• 대한물리치료사협회지
• /
• 제13권1호
• /
• pp.5-17
• /
• 1992

Depression in Spinal Cord Injury Patients Kang, Soon Hee, M.Ed., R.P.T. Dept. of Rehabilitation Medicine, Kyung-Hee University Medical Center Depressions have the potential to affect adversely the rehabilitation of patients with spi-nal cord iniury. The present study examined depression, functional independence, and demographic and medical characteristics for 49 spinal cord injury(SCI) patients. This investigation involved the administration of the Beck Depression Inventory, the Modified Barthel Index, and aquestionnaire consisted of 14 items, The results were as follows .1. Compared to normal subjects, SCI patients had significantly higher BDI scores.2. When the cut-off point of HDI scores was assumed 21, 26.1% of normal subjeets and 75.5% of SCI patients appeared to be depressed. Depression in SCT patients were not related with age, sex, marital status, injury evel, severity, duration, pain, functional independence and medical charge. Depression in SCI patients were related with education level, economic level, age at injury, motivation. Depression in normal subjects were related with age, education level, economic level, but not related with sex, marital status. There were significant differences at 30 items of BDI between normal subjects and SCI patients. The items were as fellows . 1 sadness, 2 pessimism, 3 failure, 4 dissat-isfaction, 5 guilt, 6 punishment. 7 self-dislike 9 suicidal, 10 crying, 11 irritability, 12withdrawl, 13 indecisive, 14 self-image, IS work inhibition, 16 insomnia, 17 fatigue,18 anorexia, 19 weight loss, 20 hypochondria, 21 libido loss.

• 한국보육지원학회지
• /
• 제13권2호
• /
• pp.97-114
• /
• 2017

Objective: This study examined the association between mother-child communication and preschool children's peer competence mediated by ego resiliency Methods: The data from 318 preschool age children and their mothers in Seoul and Gyung-Gi province were used for this study. Mothers reported mother-child communication using three subscales from the revised parent-child communication inventory(Barnes & Oslom, 1982). This study used four subscales from the Korea Personality Inventory for Children (KPI-C)in order to calculate children's ego resiliency and used six subscales from the Child Behavior Scales(Ladd & Profile, 1996). The data were analyzed using Multiple Regression in SPSS 19.0. Results: Positive mother-child communication predicted a higher level of children's ego resiliency and peer competence. Ego resiliency fully mediated the association between mother-child communication and prosocial competence, rejection against peers and insecurity. And positive mother-child communication predicted lower levels of children's aggression, dissociality and irritability. Its association was also mediated by ego resiliency. Conclusion/Implications: These findings indicated that a mother's positive communication with their child would enhance children's ego resiliency and peer competence in preschool children. Thus, the efforts to facilitate parents' positive communication skills in parent education can be promising for preschool children's positive development.

• 기본간호학회지
• /
• 제17권2호
• /
• pp.177-186
• /
• 2010

Purpose: The purpose of this descriptive study was to investigate the application of physical restraints in ICUs of a university hospital. Method: Data were collected from August 1 to October 1 2009, using a recording tool from Electric Nursing Records and an observation tool for physical restraints and related factors. Frequency, percentage, and paired t-test with the SPSS/WIN 16.0 program were used to analyze the data. Results: The application rate for physical restraints in 5 ICUs was 34.3%, the highest application rate was 48.4% in the neurosurgical ICU. The mean frequency for physical restraint application per patient was 1.14, and the mean hours of restraint application per incident was 113.01 hours. The most common complications of physical restraints were bruising and edema. Conclusion: Many ICU nurses use physical restraints when caring for patients who are at high risk for falls, including patients have high levels of acuity, decreased level of consciousness or increased irritability. When physical restraints are applied, patients show resistance against the use resulting in side effects of bruising and edema. Therefore, nurses should observe changes in restrain sites, perform nursing interventions to prevent complications, and minimize the use of physical restraints.

