• Title/Summary/Keyword: Mental status changes

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A Study on the Effect of Dietary Life and Health on the Changes in Economic Conditions of Korean Youths due to COVID-19 (코로나19로 인한 청소년의 경제적 상태 변화에 따른 한국 청소년의 식생활 및 건강에 미치는 영향)

  • Kim, Ho-Kyoung;Nam, Hyong-Kyong
    • Journal of the Korean Society of Industry Convergence
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    • v.25 no.5
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    • pp.765-772
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    • 2022
  • This study aims to understand the influence of COVID-19 on youth daily life by analyzing the correlation between youth health and diet according to whether economic status has changed due to COVID-19 and to provide basic data on program construction for the welfare of socially marginalized adolescents. As a result of the study, the proportion of respondents who answered that there was a change in economic status at a high rate for decreased academic performance (p<0.001), stress perception, and suicidal thoughts (p<0.001), and the proportion of decreased number of breakfasts and increased fast food consumption (p<0.001) was also high. These results of the study are thought to be the reason for the increase in adolescents who are alienated due to changes in home conditions due to COVID-19, which is expected to affect the physical and mental health of adolescents who lack communication and guidance, and the increase in delinquents rate due to reduced academic concentration and increased junk food intake. Therefore, through this study, it can be helpful to use basic data for the development of welfare programs such as non-face-to-face as basic data for teenagers alienated from COVID-19.

Therapeutic Approaches to the Patients who were Referred for Psychiatric Consultation from Medical Departments - Internist's View about Management of Medical Patients with Psychiatric Problems - (정신과에 의뢰된 내과계 환자들에 대한 치료적 접근 - 내과의사로서의 입장 -)

  • Lee, Sang-In
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.81-91
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    • 1993
  • The consulting internist will encounter patients with psychiatric symptoms and those who take psychotropic medications in many settings. The internist must loam to feel comfortable interacting with patients who display psychiatric symptoms. while maintaining an open and unprejudiced attitude toward their evaluation. The proper delineation of psychiatric disorders from normal emotional reactions resets on a careful history, a mental status evaluation. and a knowledge of psychiatric syndromes. Many physicians tend erroneously to view behavioral changes only in a psychological framework Abrupt changes in behavior, personality, mood. or ability to function should be evaluated for possible organic causes. Then, the internists should take their consultation to psychiatrists and freely discuss psychologic problems of the patients.

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Some Mental Activity Which Can be Discriminated Only on Non-linear Analysis of EEG Measure (비선형 분석을 이용한 정신활동 상태에 따른 EEG의 변화에 관한 연구)

  • Lee, J.M.;Park, C.J.;Lee, Y.R.;Shin, I.S.;Park, K.S.
    • Journal of Biomedical Engineering Research
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    • v.22 no.5
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    • pp.425-430
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    • 2001
  • The Purpose of this study was to find the way of discriminating EEG for some mental activity. which are not characterized within linear spectral analysis but with non-linear analysis . We lave investigated the way of characterizing EEG changes during emotional and cognitive states in healthy volunteered subjects who responded to three designed status. in which the subjects were relaxing with ease and eyes closed. listening to music and computing a simple subtraction with eyes closed. Especially, we estimated EEG dimensional complexity by Skinner s Point-wise correlation dimension(PD2) method for each mental states. As a result it has been found that the subjects, who responded that the\ulcorner had concentrated well during the arithmetic task. show higher PD2 in their non-linear EEG measures. in comparison with the subjects who responded that they had not concentrated during the task This highness of PD2 is also significant in statistical analysis. A subject who had the highest score in evaluating the intensity of induced emotion during emotional task shows significantly lower PD2 in statistical analysis than other subjects who had lower scores. Linear spectral analysis was also performed on these data. However, they did not show and significant difference. Only non-linear dynamical analysis shows the significant different result on these mental status.

