers)

  • 이성화;이해정
    • 한국콘텐츠학회논문지
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    • 제16권12호
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    • pp.132-142
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    • 2016
  • 미취학아동의 시력검진실태와 시력저하 관련요인을 확인하기 위해 2015년 8월부터 2016년 1월까지 어린이집 및 유치원에 다니는 5세~7세의 아동 172명과 그 부모 중 1인 172명을 대상으로, 보호자에게는 설문조사를, 아동에게는 시력측정을 실시하였다. 시력검진 실태는 평균, 표준편차, 백분율 등 서술적 방법으로 분석하였고, 시력저하 관련요인은 로지스틱 회귀분석으로 확인하였다. 전체 아동 172명 중 128명 (74.4%)이 시력검진 경험이 있었으며, 77명(44.8%)이 시력저하로 나타났다. 7세 이후에 시력검진을 처음 수행한 경우(OR=7.43, CI=2.84-19.39), 눈 이상 증상이 있는 경우(OR=3.08, CI=1.20-7.91), 아동연령이 어릴수록(OR=10.34, CI=3.25-32.85) 시력저하 경향이 높았고, 단말기를 주로 아래에서 위로 올려다보는 아동인 경우(OR=.08, CI=.02-.26), 시력저하 경향이 낮았다. 미취학아동의 시력저하에는 유전적인 요소도 중요하지만, 눈 이상 증상, 눈검사 시기, 단말기 사용방법, 아동의 연령과 관련성이 있었다. 그러므로 아동 양육기관과 보호자, 검진기관을 대상으로 아동의 눈 이상증상과 단말기 사용방법, 눈검사 시기에 대한 교육이 필요하며, 아동을 대상으로 한 시력저하예방을 위한 중재프로그램의 개발과 효과검증이 필요하다.

인터넷중독 위험 청소년에 대한 단기 산림치유 효과: 생물학적, 신경인지적 및 심리-사회적 측면을 중심으로 (The Effect of Short-term Forest Therapy Camp on Youths with Internet Addiction Risk Group: Focused on the Biological, Neurocognitive and Psychosocial Aspects)

  • 정안수;최삼욱;우종민;목정연;김기원;박범진
    • 한국산림과학회지
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    • 제104권4호
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    • pp.657-667
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    • 2015
  • 본 연구에서는 인터넷중독 위험 청소년들에 대한 '산림치유(Forest Therapy)'의 생물학적, 신경인지적 및 심리사회적 영역에서의 효과를 살펴보았다. 청소년 인터넷중독 위험군을 대상으로 2박 3일 혹은 3박 4일 형태의 산림치유 캠프를 진행했고, 캠프 전-후로 참가자들의 혈청 뇌유래신경영양인자(BDNF), 종합주의력 검사(CAT) 그리고 우울(CDI) 및 상태 불안(STAI)을 포함한 다양한 심리사회적 변인들을 측정했다. 그 결과, 산림치유 캠프에 참가한 이후에 참가자들의 혈청 BDNF 수치 및 CAT의 수행점수가 증가했고, 인터넷/게임 욕구가 감소했으며, 회복탄력성 및 대인관계가 긍정적인 방향으로 변화하였다. 또한, 산림치유 캠프 노출량에 따라 집단을 구분하여 분석한 결과, 집단내에서 일부 불안 완화를 보고하기도 하였다. 전반적으로 인터넷중독 위험 청소년의 증상 개선 및 적응력 증가를 위한 산림치유의 적용가능성을 확인하였다.

정신과 입원환자의 입원기간에 따른 불안정도에 관한 연구 (A Study of the Anxiety Levels of Hospitalized Psychiatric Patients in Terms of Length of Hospitalization)

  • 김윤희
    • 대한간호학회지
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    • 제11권1호
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    • pp.45-63
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    • 1981
  • This study was done to determine the relationship between the anxiety levels of hospitalized psychiatric patients and various influencing variables. The purpose of this study was to determine factors that may help hospitalized psychiatric patients to experience lower levels of anxiety in relation to changing situations and provide the basic data for a dynamic approach which is important in the field of modern psychiatric nursing that understands and analyses the meaning of patients behavior. The anxiety may produce stress, which is a common experience among all human beings. Patients may merely feel uncomfortable in the state of mild anxiety, however, the severe state could be an obstacle to treatment and recovery from disease. The anxiety of the psychiatric patient is a factor which greatly influencing the patient's behavior, so his disorderd behavior is an expression of defence or pathologically fixed behavior. According the psychiatric patient's anxiety at the time of admission is the concern of the health team. The nurse's special concern has to do with understanding and supporting the patient and meeting his individual needs by frequent close contact during the entire hospitalization period, compared to other teamembers the nurse's responsibility in this regard is greated. So this study emphasizes the necessity of creating conditions these, but above all the psychiatric nurse should create a therapeutic environment by not only regarding the patient's behavior or symptoms but understanding the meaning of them. The subjects of this study were 57 psychiatric patients selected from the K neuropsychiatric hospital located in Kunsan city. Data were collected twice from the same patients within a 24 hour period after admission and 10 days after admission. (September 18th to November 8th, 1980). The data collected method was through direct interview, and the interview time was 20 minutes for each patient. Data analysis included Item Analysis & Internal Consistency Reliability Tests, Percentages, t-test, analysis of variance and stepwise multiple regression analysis. The findings of this study were as follows. A. Test of Hypothesis a. Hypothesis 1 :“The anxiety level of psychiatric patients within 24 hours after admission will be higher than those of the same patients 10 days after admission,”was accepted. (t = 3. 15 ; p < 0.005) b. Hypothesi 2:“The more the number of admissions the higher the level of anxiety related to two categories”, was accepted. (affective anxiety: F = 5.50, p < 0.005, Somatic anxiety: F = 9.12, p <.

