• 제목/요약/키워드: Panic

검색결과 241건 처리시간 0.027초

Generation YZ's E-Healthcare Use Factors Distribution in COVID-19's Third Year: A UTAUT Modeling

  • Michael CHRISTIAN;Kurnadi GULARSO;Prio UTOMO;Henilia YULITA;Suryo WIBOWO;Sunarno SUNARNO;Rima MELATI
    • 유통과학연구
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    • 제21권7호
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    • pp.117-129
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    • 2023
  • Purpose: With the number of COVID-19 cases declining and generational differences among how people use mobile apps, including health service apps, the goal of this research is to identify and analyze the factors that affect people's attitudes when using the Halodoc health service app during the third year of the pandemic. Research design, data, and methodology: This study proposes a quantitative analysis method based on PLS-SEM modeling. This study has used a questionnaire survey to collect randomized data from 268 Halodoc users from generations Y and Z in Jakarta. Results: Both the Y and Z generations believe there is a significant usefulness factor in the attitude toward using the application. The start of the pandemic period demonstrates that the urgency of using health service applications is no longer determined by performance expectations, effort, or social panic, but rather by these applications' usability. Conclusions: Even though a health service application is no longer considered an urgent service or a priority need, attitudes, and behaviors in using it emphasize the aspect of long-term benefits. These findings supplement other considerations and understandings in application of the Unified Theory of Acceptance and Use of Technology (UTAUT) model in explaining attitudes and intention behaviors.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 태음병(太陰病)으로 진단하고 치료한 신경정신과 질환 증례 5례 (5 Neuropsychiatric Disorder Cases Diagnosed and Treated as Greater Yin Disease Based on Disease Pattern Identification Diagnostic System by Shanghanlun Provisions)

  • 조성환;정재원;김민환;허주
    • 대한상한금궤의학회지
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    • 제15권1호
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    • pp.53-84
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    • 2023
  • Objective : The purpose of this study is to explore the therapeutic potential of Shanghanlun for neuropsychiatric disorders through a comparative review of five neuropsychiatric disorder cases diagnosed with Greater yin disease pattern/syndrome (太陰病). Methods : We collected and compared five neuropsychiatric cases diagnosed and treated with Greater yin disease pattern/syndrome (太陰病) from four korean medicine clinics. Clinical symptoms common to the five cases were analyzed by connecting them with Shanghanlun provision 273 and 279. Results : In all five cases, the improvement of chief complaints and decrease in general anxiety were observed after administration of Gyejigajakyak-tang (桂枝加芍薬湯) and Gyejigadaehwang-tang (圭支加大黃湯). In addition, neuropsychiatric symptoms and physical symptoms that are mentioned in Shanghanlun provision 273 and 279 were confirmed in all five cases. Conclusions : We not only reconfirmed that the core features of Greater yin disease pattern/syndrome(太陰病) proposed in previous studies; zi-tong (自痛), yin-er (因爾), jie-ying (結硬), but also that the physical symptoms associated with fu-man (腹満), tu (吐) and zi-li (自利) were common in the presenting symptoms and past histories of the five patients.

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Current understanding of nociplastic pain

