Journal of the Korean Academy of Child and Adolescent Psychiatry
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제22권4호
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pp.262-270
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2011
Objectives : The definition of a hidden youth is a young person who has completely withdrawn from society and shut himself or herself away for more than 3 months. Those pathologically-withdrawn youths have become a burden not only to society but also to the family. However, screening of these hidden youths cannot be done easily. This study focused on developing a primary effective screening tool for these hidden youths. Methods : The 42 participants of this study were parents of hidden youths that are between 8 to 25 years old. They were selected from from mental health centers and psychiatric clinics around Seoul and Gyeonggi Province. We also recruited 239 parents of middle and high school students in the Seoul metropolitan area for a control group. In order to decide the concurrent validity of this questionnaire, we used the Symptom Checklist-90-Revision, Children's Depression Inventory, Beck Depression Inven-tory, Social Anxiety Scale for Children-Revised, Social Anxiety and Distress Scale, Avoidant Personality Disorder Scale, and State-Trait Anxiety Inventory for Children. SPSS version 12.0 was used for statistical analysis. Results : Cronbach's alpha values, the reliability coefficient to represent internal consistency, were between 0.396 and 0.935, which showed relatively high internal consistency for this questionnaire. The test-retest coefficient was between 0.68 and 0.78, which was a statistically significant result. In a factor analysis, 4 factors such as avoidance, withdrawal, isolation, and apathy were extracted. In a concurrent validity test with SCL-90-R, the isolation factor showed a statistically-significant relationship with a phobic-anxiety sub-scale, and avoidance and withdrawal sub-scales were remarkably correlated with the interpersonal sensitivity sub-scale. Conclusion : Since the questionnaire for socially withdrawn youths has achieved statistically-satisfactory reliability and validity, it will be a useful method to screen for hidden youths in educational, community, and clinical settings.
Purpose : To know the smoking status of regional residents and to contribute the development of smoking education program by analyzing the related characteristics and affecting variables. by convenience sampling of total 1,300 regional residents in Daegu. Method : The investigation was conducted with 1,204 residents in mid to small urban area of Gyeongsangbukdo. for 3 months from April 1, to June 30, 2007. Results : 1) The current smoking rate of test subjects was 19.3% and 63% responded as non smoker, and 17.1% of test subjects responded as currently stopped smoking. 2) The smokers' age that habitually started smoking resulted to show the highest distribution at their age of $20{\sim}29$ by including 49.3% in 446 smokers, and 39.6% in ages younger than 19 years old. 3) The subjective health status of test subjects was found to be healthy in 65.1% of nonsmokers. 4) The increase of stress along with the increase of depression significantly had large effects on smoking rate. 5) When the regression analyses were conducted, test subjects' sex, age, religion, current residing area, occupation, the level of health status, the level of stress and the level of depression found to have significant effects, and the influence of these variables was 27.4% by showing an overall significance. Conclusion : Primarily, the average smoking rate of regional residents was slightly decreased, but the smoking rate in juveniles, university students, professional workers, office workers, labor workers and women were found to be increased. Therefore smoking prevention and stop smoking policies have to be enforced with the development of more effective education programs. Secondly, the health status especially the increase of stress along with the increase of depression significantly had large effects on smoking rate. So, it is considered that the responsible government, related organizations and experts should make efforts not only for the improvement of health and but also for the establishment of stress and depression solving measures. Thirdly, the supports and willingness of government and local government for substantial practicing the development of smoking prevention and stop smoking enforcement policy education programs have to be advanced with the systematic backup as the first step of improving health of national peoples.
