• 제목/요약/키워드: Sleep Deprivation

검색결과 76건 처리시간 0.02초

서울시 고등학생의 진로고민 스트레스와 가정 및 학교에서의 갈등, 그리고 건강위험행동과의 관계 (Association of Conflict at Home and School, and of Health-risk Behaviors with Career Stress among High School Students in Seoul)

  • 신선미;이희우
    • 한국학교보건학회지
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    • 제24권1호
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    • pp.110-117
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    • 2011
  • Purpose: The study aimed at identifying distributions of career stress and determining whether conflict at school or with family and health-risk behaviors could be associated with career stress. Methods: The subjects were 7,155 high school students in Seoul. Data were stratified random samples from Seoul student health examinations in 2010. Chi-square, trend test and multiple logistic regression were conducted. Results: Fifty six percent of subjects had career stress. Career stress, after adjusting for confound variables was associated with a significantly increased odds ratio (OR) for sociodemographic characteristics including females (OR=1.34), 12th graders (OR=1.56), 11th graders (OR=1.50), south area (OR=1.47), and northeast area (OR=1.40), for conflict at school or with family including violent threats made by family members or schoolmates (OR=2.00), thoughts of running away from home (OR=1.45), and needing of counseling for agony (OR=5.45), and for health-risk behaviors including sleep ${\leq}6$ hours/day (OR=1.23), nonuse of seat belts or protective euipment (OR=1.50), and frequently viewing pornography or chatting on adult Web sites (OR=1.23). Conclusion: Stress-coping skills and intervention strategies will be needed to enhance students' positive and to help them cope with psychosocial conflicts at school and with their families, and with health-risk behaviors, including sleep deprivation and nonuse of safety measures, including seat belts and protective.

방풍통성산가미방을 병행한 지루성 피부염 치험 1례 (A case of Seborrheic dermatitis treated by Bangpungtongsungsangamibang)

  • 구진숙;서부일
    • 대한본초학회지
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    • 제31권2호
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    • pp.1-5
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    • 2016
  • Objectives : Seborrheic dermatitis is an inflammatory skin disorder affecting the scalp, face, and torso. Typically, it presents with scaly, flaky, itchy, and red skin. It may be aggravated by illness, psychological stress, fatigue, sleep deprivation, change of season. The purpose of this study was to report the clinical effects of herbal medicine on Seborrheic dermatitisMethods : We employed oriental medical treatments; herbal-medication (Bangpungtongsungsangamibang), acupuncture, moxibustion and cupping therapy. At the same time, the patient sweated out the skin poison. We treated him two times a week with oriental therapy method. He took medicine three times a day after a meal. During taking medicine, we let him avoid fatty food, flour based food, and alcohol. We took a picture the patient's body parts and compared the symptom with previous symptom. With the picture, we evaluated the patient's condition.Results : After taking treatment - 77 times' acupuncture, moxibustion and cupping therapy during 9 months and taking herbal-medicine, the skin condition of the patient was much improved. At first, he was troubled with itching and hot feeling at reddish area, time after time the itching and hot feeling was weakened. The reddish area was changed to scaly and flaky skin and changed to normal state.Conclusions : Herbal medicine (Bangpungtongsungsangamibang) with oriental medical treatments was an effective in the treatment of Seborrheic Dermatitis and it helped to improve regenerating the skin in the body.

비행안전을 위한 조종사의 생체 활성도 평가에 관한 연구 (A Study on the Evaluation of Human Alertness for Flight Safety)

  • 최승호;이달호
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1998년도 춘계학술대회논문집
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    • pp.167-172
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    • 1998
  • Methods of evaluating the physiological activity of the living body are EEG, EOG, Heart rate, and Rectal temperature, etc. In the study of Hagiwara and Araki(1993), they found positive correlations among performance test, physiological measurement, and subjective feeling measurement. Human alertness of pilot directly influences on the flight performance that accomplishes a lot of vigilance task and procedure execution in flight. Accordingly, this paper deals with the quantitative and objective performance test based on tracking error and reaction time by means of the new computer test program into which the perception-motion system of human beings is applies. Throughout this experiment using performance thst, the results suggest that performance capability in state of sleep deprivation 2 hours and alcoholic 0.05 .apaprox. 0.06% in blood were more impaired than one in a normal state, and they further showed statistically significant differences between them, which were influenced by impairment factors of body regulation and pilot's grade. We also obtained the prediction value and the 95% confidence interval of tracking error and reaction time at the normal state for the purpose of distinguishing performance capability between the normal state and the abnormal state. And it is ecpected that the evaluation of human alertness using performance test will be applied to the quantitative assessment of an each pilot's realistic consciousness/attention, and will lead a flight commander to the accurate decision of mission approval prior to a flight.

