• 제목/요약/키워드: Quality Of Sleep

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불면(不眠)과 신체증상(身體症狀)을 호소하는 화병 환자에게 한의학적(韓醫學的) 치료(治療)와 마음챙김명상을 병행하여 호전된 1례 (An improved case by operating the traditional oriental medical remedy with mindfullness to the Hwa-Byung patient suffering from insomnia and physical symptoms)

  • 박세환;석선희;김근우;구병수
    • 동의신경정신과학회지
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    • 제19권3호
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    • pp.231-244
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    • 2008
  • Insomnia is one of the highest frequency neuropsychosis of neuropsychiatry patients and is primarily caused by major depressive disorder. This case study is about a remedy for a 33 year-old woman who has insomnia and intense depressed mood caused by the continuous family jar. Also, she had the feeling of squeezing her body, pouring cold water into her body, anorexia and feeling cold and hot turn and turn. I operated mindfullness with accupuncture, herb-medication and aroma theraphy. Especially, mindfullness and Gagamguibi-tang were effective for relaxation and the sound sleep in quality and quantity. According to this study, the traditional oriental medical remedy such as accupuncture, herb-medication is effective for the cure of insomnia and mindfullness fortifies the oriental medical remedy.

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중학교 여학생의 스마트폰 장시간 사용 관련요인 및 고위험군 특성 (The Factors related to Long Hours of Smartphone Usage and the Characteristics of High-risk Group in Female Middle School Students)

  • 박성희;이지선
    • 한국학교보건학회지
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    • 제31권3호
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    • pp.135-145
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    • 2018
  • Purpose: The study aimed to investigate the factors associated with long hours of smartphone usage and to identify the characteristics of the high-risk group among female middle school students in South Korea. Methods: The study analyzed the data of 13,648 female middle school students using their own smartphone extracted from the 13th Youth Health Behavior Online Survey (2017). The factors related to using smartphones for a long time was analyzed by binomial logistic regression. The characteristics of the high-risk group was defined by a decision tree analysis. Results: The average hours spent on smartphone usage was 269.54 minutes per day. The significant factors associated with the long hours of smartphone usage were grade, living with parents, perceived household economic status, perceived academic achievement, stress, sadness and hopelessness, the main purpose of smartphone usage, drinking, body mass index, breakfast, and satisfaction with sleep quality. The subjects showing low academic performance and having breakfast four times a week or less were more likely to use their smartphone for a long time. Conclusion: Based on the results of the research, we need to establish intervention strategies focusing on the factors influencing long-time usage of smartphone. Particularly, the subjects who show poor academic performance and skip breakfast frequently should be considered as the high-risk group for spending long hours on smartphone usage.

금융사무원의 심리사회적 작업환경과 정신건강 (Psychosocial Working Environment and Mental Health of Financial Clerks)

  • 이복임;이주현
    • 한국직업건강간호학회지
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    • 제30권4호
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    • pp.224-231
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    • 2021
  • Purpose: The purpose of this study was to identify the psychosocial working environment and mental health of financial workers, and analyze the impact of the former on the latter. Methods: Data of 257 financial clerks were extracted from the 2017 5th Korean Working Conditions Survey. Psychosocial working environment was divided into five fields: demands at work, work organizations, interpersonal relations, workplace violence, and working hour quality. Mental health included sleeping problems, psychological well-being, and job stress. Results: A total of 6.1% subjects reported sleep problems, 28.2% experienced poor psychological well-being, and 39.6% had job stress. More than half the subjects were exposed to tight deadlines, complex tasks, hiding feelings at work, fair treatment, fair distribution of work, colleagues' support, and managers' support. Tight deadlines, workplace violence, long working hours, hiding feelings at work, and managers' support had a significant impact on the mental health of financial clerks. Conclusion: Based on the results of this study, we propose that employers, workers, and health managers in the financial industry should work together to establish a respectful organizational culture, prevent long working hours through recruitment, and conduct programs to protect emotional health.