Objectives : The purpose of this study was to examine the relationship of the work environments of dental hygienists to their occupational diseases in a bid to provide some information on their health care, health promotion and the prevention of occupational diseases. Methods : The subjects in this study were 300 dental hygienists who worked in Seoul, urban communities involving large cities and rural areas. One-on-one interviews and a self-administered survey were implemented with their consent. Results : The findings of the study were as follows: 1. 60 percent of the dental hygienists investigated replied that they had occupation-related physical symptoms. By the length of service, the dental hygienists who worked for six to 10 years had the most symptoms. 2. Out of the occupation-related symptoms, the most prevalent symptom was a pain in the shoulders and neck(41%), followed by a pain in the lower back, a pain in the legs, a pain in the wrists and skin diseases. The most painful parts of the body were hands and arms. 3. In regard to the relationship between the general characteristics and the intensity of pain, the highest group of the dental hygienists in Seoul replied that they had a severe pain, and the lowest number of those in the large cities gave the same answer. 4. Concerning the cause of occupational diseases, 65.7 percent cited the wrong posture. 5. As to relationship between the general characteristics and regular hospital-visit experiences for the prevention of pain during work hours, many of the dental hygienists who were in their 40s and 50s visited hospitals from time to time, and many of those in their 20s never did that. 6. In regard to links between the general characteristics and an opinion on the necessity of regular education, many of the respondents from Seoul and urban regions involving large cities considered it necessary to receive education on a regular basis. By daily work hours, the highest number of those who worked for eight hours or less considered that necessary, and lots of those who worked for 11 hours didn't consent to that. The gaps between them were statistically significant(p<0.05). Conclusions : Given the findings of the study, daily work hours and length of service were two integral factors to affect the regular hospital-visit experiences and pain, and the wrong posture was identified as the most common cause of occupational diseases. To ensure the successful prevention of occupational diseases, dental hygiene students should be taught the importance of occupational disease before they start to work, and supplementary education should be provided for dental hygienists to work in the right posture.
The purpose of this research is to plan the activation of university health business through the appraisal of the function and role of university health centers. To be more specific: Firstly, analyze the facility, personnel, health service of the health centers, Secondly, appraise the role and function of the health centers, and Thirdly, consider the activation plans of health centers. The research method taken was the study of surveys conducted and written research materials on 5 women's universities in Seoul. These materials where descriptively analyzed by converting the surveys, facility and usage of health center and current personnel status in to percentage. The major results of the research are as follows: Unlike as stated in each university's additional clause on the number of personnel were working. This lack of specialized personnel resulted into lack of specialized and various services. Medicine for external application were stocked well whereas only simple medicine for internal application were on shelf and were issued only with a doctor's prescription. Universities with a full-time doctor had various available equipments. One university conducting dental treatment was equipped with indirect chest camera, dental X-ray, unit, chair(dental treatment chair) and even supersonic, electrocardiogram were available. In the case of D women's university, the number of beds compared to the number of students was lower than that of the other 3 universities, to the total size of the university was smaller than that of the other 3 universities. Among health prevention and care matters, health consultation was the only matter practised by all universities. Uniquely, there was one university that hosted epidemic prevention business. There are various tests given by each university, with each showing many differences, but some universities did not even conduct these tests. Vaccinations were usually being conducted through commission. All universities provided basic treatment, therefore matters concerning treatment at health centers were being conducted well. Concerning the management of equipment and documents, all the matters were being conducted except one university where instead of a student medical record, they were using a daily record. Because these were women's universities, most of the educations were on women's health. The subjects of these educations included: sex, contraception, prevention and control of tuberculosis, obesity, mouth hygiene, alcohol, geriatric disease, mental health and first-aid. The rate of health center usage is growing. Being women's universities, the service and treatment practised were mostly concerning sex education.
정량적 뇌파는 연구와 임상적 분야에서 활발하게 이용되어 다양한 임상적 증상과 인지기능의 자극 및 과제에 따른 대뇌의 생물학적인 바이오 마커를 규명하는 등 대뇌의 변화를 객관적으로 증명하는데 지속적으로 사용되고 있다. 뇌파에서 정량적 분석과 정성적 분석은 분석하는 방법이 다르기 때문에 측정 방법과 환경이 비슷하지만 한편으론 다르다. 정성적 분석은 뇌파를 판독하는 사람이 잡파를 제외시키고 볼 수 있지만 정량적 분석은 수학적 모델링을 기반으로 데이터의 모든 것을 포함하여 분석을 실시하고 있기 때문에 잡파가 결과에 영향을 준다. 병원에서 임상생리학적 검사인 뇌파를 담당하는 임상병리사들이 뇌파를 이용한 연구는 다른 분야에 비해서 아주 드물다. 이러한 현상은 임상검사과학 분야 중에 임상생리학적 검사에서 두드러지게 나타난다. 왜냐하면 현재 대학에서 임상생리학을 연구하는 실험실이 많지 않기 때문이다. 본 저자의 목적은 정량적 분석을 하고자 하는 임상병리사, 대학원생, 연구자들이 쉽게 접근하여 앞으로 뇌파의 많은 연구가 이루어 질 수 있는 기초자료로 활용되기를 기대하고, 앞으로 많은 대학에서 임상생리학 실험실이 생겨 많은 연구들이 이루어져 좋은 논문들이 많이 나오기를 기대해 본다.