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노인 하지불안증후군에서의 인지기능 저하 (Mild Impairments in Cognitive Function in the Elderly with Restless Legs Syndrome)

  • 김은수;윤인영;권국주;박혜연;이정석;한은경;김기웅
    • 수면정신생리
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    • 제20권1호
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    • pp.15-21
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    • 2013
  • 목 적: 하지불안증후군에서의 인지기능 저하는 흔히 동반되는 수면박탈, 불안, 우울 등에 의해 영향을 받는다. 본 연구의 목적은 투약 받지 않고 있는 한국 노인 인구에서 하지불안증후군과 인지기능 저하와의 관련성을 동반 증상의 영향을 배제하고 살펴보는 것이다. 방 법: 연구대상은 25명의 투약 받고 있지 않은 한국 노인 하지불안증후군 환자군과 나이, 성별, 교육연한에 따라 짝지은 50명의 대조군이다. 모든 연구대상에 대해 CERAD-K 신경심리평가, 중증인지감퇴평가 척도, 전두엽 기능 평가, 그리고 시계 그리기 검사(CLOX)를 포함한 광범위한 인지기능 평가를 시행하였다. 또한 수면의 질 평가를 위해 피츠버그 수면의 질 지수(Pittsburgh Sleep Quality Index, PSQI), 우울증의 평가를 위해 노인우울척도(Geriatric Depression Scale, GDS)를 사용하였다. 결 과: 환자군과 대조군 사이의 PSQI와 GDS 점수의 차이는 없었다. 구성 재인 검사에서 환자군이 대조군에 비해 더 낮은 점수를 보였으며(t=-2.384, p=0.02), 이를 제외한 모든 영역의 인지기능 평가에서 환자군과 대조군의 유의미한 차이는 관찰되지 않았다. 우울감이 있는 대상($GDS{\geq}10$)은 그렇지 않은 군에 비해 언어 유창성, 간이 정신상태 검사, 단어목록기억, 길 만들기 검사, 전두엽 기능 평가의 영역에서 유의한 인지기능 저하를 보였다. 수면의 질이 낮은 대상(PSQI>5)은 그렇지 않은 군에 비해 인지기능 평가의 전 영역에서 차이를 보이지 않았다. 결 론: 본 연구에서 하지불안증후군 환자군을 대조군과 비교한 결과 환자군은 불면과 우울의 영향을 배제하면 비교적 인지기능이 보존된 것으로 관찰되었다. 환자군에서 관찰되었던 시각 인지 영역의 저하는 하지불안증후군에서의 도파민 신경전달계의 장애와 연관하여 해석해 볼 수 있다.

동신기혈양수방(東新氣血養睡方) 액상 스틱 파우치가 Chronic Mild Stress 유발 흰쥐의 스트레스 및 수면 관련 호르몬에 미치는 영향 (The Effects Liquid Stick Packs of Dongshingihyeolyangsubang on Stress and Sleep-Related Substance of Rats Induced by Chronic Mild Stress)