  • Yeong-Min Yoo;Kyung-Hoon Kim
    • The Korean Journal of Pain
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    • 제37권2호
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    • pp.107-118
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    • 2024
  • Nociplastic pain by the "International Association for the Study of Pain" is defined as pain that arises from altered nociception despite no clear evidence of nociceptive or neuropathic pain. Augmented central nervous system pain and sensory processing with altered pain modulation are suggested to be the mechanism of nociplastic pain. Clinical criteria for possible nociplastic pain affecting somatic structures include chronic regional pain and evoked pain hypersensitivity including allodynia with after-sensation. In addition to possible nociplastic pain, clinical criteria for probable nociplastic pain are pain hypersensitivity in the region of pain to non-noxious stimuli and presence of comorbidity such as generalized symptoms with sleep disturbance, fatigue, or cognitive problems with hypersensitivity of special senses. Criteria for definitive nociplastic pain is not determined yet. Eight specific disorders related to central sensitization are suggested to be restless leg syndrome, chronic fatigue syndrome, fibromyalgia, temporomandibular disorder, migraine or tension headache, irritable bowel syndrome, multiple chemical sensitivities, and whiplash injury; non-specific emotional disorders related to central sensitization include anxiety or panic attack and depression. These central sensitization pain syndromes are overlapped to previous functional pain syndromes which are unlike organic pain syndromes and have emotional components. Therefore, nociplastic pain can be understood as chronic altered nociception related to central sensitization including both sensory components with nociceptive and/or neuropathic pain and emotional components. Nociplastic pain may be developed to explain unexplained chronic pain beyond tissue damage or pathology regardless of its origin from nociceptive, neuropathic, emotional, or mixed pain components.

불안증상을 보이는 환아에서 항우울제 투여로 유발된 조증삽화 (ANTIDEPRESSANT INDUCED-MANIC EPISODE IN ADOLESCENTS WITH PRECEDING ANXIETY SYMPTOMS)

  • 정동선;김정현;하규섭
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권1호
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    • pp.124-131
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    • 2005
  • 소아, 청소년기에 발생하는 양극성장애는 주의력결핍/과잉행동장애, 행동장애 뿐만 아니라 불안장애도 중복진단 비율이 높다. 불안장애 중 강박장애, 사회공포증, 공황장애, 분리불안장애가 많이 공존한다고 보고 되었지만 불안장애와 양극성장애 발생사이의 시간적 관련성에 관한 전향적이면서 믿을만한 연구는 드물다. 본 저자는 양극성장애에 선행한 불안증상에 대해 항우울제를 투여하였을 때 발생한 조증삽화 2예를 보고하고자 한다. 기분변화의 과거력이나 양극성장애의 가족력이 없어도 선행된 불안증상에 대해 항우울제를 사용할 때는 조증삽화의 가능성을 염두에 두고 조심스럽게 처방해야 될 필요성이 있으며 향후 소아, 청소년 양극성장애와 불안장애 사이의 시간적 연관성과 약물학적 치료 지침에 대해 포괄적이며 전향적인 연구가 필요할 것이다.

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베타차단제를 포함한 정신과적 약물 중독: 심혈관계 영향을 중심으로 (The Intoxication of Beta Blocker with Psychiatric Drugs Focused on the Cardiovascular Adverse Effects)

  • 주성우;민영기;최상천;박은정
    • 대한임상독성학회지
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    • 제14권2호
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    • pp.100-106
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    • 2016
  • Purpose: Beta blocker (BB) has been prescribed for anxiety and panic disorder. Patients intoxicated by psychiatric drugs have often been exposed to BB. Moreover, BB overdose has adverse effects including cardiovascular effects, which can be life-threatening. This study was conducted to identify the characteristics of BB intoxication with psychiatric drugs and the adverse effects on the cardiovascular system. Methods: A single center, retrospective study was performed from January 2010 to December 2015. A total of 4,192 patients visited the emergency department (ED) with intoxication, and 69 with BB intoxication were enrolled. Results: Overall, 64 patients (92.8%) of enrolled patients were intoxicated with drugs prescribed for the purpose of psychiatric disorders. Propranolol was the most common BB (62 cases, 96.2%), and the median dose was 140.0 mg (25%-75% 80.0-260.0). Twenty-four patients (37.5%) had experienced cardiovascular events, and these patients tended to have decreased mentality, hypotension and coingestion with quetiapine. An initial mean arterial pressure (MAP) below 65 mmHg (odds ratio 10.069, 95% confidence interval 1.572-64.481, p=0.015) was identified as a factor of cardiovascular event upon multiple logistic regression analysis. Conclusion: Initial MAP below 65 mmHg was a factor of cardiovascular adverse effect in patients of BB intoxication with psychiatric drugs.