본 연구는 담배흡연자에서 비만과 심장자율신경조절의 관련성 규명을 목적으로 수행되었다. 의료기록 및 외관상 건강한 총 85명의 남자 대학생 흡연자들을 대상으로 자료를 수집하였으며, 모든 참가자들의 안정 시 심장자율신경조절 평가를 위해 단기간 표준프로토콜에 따른 심박변이도(heart rate variability, HRV) 지표들을 산출하였다. 한편 체질량지수, 체지방률, 허리둘레 및 허리/엉덩이 둘레비는 표준 비만지표로서 활용되었다. 연구결과 허리/엉덩이 둘레비를 기준으로 분류된 상위집단은 하위집단에 비해 부교감신경활동을 반영하는 HRV의 rMSSD, pNN50, HF 및 SD1에서 유의하게 낮은 값을 나타내었다. 그러나 HRV의 교감신경활동지수 LF/HF에서는 집단 간 통계적 차이가 없었다. 또한 상관분석 결과 시간, 주파수 및 비선형영역의 HRV 부교감신경 지수들이 체질량지수와 관련하지 않는 반면 허리둘레, 허리/엉덩이 둘레비 및 체지방률과 같은 비만지표들과는 유의한 상관관계를 나타내었다. 특히 허리둘레와 체지방률에 비해 허리/엉덩이 둘레비가 부교감신경활동과 더 밀접하게 관련하는 경향을 나타냈다. 이상의 결과들은 남자 대학생 흡연자들에서 전반적인 비만도를 반영하는 체질량지수와는 독립적으로 중심부 비만이 심장부교감신경 저하와 관련하는 주된 상관 요인임을 뒷받침한다.
Objectives: This study aimed to investigate the public cognition and information acquisition route for heavy metals and organic solvents in the general population in order to provide information for the development of public relations materials. Methods: The study was carried out by questionnaire from January to March 2011 by an interview with trained surveyors. There were 700 participants, divided by gender and age. A questionnaire was issued consisting of subjective and objective cognition evaluation items and questions about information acquisition route and preferred information acquisition route for six heavy metals and five organic solvents. Data were expressed as a percentage using the SPSS 23.0 software package. Result: For heavy metals, subjective and objective cognition degrees were higher in the order of lead, mercury, cadmium, and arsenic. They were higher among males than females, and in adults compared to school-age subjects. For organic solvents, both cognition degrees were high in the order of acetone, benzene, and formaldehyde. However, cognition degree by gender and age showed a complex pattern. As a response to information acquisition route, broadcast media had the highest in all ages and genders, followed by word of mouth from neighbors in elementary school children, school education or expert lectures in middle and high school students up to people in their 30s, and print media among those in their 40s to over 60s. There was no difference in the order by gender. As a response to preference for information acquisition route, broadcast media also proved the highest in all ages and genders, followed by school education or professional lectures among those in elementary school and over their 60s, and the internet in other age groups. Females preferred school education or expert lectures and word of mouth from neighbors, while males preferred the internet. In the case of the internet, the ranking was higher for preferred information acquisition route compared with the ranking for information acquisition route. Conclusions: This data on cognition degree, information acquisition route, and preferred information acquisition route according to gender and age can provide basic data for the development of educational and promotional materials for heavy metals and organic solvents exposure management.
Objective: This study aimed to investigate the differences in temporary threshold shift (TTS) and recovery patterns according to different types of sound and volume. Methods: TTS and recovery patterns were assessed for eight students after 30-minute exposure to both 70.0 dB and 90.0 dB of factory noise (noise) as well as music. TTS was measured before exposure and two minutes post exposure, and recovery patterns were evaluated every 10 minutes for one hour. The subjects performed activities of daily life and sleeping times as usual but taking drugs or drinking alcohol were prohibited. The experiment was repeated three times with an interval of at least 16 hours. ANOVA and T-test were carried out using SPSS 19.0 for Windows. Results: The hearing threshold of all subjects before exposure was less than 30 dB at all frequencies. Mean TTSs of 70 dB noise and 90 dB noise exposure were 0.14 and 4.48 dB (p<0.001). Meanwhile, the difference in music was insignificant (-0.63 dB and 0.55 dB, p=0.063). A significance in the difference was also found between the mean TTS of music and noise exposure, more obviously at 90.0 dB (p<0.001) than at 70 dB (p=0.232). The TTS differences were found frequency-wise in terms of sound type. Mean TTS by frequency was higher at 4,000 and 6,000 Hz than at other frequencies, and higher in noise than music at the same sound pressure. The TTS difference in each frequency between both sound types was significant at 90 dB (p<0.001). Subjects mostly recovered from TTS in one hour after exposure, but not with 90 dB-noise exposure. Conclusion: TTS and recovery patterns were different depending on the sound type. When exposed to factory noise, TTS was greater and recovery time was longer compared to music at the same sound pressure. These results suggested that the difference in cognitive processes and psychological factors according to the type of sound causes a change in TTS and recovery.