남성독거노인과 여성독거노인의 행복감 영향요인: 2015 지역사회 건강조사 자료 활용 (Factors Influencing the Happiness according to the Gender of the Elderly Living Alone: Using Data from 2015 Community Health Survey)

  • 김경숙
    • 동서간호학연구지
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    • 제23권2호
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    • pp.97-106
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    • 2017
  • Purpose: The purpose of this study is to identify the factors influencing the happiness according to gender of the elderly living alone. Methods: This cross-sectional study used the raw data from the 2015 Community Health Survey. The subjects of this study were 14,705 elderly people aged 65 years or older, of which 2,198 were male elderly and 12,507 were female elderly. Results: The factors influencing the happiness of both male and female elderly were household income, depression, subjective stress level, subjective health level, quality of life, and lack of required medical service experience (p<.05). In addition, the male elderly were affected by the age, and the female elderly were affected by education, sleep time, walking and breakfast practice, and health screening (p<.05). Conclusions: It is necessary to develop and apply programs that can reduce the stress to increase the happiness of the elderly living alone, and efforts should be made not to cause a blind spot in terms of the health and welfare of the elderly living alone.

소음인 태음증으로 진단한 소뇌성 운동실조 환자 1례 (A Case Study of Soeumin Greater Yin Symptomatology Patient Diagnosed as Cerebellar Ataxia)

  • 박유경;이미숙;배나영
    • 사상체질의학회지
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    • 제26권2호
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    • pp.194-204
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    • 2014
  • Objectives The aim of this study was to examine significant improvement of gait ataxia, vertigo and tremor after treatment with Sipyimigwanjung-tang, Hyangsayangwi-tang in a Soeumin Greater Yin Symptomatology patient Diagnosed as Cerebellar ataxia. Methods The patient was diagnosed with Soeumin Greater Yin Symptomatology and treated with Soeumin's constitutional medications and acupuncture. The primary outcome measures for this study were the Unified Multiple System Atrophy Rating Scale(UMSARS) and Cerebellar function test to assess the overall function of patient. Secondary outcome assessment included Global Assessment Scale(GAS), change of patient's sleep, stool and digestion. Results The symptoms of gait ataxia, vertigo and tremor decreased from GAS 100 to GAS 0~40 after treatment, and the UMSARS score decreased in Part I, II. Conclusions This case showed that Sasang Constitutional medicine treatment can be effective treatment method for cerebellar ataxia. We consider that consistent treatment can contribute to improve the patient's quality of life.

교통사고 환자 증례를 통한 척유약침과 Brainspotting의 임상적 접근 (Clinical Approach of Chukyu Pharmacopuncture and Brainspotting Through a Traffic Accident Patient Case)

  • 이도은;하지수;박현미;윤인애;서주희
    • 동의신경정신과학회지
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    • 제32권3호
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    • pp.261-273
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    • 2021
  • The purpose of this study was to introduce effects of Chukyu pharmacopuncture and Brainspotting on knee pain, headaches, and acute stress disorder of a patient with a traffic accident. We treated a patient with Chukyu pharmacopuncture and Brainspotting. Numerical rating scale (NRS), Range of Motion (ROM), Hyperextension Position (HEP), Effusion (Eff), Patella Compression Test (PCT), Frontal Flexion Position (FFP), McMurray (MCM), Lateral Joint Line Tenderness (LJLT), Medial Joint Line Tenderness (MJLT), Anterior Drawer Test (ADT), Lachman Test, Varus/Valgus stress, Beck Anxiety Inventory (BAI), Patient Health Questionnaire-9 (PHQ-9), Pittsburgh Sleep Quality Index (PSQI), Core Seven Emotions Inventory Short Form (CSEI-S), Subjective units of disturbance scale (SUDs), and Heart rate variability (HRV) were used to evaluate the patient. After the patient was treated by Chukyu pharmacopuncture and Brainspotting, the patient showed improvement in NRS, physical examination, and psychological symptom assessment. These results indicate that Chukyu pharmacopuncture and Brainspotting are effective on knee pain, headache, and acute stress disorder after a traffic accident.