• 식품보건융합연구
• /
• 제6권3호
• /
• pp.31-41
• /
• 2020

The caregivers of elderly people with dementia suffer an affectation in the psychological and social order due to the low probability of total rehabilitation of the elderly and the progressive course of this pathology. In the municipality of Guisa, Granma Province there is a health problem regarding this problem since family caregivers of the elderly with dementia constantly go to the Psychology and Psychiatry consultations, in search of specialized help because they report feeling depressed. For this reason, this research was carried out with the objective of determining the main manifestations of depression in these caregivers. The results emanating from the triangulation of methods (scientific observation) and techniques (questionnaire, interviews and inventory Beck), employees at three stages of work where it was found that the main manifestations of depression of these caregivers are: poss of interest or the ability to enjoy activities that were previously pleasurable, loss of emotional reactivity to pleasant environmental events and circumstances, sleep disturbances, marked loss of appetite, weight loss, irritability, muscular tension, feelings of sadness unmotivated that produces discomfort and sufferings, ansiety, entities of handicap, blame, loss of self-confidence and feelings of inferiority, gloomy perspective of the future.

• Journal of Yeungnam Medical Science
• /
• 제39권1호
• /
• pp.58-61
• /
• 2022

Mega cisterna magna (MCM), one of the members of the Dandy-Walker complex, is a developmental malformation of the posterior fossa that is larger than 10 mm but morphologically does not affect the vermis and cerebellar hemispheres. Reports of psychiatric disorders associated with this anomaly are rare. We present the case of a patient with MCM who presented with a psychotic manic attack and was diagnosed with bipolar disorder. A 28-year-old female, single housewife, university graduate, presented with irritability, decreased sleep and appetite, distraction, and agitation. The patient also had a delusion of reference. In the clinical follow-up, an increase in energy and an increase in the amount of speech were observed. Her neurological examination was normal, and cranial magnetic resonance imaging revealed an MCM. The relationship and clinical significance of MCM with psychosis and mood disorders have not yet been fully elucidated. It is not known whether this association is accidental or based on etiological commonality. The purpose of this case report is to review the relationship between the cerebellum and psychiatric symptoms and to contribute to the literature.

• 동아시아경상학회지
• /
• 제10권1호
• /
• pp.59-69
• /
• 2022

Purpose - Burnouts cause the workers to quit their jobs because with the heavy workloads that the employees get subjected to, they feel that they have little control over what they have to accomplish in the workplace. The purpose of this research is to provide adequate solutions using brief consultation process, reducing negative psychological factors. Research design, Data, and methodology - The current research conducted the 'Qualitative Content Analysis' (QCA), which is one of the most employed analytical tools; it has been used widely all over the globe in various research applications in library science and information. Primarily, this analysis is often used as a method in the quantitative tool until the recent decade. Result - Based on ultimate systematic literature analysis, excessive workloads can get addressed by finding proper solutions to the issues of depression, anxiety, irritability, and discouragement. The solutions are (1) Combating Excessive Workloads using Effective Employee Selection, (2) Employee Effective training, and (3) Job redesigning. Conclusion - Selecting or recruiting employees that have skills for the given job also makes it possible for the organization to run its employees effectively and with minimal cases of workload as an organization understands the capabilities and capacities of workload an employee can complete.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제1권1호
• /
• pp.89-93
• /
• 1990

주의력결핍 과잉운동장애로 진단, 치료를 받은 소아 및 청소년 환자 60명에 대해 methylphenidate, pemoline등 중추신경흥분제 치료의 효과 및 부작용에 관해 조사, 다음과 같은 결과를 얻었다. 조사대상 60명중 약물치료의 효과가 뚜렷하게 나타난 경우가 34명으로 절반을 넘었고, 효과가 드러나지 않은 경우는 8명에 지나지 않았다. 약물치료로 뚜렷한 호전을 보인 증상은 과잉운동, 주의산만 및 충동성 등이었고 이러한 행동상의 향상과 함께 학교성적의 향상도 보였다. 이러한 약물효과는 학령전기 어린이 및 청소년에 비해 학령기 어린이에게서 더 크게 나타났다. 60명중 25명은 부작용을 보이지 않았고 6명만이 심한 부작용을 보였는데 흔히 볼 수 있었던 부작용은 식욕감퇴, 불면 또는 안절부절못함 등이었다. 조사결과 이들 약물의 치료적 유용성이 단기치료를 통해서는 충분히 밝혀졌는데 이러한 결과는 장기적으로도 적용될 수 있으리라 생각된다.