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뇌 관류 CT검사에서 BolusTracking기법을 적용한 피폭선량 저감화에 관한 연구 (A Study on the Mitigation of the Exposure Dose Applying Bolus Tracking in Brain Perfusion CT Scan)

  • 김기정;정홍량;임청환;홍동희;심재구;유인규
    • 디지털융복합연구
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    • 제12권3호
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    • pp.353-358
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    • 2014
  • 급성기 허혈성 뇌졸중 증상이 있는 뇌 관류 CT 검사를 시행한 환자를 대상으로 장비사가 제시한 고정 시간 기법(Fixed time technique)과 조영제 추적 기법(Bolus tracking technique)을 비교하여 환자의 피폭선량을 분석하고자 하였으며, 조영제 추적 기법의 유용성과 최적의 조영증강 구간을 구현하는 Time graph를 알아보기 위한 것이다. 환자에서는 PCT의 $CTDI_{VOL}$은 고정시간기법에서 431.72mGy, Bolus tracking에서 323.61mGy로 측정되었고, DLP값은 고정시간기법에서 $1243.47mGy{\cdot}cm$, Bolus tracking에서 $932mGy{\cdot}cm$로 측정되었다. Time graph는 고정시간기법에서 다양하게 나타났으나, Bolus tracking 기법에서는 최적의 Time graph를 얻을 수 있었으며, 뇌 관류 CT검사 시 Bolus tracking기법을 적용하여 피폭선량을 25% 정도 감소시킬 수 있었다.

정신과 의사와 비정신과 의사의 항우울제 처방에 대한 연구 : 건강보험심사평가원 청구 데이터 중심으로 (The Epidemiology of Antidepressant Prescriptions in South Korea from the Viewpoint of Medical Providers : A Nationwide Register-Based Study)

  • 김민지;김남우;신다운;이상진;박형근;김혜영;양보람;안용민
    • 생물정신의학
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    • 제26권2호
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    • pp.39-46
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    • 2019
  • Antidepressants are widely used to treat depression in Korea, however, only a few studies have focused on the provider of the treatment. The aim of the study is to compare the differences between patients who were prescribed antidepressants by psychiatrists and those who were prescribed antidepressants by non-psychiatrists in South Korea. Patients with a diagnosis of depressive disorder who had been newly prescribed antidepressants in 2012 were selected from the Health Insurance Review and Assessment Service database. They were classified into two groups depending on whether they received the antidepressant prescription from a psychiatrist or non-psychiatrist. Sociodemographic, clinical, and depression related cost has been investigated. Treatment resistant depression, which is defined as a failure of two antidepressant regimens to alleviate symptoms, was also investigated. Prescription adequacy was assessed based on whether a regimen was maintained for at least 4 weeks. Among the 834694 patients with pharmaceutically treated depression (PTD) examined in this study, 326122 (39.1%) were treated by psychiatrists. Patients who were treated by psychiatrists were younger and had more psychiatric comorbidities than those treated by non-psychiatrists. They had longer PTD duration (229.3 days vs. 103.0 days, p < 0.05) and a larger proportion of treatment resistant depression (9.3% of PTD) when compared to those patients treated by non-psychiatrists. The patients treated by psychiatrists had a smaller proportion of inadequate antidepressant use compared to those patients in the non-psychiatrist group (44.5% vs. 65.1%, p < 0.05). The costs related to depression corrected with PTD duration were higher in the non-psychiatrist group (32214 won vs. 56001 won, p < 0.05). Patients who receive antidepressants from psychiatrists are patients with more severe, treatment-resistant depression. Psychiatrists prescribe antidepressants more adequately and cost- effectively than non-psychiatrists.

이압 요법이 여대생의 월경 불편감에 미치는 효과에 관한 연구 (The Ear Acupressure Therapy on Premenstrual Syndrome and Dysmenorrhea on Female college Students)

  • 정혜명;송주승
    • 한국컴퓨터정보학회논문지
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    • 제18권5호
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    • pp.87-94
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    • 2013
  • 본 논문의 목적은 여대생들의 월경 불편감에 대한 영향을 분석하는 것이다. 이 연구의 연구 설계는 27명의 여대생을 대상으로 실험군 13명, 대조군 14명으로 나누어 실시하였다. 자료는 G시의 K 대학의 유아교육과 여학생을 대상으로 3개월에 거쳐 수집되었다. 연구도구는 Keele's VAS(시각분석 등급)을 이용하여 월경 곤란 증상을 측정하였다. 실험군은 60일 동안 3회의 이압 요법을 실시하였고 대조군은 이압 요법을 실시하지 않았다. 수집된 자료는 SPSS프로그램을 이용하여 평균, 비율, 편차, $x^2$-test, t-test Cronbach's ${\alpha}$로 분석 하였다. 이 실험의 결과 실시한 VAS 값은 이압 요법 이전에는 실험군이 7.3, 대조군이 7.46이었으나 이압 실시 후 실험군은 3.36, 제어군은 7.17의 값을 보여 주었다. 따라서 본 실험에 의하면 이압 요법은 월경 불편감을 가진 여대생의 증상 개선에 도움이 되는 것으로 나타났다.