대사증후군이 동반된 간화상염 변증 환자에 대한 한의정신요법 병행 한의치료 증례보고 (A Patient with Liver Fire Flaming Upward and Metabolic Syndrome Improved by Korean Medicine: A Case Report)

  • 조준희;임정화;김보경
    • 동의신경정신과학회지
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    • 제33권4호
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    • pp.485-495
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    • 2022
  • The purpose of this study is to report a case of a patient with pattern identification of liver fire flaming upward and metabolic syndrome improved by Korean medicine. The patient felt completely lost. She was treated for headache, insomnia, and metabolic syndrome with Korean medicine and psychotherapy. Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Pattern Identification Tool for Insomnia (PIT-Insomnia), Minnesota multiphasic personality inventory-2 (MMPI-2), and bioelectrical impedance analysis (BIA) were used for assessment. During treatment for six months, the patient stopped taking headache pills. Her blood pressure was stabilized. Her body weight, body fat, body mass index (BMI), and visceral fat decreased significantly. The sum of ISI, PSQI, PIT-insomnia also decreased significantly. Her Ego strength increased in the MMPI-2 supplementary scale. We assume that Korean medicine treatment through acupuncture, herbal medicine, and psychotherapy is effective in treating pattern identification of liver fire flaming upward and metabolic syndrome.

상급종합병원의 야간전담 간호제도 시범사업에 참여하는 간호사의 직무 경험 (Job Experiences of Nurses Participating in Pilot Project of Fixed Night Shift Nursing by a Tertiary Hospital)

  • 김수정;하영미
    • 한국직업건강간호학회지
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    • 제32권2호
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    • pp.49-57
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    • 2023
  • Purpose: This study aimed to explore the meaning of job experiences of fixed night shift nurses participating in a pilot project by a tertiary hospital, and to provide basic information for improving their night shift working environment. Methods: A descriptive qualitative study was conducted using individual interviews in September 2022. Three female nurses who worked fixed night shifts were recruited from a tertiary hospital. Data were analyzed using content analysis. Results: By analyzing the meaning of job experience as a fixed night shift nurse, four categories and nine subcategories were identified. The four categories of job experience of fixed night shift nurses were: expecting an improvement physical health due to predictable working hours, enjoying leisure time due to long off-duty hours, regretting for loosened relationships, and considering a successful settlement of fixed night shift nursing. Conclusion: As night shift work is essential for nurses to provide continuous nursing to patients, it is necessary to develop various strategies to improve the physical health of night shift nurses through fatigue management and good sleep quality, mental health through work-life harmony, and social health through intimate relationships between patients and coworkers.

한양방 병행치료로 호전된 급성기 대상포진 2례 (Two Cases of the Acute Stage of Herpes Zoster Patients Improved by Korean-Western Medicine Combination Treatment)

  • 최지영;임지원;지선영;황보민
    • 한방안이비인후피부과학회지
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    • 제36권4호
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    • pp.187-195
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    • 2023
  • Objectives : The aim of this study is to report the effect of Korean-western combination treatment in two patients with Herpes Zoster. Methods : During hospitalization, two patients were treated with Galgeunkilkyung-tang, acupucture, pharmacopuncture, antiviral agents, painkiller. To evaluate the effect of this treatment, we used Numeric Ration Scale(NRS) and Quality of Sleep(QSP). Results : After treatment, NRS and QSP of 2 patients were improved remarkably. Conclusions : According to the result, these finding suggest that Korean-western combination treatment can be effective for the treatment of herpes zoster.

Energy-efficient Multicast Algorithm for Survivable WDM Networks

  • Pu, Xiaojuan;Kim, Young-Chon
    • Current Optics and Photonics
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    • 제1권4호
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    • pp.315-324
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    • 2017
  • In recent years, multicast services such as high-definition television (HDTV), video conferencing, interactive distance learning, and distributed games have increased exponentially, and wavelength-division multiplexing (WDM) networks are considered to be a promising technology due to their support for multicast applications. Multicast survivability in WDM networks has been the focus of extensive attention since a single-link failure in an optical network may result in a massive loss of data. But the improvement of network survivability increases energy consumption due to more resource allocation for protection. In this paper, an energy-efficient multicast algorithm (EEMA) is proposed to reduce energy consumption in WDM networks. Two cost functions are defined based on the link state to determine both working and protection paths for a multicast request in WDM networks. To increase the number of sleeping links, the link cost function of the working path aims to integrate new working path into the links with more working paths. Sleeping links indicate the links in sleep mode, which do not have any working path. To increase bandwidth utilization by sharing spare capacity, the cost function of the protection path is defined to use sleeping fibers for establishing new protection paths. Finally, the performance of the proposed algorithm is evaluated in terms of energy consumption, and also the blocking probability is evaluated under various traffic environments through OPNET. Simulation results show that our algorithm reduces energy consumption while maintaining the quality of service.