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The study for recent changes of disease-mix in health insurance data (의료보험 통계자료를 이용한 최근 우리나라 질병구조 변화관찰 - 의료보험관리공단 자료를 중심으로 -)

  • Yu, Seung-Hum;Jung, Sang-Hyuk
    • Journal of Preventive Medicine and Public Health
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    • v.23 no.3 s.31
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    • pp.345-357
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    • 1990
  • Accumulated data on medical care utilization among the insured in Korea Medical Insurance Corporation can explain the health status of the population. The purpose of this study was to analyze a change of the disease-mix and utilization pattern by controlling the size of the population enrollment. Major findings of the study are as follows : 1. The changes of inpatient disease-mix a. Utilization rate was 139.2% in 1988 against 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. Meanwhile, disease groups seen less often were infections and parasistic diseases, diseases of blood and bloodforming, diseases of the digestive system etc. c. Utilization rate was up 106.3% in 1988 compared to 1985, and diseases above that average level were ill-defined intestinal infections, chronic liver disease and cirrhosis, diabetes mellitus, essential hypertension, etc. d. The disease-mix by institution in 1988 compared to 1985 shows that chronic disorders rank high in general hospitals whereas opthalmologic, obstetric, and orthopedic diseases rank high in private clinics. 2. The changes of outpatient disease-mix a. Utilization rate was up 175.2% in 1988 compared to 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. And disease groups seen less often were infections and parasistic diseases, diseases of the respiratory system, diseases of the genitourinary system. etc. c. Utilization rate was up 104.0% in 1988 compared to 1985, and diseases above that average level were gastric ulcer, diseases of hard tissues of teeth, etc. And diseases seen below that average level were acute nasopharyngitis(common cold). acute upper respiratory infections of multiple or unspecified sites, etc. It was concluded that medical care utilization level was increased, and that, from 1980 to 1988, disease-mix shifted to the chronic disorders. Chronic disorders accounted for more medical care utilization in general hospitals.

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Position Value for Relative Comparison of Healthcare Status of Korea in 2020 (2020년 한국 보건의료의 상대적 위치와 추이: 경제협력개발기구 국가와 비교)

  • Yu Shin Park;Minah Park;Eun-Cheol Park
    • Health Policy and Management
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    • v.33 no.2
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    • pp.203-213
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    • 2023
  • This study examined the trend of healthcare status and compared the status of South Korea and other member of the Organization for Economic Cooperation and Development (OECD) using the OECD health statistics 2022. We used the OECD health statistics from 2022 and a position value for relative comparison (PARC) index to compare the five elements of the healthcare system. The study also used a Mann-Kendall test to analyze the trend of the PARC values from 2000 to the present year. The findings of the study indicate that many South Korea's PARC values were higher than the OECD median. But practicing physician in supply part and medical cost were lower than OECD median but the trend significantly increased. Medical accessibility part and quality of care part except primary care, and mental health had a high relative position but the trend did not increased significantly. After outbreak of coronavirus disease 2019, there were changes in medical accessibility. Health screening and vaccinations showed an overall decline in 2020 compared to 2019. These results suggest that policymakers need to take necessary steps for a sustainable healthcare system in the country.

A Case of Pellagra Induced by Isoniazid during Treatment of Pulmonary Tuberculosis (폐결핵 치료중 Isoniazid에 의해 발생한 Pellagra 1례)

  • Jeon, Ho Seok;Han, Min Soo;Ahn, Ju Eui;Lee, Yang Deok;Cho, Yongseon
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.2
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    • pp.180-182
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    • 2004
  • A Case of Pellagra Induced by Isoniazid during Treatment of Pulmonary Tuberculosis Pellagra is a disease caused by a deficiency of nicotinic acid or niacin. It is mostly found among people eating corn-based diets in parts of China, Africa and India. It is also induced by drugs, such as isoniazid or 5-fluorouracil. Isoniazid inhibits the conversion of tryptophan to niacin and may induce pellagra, particularly in poorly nourished patients. Pellagra should be suspected whenever tuberculous patients under the treatment with isoniazid develop mental, neurological or gastrointestinal symptoms, even in the absence of typical skin changes. Herein, our experienced of a case of pellagra induced by isoniazid during treatment of pulmonary tuberculosis is reported. The patient was referred due to a skin rash and drowsy mental status. Her skin lesion developed during treatment for pulmonary tuberculosis. Her symptoms were improved after discontinuation of antituberculous agents and on the administration of nicotinamide.