돌발성 재해에 대비한 긴급 피난 지원 시스템의 구현 (Implementation of Emergency Evacuation Support System in Panic-type Disaster)

  • 황준수;최영복
    • 한국정보통신학회논문지
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    • 제20권7호
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    • pp.1269-1276
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    • 2016
  • 세계적으로 지진, 해일, 홍수, 폭설 등의 자연 재해와 화재, 방화, 테러 등의 인위적 재해가 빈번하게 발생하고 있으며, 이러한 다양하고 예측 불가능한 재해로 인해 다수의 사상자가 발생하고 있다. 재해 발생 시 빠른 시간에 재해 발생 여부를 파악하여 재해 발생 위치와 적절한 피난 경로 등의 정보를 피해자에게 제공한다면 신속히 안전한 장소로 대피가 가능하여 피해를 최소화 할 수 있다. 이에 본 논문에서는 실내공간에서 공황상태가 발생 했을 경우 사람들의 움직임을 파악하여 긴급 재해 발생 여부를 신속히 탐지하고 이를 통해 상황에 따라 신속하고 안전하게 대피가 가능하도록 긴급 피난 지원 시스템의 알고리즘을 제안하고 구현하였다. 이동 단말기에서는 실내 보행자의 행동과 위치를 분석하여 서버로 전송하고 서버에서는 전송받은 정보를 토대로 긴급상황 여부를 판단한다. 긴급상황이 발생하면 서버는 이동 단말기에게 이를 통보하고, 실내 보행자는 이동단말기를 이용하여 비상탈출을 실시하게 된다.

불안장애로 진단된 환자의 심(心) 대소(大小) 관련성에 관한 연구 (The Study about Correlations of Heart Sizes in Patients with Anxiety Disorder)

  • 정찬수;국윤재;최성열;강형원;류영수;김태헌
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.35-42
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    • 2005
  • Objective : The relations of the heart size and seven emotions were described in Dong Yi Bo Gam, and we aimed to identify the correlations of the patients with anxiety disorder and their heart sizes. Methods : The subjects were 15 patients with anxiety disorder and 20 control groups. Chest radiography were performed. We measured patients' heart sizes and compared with control groups. Results : 1. The signigicant difference of somatization, anxiety, depression scale and Panic anxiety scale in SCL-90-R in patients with anxiety disorder from controls was confirmed. 2. The difference of thoracic sizes in patients with anxiety disorder and controls had no correlations. 3. The difference of heart sizes in patients with anxiety disorder and controls had no correlations. 4. The difference of cardiothoracic ratio in patients with anxiety disorder and controls had negative correlations. Conclusions : Based on these results, the patients with anxiety disorders and their heart sizes had no correlations. But in cardiothoracic ratio had negative correlations. So heart size and seven emotions have significant correlation.

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조선조와 모더니즘의 가구디자인 비교연구 - 사상과 디자인을 중심으로 - (A Comparative Study on Furniture Design of Chosun Dynasty & Modernism - Focused on Thought & Design -)

  • 김건수
    • 한국가구학회지
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    • 제18권1호
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    • pp.1-12
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    • 2007
  • Korea has a dark age in terms of culture in the last 20th century. Korea had been struggling between the Great Powers of the world in the imperialism and had sacrifice to keep our own culture itself. Japanese imperialist's a invasion, culture liquidation by Japan, Independence from Japan, Korean war and Influence by US are major bitter historical affair after close of Chosun Dynasty in the process of modernization. Therefore Korea couldn't stay in the center of world cultural core parts and was degraded as cultural consumption country which was provided oversea culture by other countries. Then Korea couldn't develop our unique traditional idea and culture. In the meantime there are both extreme phenomena; one is expulsion of other cultures absolutely and the other is only following western culture unconditionally like trimming policy in the end of colony age. These discreet and unfiltered western culture had been influenced Korea culture over the wide range strongly and resulted in cultural colony situation to produce western imitation culture without philosophy and traditional spirit. Even though Korea has met opportunity in the culture, we called "Han Trend", no formation of own culture is main reason for psychological panic. Korea furniture design is one of parts of lost of tradition culture and typical parts in reproducing western imitation culture. As a result furniture industry's major reason for loss value as exporting industry compared to other industries result in most of the furniture products without our unique identity. This situation become more deepen unfortunately. This report would like to suggest the direction of design with global competition capability and cultural identity to boost Korean furniture design industry by comparing, analyzing and speculating between design of Chosun dynasty and philosophy of modernism in western.