Seung-Hwan, Lee;Byoung-Ha, Yoo;Hyun-Seo, Pyo;Dongyeop, Lee;Ji-Heon, Hong;Jae-Ho, Yu;Jin-Seop, Kim;Seong-Gil, Kim
대한물리의학회지
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제17권4호
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pp.1-13
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2022
PURPOSE: This study examined the effects of the craniovertebral angle, proprioception (joint error test), and the upper trapezius on the muscle tone when comparing cervical stabilization and scapula stabilization exercises and when two exercises were performed together. METHODS: The participants in this study agreed in advance, and this study was carried out by recruiting 27 university students in their twenties with mild frontal posture. The subjects were assigned randomly to three groups that performed cervical stabilization exercises, scapular stabilization exercises, and both cervical and scapular stabilization exercises. One-way repeated ANOVA was used to analyze the evaluation values of the 1st, 3rd, and 6th weeks of exercise intervention within the group, and one-way ANOVA was used to compare the difference in the effects of exercise intervention among the three groups. RESULTS: Proprioception was significantly different in the cervical stabilization exercises (CSE) group and the cervical stabilization exercises + Scapular stabilization exercises (CSE+SSE) groups at three weeks, and there was a significant difference between the scapular stabilization exercises (SSE) group and the CSE+SSE group (p < .05). At six weeks, there was a significant difference between the CSE group and the CSE+SSE group, and there was a significant difference between the SSE group and the CSE+SSE group (p < .05). There was a significant difference between three and six weeks in the CSE group (p < .05). In the SSE group, there was a significant difference between pre and six weeks, and between three and six weeks (p < .05). In the CSE+SSE group, there was a significant difference between pre and three weeks, and between pre and six weeks (p < .05). On the other hand, there were no significant differences between CVA and muscular tone in all three groups (P > .05). CONCLUSION: In all groups, the proprioception (joint error test) showed significant improvement, and the CSE+SSE group showed greater improvement than the other groups. As a result, the appropriate combination of neck stabilization exercise and scapular stabilization exercise effectively improved proprioception in the presence of forward head posture (FHP).
Purpose : The purpose of this study was to investigate the effect of backward walking exercise on changes in the cervical angle and gait parameters in subjects with moderate forward head posture. Methods : Four subjects were selected for this study. In particular, subjects with an average of 43 subjects with moderate craniovertebral angles were selected as the criteria for subject selection. The exercise program consisted of a 5 minutes warm-up exercise, 20 minutes main exercise, and 5 minutes cool-down exercise. In the main exercise, the treadmill speed was 2.5 km/h for men, 2.0 km/h for women in the first week, from the 2nd week to the 4th week, it was increased by 0.5 km/h every week. Results : Craniovertebral angle increased by 2.06±2.46 ° before and after the backward walking exercise, and craniorotational angle decreased by -1.69±3.33 ° before and after exercise. As for the gait parameters, in the amount of change before and after the backward walking exercise, the left foot pressure was 4.58±5.70 % from front to back and the right foot pressure was 5.08±3.06 % from front to back. The left step length and right step length showed a change of -.33±4.43 cm and -2.08±7.26 cm, respectively. stride length showed a change of -2.59±11.18 cm. The left and right stance phase showed a change of -1.02±2.03 % and -1.23±1.54 %, respectively. The left and right swing phase showed changes of 1.02±2.03 % and 1.22±1.53 %, respectively. The left and right step times were -.01±.06 sec and -.02±.12 sec, respectively. The stride time showed a change of -.03±.18 sec. Conclusion : Changes in cervical angle and gait parameters were confirmed by performing backward walking exercise for subjects with moderate forward head posture for 4 weeks. Therefore, additional research should be conducted based on this case study.
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