The Relationship and Mechanism Underlying the Effect of Conscious Breathing on the Autonomic Nervous System and Brain Waves (의식적 호흡이 자율신경과 뇌파에 영향을 미치는 기전에 관하여)

  • Kang, Seung Wan
    • Perspectives in Nursing Science
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    • v.14 no.2
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    • pp.64-69
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    • 2017
  • Purpose: Breathing can be controlled either unconsciously or consciously. In Asian countries, various conscious breathing-control techniques have been practiced for many years to promote health and wellbeing. However, the exact mechanism underlying these techniques has not yet been established. The purpose of this study is to explore the physiological mechanism explaining how conscious breathing control could affect the autonomic nervous system, brain activity, and mental changes. Methods: The coupling phenomenon among breathing rhythm, heart rate variability, and brain waves was explored theoretically based on the research hypothesis and a review of the literature. Results: Respiratory sinus arrhythmia is a well-known phenomenon in which heart rate changes to become synchronized with breathing: inhalation increases heart rate and exhalation decreases it. HRV BFB training depends on conscious breathing control. During coherent sinusoidal heart rate changes, brain ${\alpha}$ waves could be enhanced. An increase in ${\alpha}$ waves was also found and the synchronicity between heart beat rhythm and brain wave became strengthened during meditation. Conclusion: In addition to the effect of emotion on breathing patterns, conscious breathing could change heart beat rhythms and brainwaves, and subsequently affect emotional status.

The study on Mibyeong and Quality of life according to Sasang constitution (사상체질(四象體質)에 따른 미병(未病)과 삶의 질에 관한 연구)

  • Kim, Su-Jung;Bae, Kwang-Ho;Lee, Eun-Young;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.1
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    • pp.21-28
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    • 2017
  • Objectives The purpose of this study was to investigate of Quality of life and Mibyeong index of abnormal symptoms by Sasang constitution. Methods A total of 1,100 people were recruited into this study and were collected by Gallup Korea. Sasang constitutions were diagnosed based on KS-15 (Korean sasang constitutional diagnostic questionnaire) Questionnaire which comprised body type, personality and symptom. In addition, SF-12 (Shot form-12) questionnaire was used to evaluate the quality of life status. Mibyeong status was categorized through Mibyeong tool. Data were analyzed through one-way ANOVA to investigate the difference between quality of life and Mibyeong index on Sasang constitution. Results The PCS (physical component scale) which represents the physical health index and MCS (mental component scale) which represents mental health index showed significant differences among Sasang constitution (p<.001). In addition, The Mibyeong Index (p<.001) which represents abnormal symptom type showed significant difference for Sasang constitution. As for the Mibyeong, only pain (p=0.047) and fatigue (p=0.021) had changes for the Sasang constitution. Conclusions Quality of life and Mibyeong index vary significantly according to Sasang constitution. This results suggest the analysis of Mibyeong index by Sasang constitution could provide the setting of direction to promote public health depending on Sasang constitution.

Association Between Organizational Downsizing and Depressive Symptoms Among Korean Workers: A Cross-sectional Analysis

  • Youngsun Park;Juyeon Oh;Heejoo Park;Jian Lee;Byungyoon Yun;Jin-Ha Yoon
    • Safety and Health at Work
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    • v.15 no.3
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    • pp.352-359
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    • 2024
  • Background: Organizational downsizing may be significantly linked to depressive symptoms, yet research on this impact in Asian contexts is limited. This study investigates the association between downsizing during the COVID-19 pandemic and depressive symptoms across diverse employment statuses. Methods: This study used the data from 6th Korean Working Conditions Survey. Depressive symptoms were measured using WHO-5 well-being index with a cut-off of 50. Downsizing was defined as decrease in the number of employees during last three years. Multivariable logistic regression adjusted for socio-demographic and occupational factors was used to estimate the adjusted odds ratio (OR) and 95% confidence interval (CI) for depressive symptoms associated with downsizing, including subgroup analyses. Results: Among 26,247 Korean workers (mean age: 43.4, men: 47.5%), the prevalence of depressive symptoms was 29.5% (n = 7,751), and the proportion of downsizing was 15.2% (n = 3,978). The prevalence of depressive symptoms was significantly higher among the downsizing group (36.7%, n = 1,460) than among the no-downsizing group (28.3%, n = 6,291). The result of logistic regression revealed a significant association between downsizing and depressive symptoms (adjusted OR [95% CI]: 1.39 [1.29-1.50]), particularly pronounced among high socioeconomic status workers. Conclusion: This study underscores the significant association between depressive symptoms and organizational downsizing, especially high vulnerability of socioeconomically advantaged and stable workers. These findings highlight the necessity for targeted mental health support and further longitudinal research to clarify the relationship between employment changes and mental health within the Korean workforce.

A Study on Health Promotion Needs Assessment of the Rural Elderly in Korea (한국농촌노인의 건강증진관리요구에 관한 연구)

  • Cho So Young;Kim Jum Ja
    • Journal of Korean Public Health Nursing
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    • v.10 no.2
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    • pp.146-161
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    • 1996
  • This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.

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