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Real-time Intelligent Exit Path Indicator Using BLE Beacon Enabled Emergency Exit Sign Controller

  • Jung, Joonseok;Kwon, Jongman;Jung, Soonho;Lee, Minwoo;Mariappan, Vinayagam;Cha, Jaesang
    • International journal of advanced smart convergence
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    • 제6권1호
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    • pp.82-88
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    • 2017
  • Emergency lights and exit signs are an indispensable part of safety precautions for effective evacuation in case of emergency in public buildings. These emergency sign indicates safe escape routes and emergency doors, using an internationally recognizable sign. However visibility of those signs drops drastically in case of emergency situations like fire smoke, etc. and loss of visibility causes serious problems for safety evacuation. This paper propose a novel emergency light and exit sign built-in with Bluetooth Low Energy (BLE) Beacon to assist the emergency self-guiding evacuation using devices for crisis and emergency management to avoid panic condition inside the buildings. In this approach, the emergency light and exit sign with the BLE beacons deployed in the indoor environments and the smart devices detect their indoor positions, direction to move, and next exit sign position from beacon messages and interact with map server in the Internet / Intranet over the available LTE and/or Wi-Fi network connectivity. The map server generate an optimal emergency exit path according to the nearest emergency exit based on a novel graph generation method for less route computation for each smart device. All emergency exit path data interfaces among three system components, the emergency exit signs, map server, and smart devices, have been defined for modular implementation of our emergency evacuation system. The proposed exit sign experimental system has been deployed and evaluated in real-time building environment thoroughly and gives a good evidence that the modular design of the proposed exit sign system and a novel approach to compute emergency exit path route based on the BLE beacon message, map server, and smart devices is competitive and viable.

R을 이용한 고용노동부 민원·정책 연관분석 (Analysis of the complaints and policy of the Ministry of Employment and Labor using the R program)

  • 성보경;유연우
    • 한국융합학회논문지
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    • 제9권7호
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    • pp.41-46
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    • 2018
  • 본 연구는 대한민국 정부가 운영하는 의견수렴 및 고충처리 전산망인 국민신문고(http://www.people.go.kr)'의 고용노동부 민원 정책 게시판의 의견을 통해 고용노동부에서 시행하는 직업훈련, 노사관계, 산업안전, 임금정책, 근로기준법 등의 민원 정책에 대한 국민적 의견을 수렴하여 분석하였다. 본 연구는 R프로그램 빅데이터 기법을 이용하여 데이터 시각화, 빈도 분석, 연관분석 등을 실시하였으며, 연구결과는 다음과 같다. 첫째, 한국의 복잡한 임금구조와 노사 간에 인식부족 등으로 임금개념의 불일치, 노사갈등 이 많은 민원요소로 발견되었다. 둘째, 최근 최저임금의 파격적 인상으로 인한 자영업자 및 근로자의 경제적 공황상태 등으로 기인한 각종 민원이 발생하고 있다. 셋째, 생산직 등 제조 분야 등의 영세한 사업장의 안전의식의 부재로 인한 산업재해가 끊임없이 발생하고 있으며, 일 가정 병립을 위한 제도적 뒷받침이 많이 부족한 것으로 나타났다.