  • 최창원;이영수;문영호;김경옥
    • 동의신경정신과학회지
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    • 제28권3호
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    • pp.231-248
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    • 2017
  • Objectives: This study evaluates anti-stress and sleep-inductive effects of Dongshingihyeolyangsubang (DSGYSB) on rats induced by chronic mild stress (CMS). Methods: Twenty-five healthy rats were randomly divided into five groups: normal, CMS (Control), DSGYSB50, DSGYSB100, and DSGYSBS200. All rats except the normal group were exposed to unpredictable stress conditions such as water deprivation, empty bottles, and forced treadmill. A week after starting the experiment, rats in DSGYSB50, DSGYSB100, and DSGYSB200 groups were fed orally with water once a day for two weeks. Then blood samples were taken from the rats for analysis of complete blood count, AST, ALT, and glucose. Noradrenaline, corticosterone, serotonin, GABA and melatonin were measured by ELISA kit. BDNF, CREB, TrkB and $TNF-{\alpha}$ were measured by RT-PCT. Results: In Noradrenaline contents, the DSGYSB200 group revealed significant decrease compared to the control group. In corticosterone contents, the DSGYSB200 group revealed significant decrease compared to the control group. In serotonin contents, the DSGYSB200 group revealed significant increase compared to the control group. In GABA contents, the DSGYSB50, DSGYSB100, and DSGYSB200 groups revealed significant increase compared to the control group. In the activity of BDNF, the DSGYSB50, DSGYSB100 and DSGYSB200 groups revealed significant increase compared to the control group. In the activity of CREB, the DSGYSB100 and DSGYSB200 groups revealed a significant decrease compared to the control group. In the activity of TrkB, the DSGYSB100 and DSGYSB200 groups revealed significant decrease compared to the control group. In the activity of $TNF-{\alpha}$, DSGYSB100 and DSGYSB200 groups revealed significant decrease compared to the control group. In glucose contents, the DSGYSB100 and DSGYSB200 groups revealed significant decrease compared to the control group. In the leukocyte changes, white blood cells, neutrophil, lymphocytes, and monocyte significantly increased in the DSGYSB100 and DSGYSB200 groups than the control group. In the erythrocyte changes, hemoglobin significantly increased in the DSGYSB200 group than the control group. Conclusions: Results suggest that Dongshingihyeolyangsubang has anti-stress and sleep-inductive effects on rats induced by CMS.

Chronic Mild Stress 유발 흰쥐에서 윤조교심탕(潤燥交心湯)이 스트레스 및 수면 관련 호르몬에 미치는 영향 (The Effects of Yunjogyosim-tang on Stress and Sleep-related Substance of Rats Induced by Chronic Mild Stress)

  • 김하나;김경옥
    • 동의신경정신과학회지
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    • 제28권1호
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    • pp.25-38
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    • 2017
  • Objectives: The study aims were to evaluate the Anti-stress and Sleep-inductive effects of Yunjogyosim-tang (YJGS) in rats induced by Chronic Mild Stress (CMS). Methods: 25 healthy Rats were randomly divided into 5 groups; Normal, CMS (Control), YJGS 50, YJGS 100, and YJGS 200. All rats except the normal group were exposed to random stress conditions like water deprivation, empty bottles, forced runs on the treadmill, etc. according to the timetable of CSM for 3 weeks. After a week starting the experiment, Rats in YJGS 50, YJGS 100, and YJGS 200 groups were fed orally once a day for 2 weeks. Blood samples were taken afterward from each rat for analysis of Complete blood count, AST, ALT, and glucose levels. Corticosterone, serotonin, and melatonin were measured by ELISA kit. BDNF and $TNF-{\alpha}$ were measured by RT-PCT. Results: 1. Corticosterone levels were lower in YJGS 50, and YJGS 200 groups compared to the control group. 2. Serotonin levels were lower in the YJGS 100 and YJGS 200 groups compared to the control group. 3. Melatonin levels were higher in the YJGS 50 group compared to the control group. 4. Activity levels were higher in the BDNF, and YJGS 50 groups compared to the control group. 5. In the Activity of $TNF-{\alpha}$, YJGS 50 group showed a significant decrease compared to the control group. 6. In the Glucose content, YJGS 50, YJGS 100, and YJGS 200 groups showed a significant decrease compared to the control group. 7. When analyzing leukocytes, monocytes were found to be increased in YJGS 100 and YJGS 200 groups compared to the control group. 8. When analyzing red blood cells, more changes occurred to erythrocytes and thrombocytes in the YJGS 50 and YJGS 200 groups than in the control group. Hemoglobin was significantly increased in the YJGS 100 group and platelet levels were significantly increased in all experimental groups compared with the control group. Conclusions: These results suggest that Yunjogyosim-tang has anti-stress and sleep-inductive effects on rats induced by CMS.