• Tuberculosis and Respiratory Diseases
• /
• 제63권4호
• /
• pp.382-386
• /
• 2007

저자들은 이미 비소세포 폐암(선암)을 진단받고 Gefitinib으로 치료중인 여자 환자에서 기억장애, 행동 및 인지기능 장애 등의 증상으로 내원하여 뇌자기공명 소견과 혈청학적 검사로 부수종양성 변연계 뇌염을 진단하였으며 스테로이드 치료에 호전이 없었던 증례를 처음 경험하였기에 보고하는 바이다.

• Neonatal Medicine
• /
• 제18권2호
• /
• pp.399-403
• /
• 2011

신생아의 뇌 농양은 극히 드문 경우로 특정 선행 요인을 가지고 있는 경우가 많다. 가장 흔한 원인 균주는 그람 음성 균주이며 치료법의 발달로 사망률은 감소하였지만 반신 마비, 경련, 발달 장애 등의 후유증이 남을 수 있다. 39일 된 남아가 하루 전부터 시작된 발열을 주소를 내원하였다. 환아는 조산, 저 체중 출산아로 신생아 중환자실에 입원했던 경력이 있었다. 신체 검진상 대천문이 팽창된 것 외에 다른 신경학적 증후는 보이지 않았다. 신경 촬영 검사상 양측 전두엽에 정중선이 오른쪽으로 치우쳐 있는 뇌 농양으로 의심되는 거대한 병변이 있었다. 뇌 농양이 매우 컸음에도 불구하고 수술장으로 이동하지 않고 환자의 침상에서 직접 단순 흡입 치료를 시행하였고 항생제 치료를 병행하였다. 원인균은 Enterobacter cloacae로 판명되었고 meropenem을 8주간 투여 하였다. 환아는 빠른 회복을 보이며 이후 어떤 신경학적 휴유증도 보이지 않았다. 저자들은 Enterobacter cloacae 감염에 의한 거대한 뇌 농양이 발견된 신생아를 단순 흡입과 항생제 만으로 치료 하였고 이후 좋은 경과를 보인 1례를 경험하였기에 보고하는 바이다.

• 대한한방내과학회지
• /
• 제21권3호
• /
• pp.369-376
• /
• 2000

Purpose : Cerebrovascular disease is the most frequent cause of death in Korea and it remains severe disabilities disturbing normal life, According to the previous studies, mortality of the stroke in the first one week is up to the 20% and 95% of stroke patients in the acute stage are accompanied by more than one complications. These complications affect not only the acute stage mortality but also the late stage rehabilitations. In Korea the oriental medicine is preformed in the treatment of stroke. Therefore it is important to recognize thoroughly the complications in the acute stage of stroke and to prevent them. But studies about complications of acute stage stroke is rarely presented in the fields of oriental medicine. So this study is prepared for investigating the characteristics and frequency of complications in the acute stage of stroke. And we are to assess the importance of theses acute complications by systemic reviewing the previous studies. Methods : Fifty one patients are included who had been admitted to ICU(intensive care unit) of Chenju Hospital of Wonkwang Oriental Medicine. Twenty nine patients are diagnosed as ischemic stroke and twenty one patients are diagnosed hemorrhagic stroke. Medical and neurological complications were investigated retrospectively based on medical notes excluding primary symptoms of stroke Le. motor weakness, sensory disturbance and speech disorder. And risk factors of stroke such as D.M. or hypertension are excluded. Results : Medical complications are more frequent than neurological ones. Most frequent medical complication is dysuria(61%) and constipation(45%), fever(30%) and aspiration pneumonia(22%) are followed in order of frequency. In Neurological complication dysphagia(56%), the exacerbation of infarction due to increased intracranial pressure(24%), irritability or insomnia(21%) is most frequently complicated in order of frequency. Conclusions : These complications are mostly caused by bed rest state in acute stage stroke. It is supposed that more aggressive management can prevent theses ones. And it is possible to improve the medical and neurological conditions by sticking theses study results.