가족특성이 초기 청소년의 일생활 균형에 미치는 영향: 초등학교 5학년과 중학교 2학년의 차이 (Effects of family characteristics on the work-life balance of youth in early adolescence: differences between fifth and eighth graders)

  • 고선강
    • 가족자원경영과 정책
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    • 제25권1호
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    • pp.91-112
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    • 2021
  • 본 연구는 가족 특성이 초기 청소년의 일생활 균형에 미치는 영향을 연구하였고, 초등학교 5학년과 중학교 2학년의 일생활 균형에 가족특성이 미치는 영향력을 비교하였다. 청소년의 일생활 균형을 기초생활 균형, 방과후 학습시간 균형, 여가시간 균형으로 구분하였고, 상대적 시간부족 개념을 적용하여 각 영역의 일생활 균형을 분석하였다. 본 연구에 사용한 자료는 한국아동·청소년패널조사 2018(KCYPS 2018)의 초등학교 4학년, 중학교 1학년 패널자료의 2차 조사(2019년)이다. 연구결과는 다음과 같다. 손위형제자매 유무, 부모의 건강상태, 가구소득, 부모의 양육태도, 부모와 대화시간, 어머니의 직종 등 청소년의 가족특성은 청소년의 다양한 생활영역 균형에 영향을 미쳤다. 전반적으로 가족특성은 중학교 2학년보다 초등학교 5학년의 일생활 균형에 유의미한 영향요인들로 더 많이 나타났다. 초기 청소년의 수면시간에 영향을 미치는 가족특성은 부모의 건강상태와 가구소득이었고, 초등학교 5학년의 수면시간에는 어머니의 직종이, 중학교 2학년의 수면시간에는 부모와의 대화시간이 유의미한 영향요인이었다. 아침식사 결식에 영향을 미치는 가족특성은 가구소득, 부모의 양육태도, 어머니의 직종이었다. 소득수준이 높은 경우 부모의 거부적인 양육태도 점수가 높을수록 학원과외시간이 3시간 이상인 집단으로 분류될 확률이 높았다. 부모의 양육태도와 어머니의 직종은 초등학교 5학년의 학원과외시간 과다와 관련이 있었다. 독서시간을 분석한 결과 부모의 양육태도가 자율적지지 성향이 높을수록, 어머니가 전업주부인 경우와 비교하여 관리전문직에 종사하는 경우 독서시간이 부족한 집단으로 분류될 확률이 낮았다. 어머니의 직종은 휴대폰놀이시간과도 관련이 있었는데, 특히 초등학교 5학년은 전업주부인 어머니와 비교하여 사무직, 판매서비스직, 기계기능직에 종사하는 어머니의 자녀가 휴대폰놀이시간 과다 집단으로 분류될 확률이 높았다. 연구결과를 근거로 초기 청소년의 일생활 균형을 증진하기 위해서 부모의 일가정 양립을 위한 정책이 확대되어야 하며, 청소년의 생활균형을 지지할 수 있는 부모의 양육태도와 건강한 가정환경 조성을 위한 적극적인 가족정책 시행을 제안하였다.

항해사 인지능력 평가시스템 (Development of Evaluation System for the Cognitive Performance of Marine Officers)

  • 김홍태;홍승권
    • 한국HCI학회:학술대회논문집
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    • 한국HCI학회 2009년도 학술대회
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    • pp.650-653
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    • 2009
  • 항해사의 업무수행도 감소는 해양사고 발생의 주요 원인 중의 하나로 자주 언급되고 있다. 인터뷰와 항해 기록 분석을 통한 선원의 작업시간 분석에 대한 연구는 일부를 수행되었으나, 작업부하, 작업교대, 스트레스, 수면 등이 선원의 인지능력에 미치는 영향을 분석한 사례 매우 한정적이다. 항공, 철도와 같은 다른 운송 산업에서는 승무원의 근무 패턴을 관리하기 위한 피로관리 도구를 개발하고 있고 있는데, 이러한 도구들은 선원, 항해사 및 육상관리자의 효율적인 근무일정을 계획하는데 도움을 줄 수 있다. 따라서 본 연구에서는 항해사의 인지능력을 평가하기 위해, 해상 충돌상황에서의 종합적 대응능력을 평가할 수 있는 소프트웨어 프로그램을 개발하였다. 항해 전문가를 대상으로 한 실험을 통하여, 평가기준을 개발하였으며, 실습 항해사를 대상으로 하여 시스템에 대한 검증이 이루어졌다. 본 시스템은 선박운항 시 충돌사고를 회피하기 위한 항해사의 인지능력을 평가할 수 있으므로, 당직 전 혹은 승선 전에 짧은 시간 동안의 평가를 통하여 항해사의 전반적 인지능력을 평가하고, 이 결과를 항해사에게 경고메시지 형태로 전달할 수 있다.

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Pharmacologic Management of Chronic Pain

  • Park, Hue-Jung;Moon, Dong-Eon
    • The Korean Journal of Pain
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    • 제23권2호
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    • pp.99-108
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    • 2010
  • Chronic pain is a multifactorial condition with both physical and psychological symptoms, and it affects around 20% of the population in the developed world. In spite of outstanding advances in pain management over the past decades, chronic pain remains a significant problem. This article provides a mechanism- and evidence-based approach to improve the outcome for pharmacologic management of chronic pain. The usual approach to treat mild to moderate pain is to start with a nonopioid analgesic. If this is inadequate, and if there is an element of sleep deprivation, then it is reasonable to add an antidepressant with analgesic qualities. If there is a component of neuropathic pain or fibromyalgia, then a trial with one of the gabapentinoids is appropriate. If these steps are inadequate, then an opioid analgesic may be added. For moderate to severe pain, one would initiate an earlier trial of a long term opioid. Skeletal muscle relaxants and topicals may also be appropriate as single agents or in combination. Meanwhile, the steps of pharmacologic treatments for neuropathic pain include (1) certain antidepressants (tricyclic antidepressants, serotonin and norepinephrine reuptake inhibitors), calcium channel ${\alpha}2-{\delta}$ ligands (gabapentin and pregabalin) and topical lidocaine, (2) opioid analgesics and tramadol (for first-line use in selected clinical circumstances) and (3) certain other antidepressant and antiepileptic medications (topical capsaicin, mexiletine, and N-methyl-d-aspartate receptor antagonists). It is essential to have a thorough understanding about the different pain mechanisms of chronic pain and evidence-based multi-mechanistic treatment. It is also essential to increase the individualization of treatment.

합곡자(合谷刺)와 전침(電鍼)으로 치료한 간질성 방광염 4례 증례보고 (The clinical observations of 4 case of Interstitial cystitis patient treated with Hapgokja(合谷刺) and Electroacupuncture)

  • 최우식;송인광;박준성;이승덕;김갑성
    • Journal of Acupuncture Research
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    • 제19권6호
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    • pp.193-204
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    • 2002
  • Interstital cystitis(IC) is a disease of the bladder that is characterized by inveterate irritation due to non-specific chronic inflammation. The symptoms of IC are chronic pain, frequency, urgency and sleep deprivation These symptom's are contained to the Lunbing(淋病) in oriental medicine. We observed 4 cases of patient with Interstitial cystitis, the results are as follows. Methods & Results : All patients were treated by the same method. Treatment was performed by means of Hapgokja(合谷刺, The needle arrived to the bladder wall) with electroacupuncture(electric stimulation was 5mA mixed pulse, low frequency 2Hz and high frequency 30Hz, intensity was adjusted to inside the scope where the patients perseveres.) The electrodes were placed CV2 to CV3, both K11, K12. Conclusions : 1. As the result, uses the Hapgokja(合谷刺), with the electroacupuncture, symptoms are remarkably improved and got the satisfactory effect in the treatment. 2. In Hunner's ulcer type, the first treatment was not satisfactory, and second time, after 15 times treatment, there were maintain urgency, 8 times nocturia, 70 percents bladder pain. 3. 3 patients of nonulcer type were treated for 44.8 times(average) and improved started after 5 times treatment. After 2 month's treatment, there were no frequency, no urgency, and remain 1 or 2 nocturia, 30 percents bladder pain.

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