• Title/Summary/Keyword: Sleep Period

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Gap arthroplasty with active mouth opening exercises using an interocclusal splint in temporomandibular joint ankylosis patients

  • Park, Min Woo;Eo, Mi Young;Seo, Bo Yeon;Nguyen, Truc Thi Hoang;Kim, Soung Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.18.1-18.10
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    • 2019
  • Background: Temporomandibular joint (TMJ) ankylosis during early childhood may lead to disturbances in growth and facial asymmetry and to serious difficulties in eating as well as in breathing during sleep. The purpose of this study is to describe the effectiveness of an interocclusal splint (IOS) for active mouth opening exercises in the treatment of TMJ ankylosis. Methods: A total of nine patients with 13 instances of TMJ ankylosis from 2008 to 2010 were included in this study, of which five patients were male and four patients were female. Five patients demonstrated unilateral ankylosis, while five patients showed bilateral symptoms. Ankylosed mass resection with coronoidectomy, fibrotic scar release, and resection of stylohyoid ligament calcification was performed with gap arthroplasty without an interpositional graft, and all patients were assessed for maximum mouth opening (MMO) during a mean 6.6-year follow-up period. Results: All patients were subjected to postoperative mouth opening exercises from the day of the operation with the help of an IOS, which was based on an impression taken during surgery. All patients were sufficiently comfortable moving their mandible according to the IOS's guiding plane and impingement, and satisfactory results were achieved, in which MMO was improved by 35 mm more than 6 years after surgery. Conclusions: Complete and adequate resection of the ankylosed mass and postoperative active mouth opening exercises are essential in the treatment of TMJ ankylosis. Moreover, a more comfortable mouth opening guide and interdigitation can be achieved using an IOS, and newly organized fibrosis in the gap space between the newly made resected condylar head and temporal fossa can be suggested.

Literature Review on the Stress Management Programs throughout Life - span: By foreign research for 1993-1996 (생애주기에 따른 스트레스 관리 프로그램에 대한 고찰 -1993년부터 1996년까지의 외국문헌을 중심으로-)

  • Yun, Soon-Nyoung;Choi, Jeang-Sook;Lee, Kyung-Sook
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.178-196
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    • 1997
  • The purpose of this study is to identify the kind, the frequency, and the type of Stress Management Program(SMPs) throughout life-span used foreign, recent research. The period of this study was from July 1 to Dec. 10, 1997. The data were collected through Medline using two concepts: stress management programs and life-span. The number of these research were 106 and thirty-one experimental researches that were tested the effectiveness of SMPs throughout life span were selected. The data were analysed by the kind, frequency, and life-span. The results were as follows: 1. The kind and frequency of SMP : The total number of the kind of SMP were twenty-two. The most used SMP was relaxation therapy, 22 out of 31. The second biofeedback was 10, the third, cognitive behavior program was 9, the fourth, nutrition and diet, and education were 7. The others were coping skill(4), cognitive therapy(4), breathing(4), imagery(3), autogenic training(3), sleep and rest(2), meditation(2), information(2), desensitization(2), hypnosis(2), behavior therapy(1), time management (1), visualization(I), yoga(I), diversion(1), and problem solving skill. 2. Throughout life-span: Most SMPs were applied to adolescents, young adults, and middle-adults. Other subjects could not be found under the schooler. 3. The type of SMPs : 28(90.3%) out of 31 research used combined-SMP : two-combined SMP, 5: three-combined SMP, twelve: four-combined SMP, seven: five-combined SMP. 4. Afterward, further study such as meta-analysis are needed in order to identify effective ness of the SMPs.

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A Sensor nodes' Residual Energy based Wake-up Control Mechanism in Wireless Sensor Networks (무선 센서 네트워크에서 센서 노드의 잔여 에너지 기반 Wake-up 제어 메커니즘)

  • Jeon, Jun-Heon;Kim, Seong-Cheol
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.1
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    • pp.187-192
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    • 2017
  • In dense deployments of sensor nodes in Wireless Sensor Networks, the MAC protocol has challenges to solve problems such as reducing delivery delay and reducing energy consumption. To solve these problems lots of protocols are suggested. This paper proposed a sensor nodes' residual energy based wake-up control mechanism, in which each node decides whether it wakes up or stays in sleep mode to save energy consumption by reducing unnecessary idle listening. The main idea of the wake-up control mechanism is to save node's energy consumption. The proposed wake-up control mechanism is based on the RI-MAC protocol, which is one of the receiver-initiated MAC protocols. A receiver node in the proposed mechanism periodically wakes up and broadcasts a beacon signal based on the energy status of the node. A receiver node also adjusts wake-up period based on the traffics. Results have shown that the proposed MAC protocol outperformed RI-MAC protocol in the terms of energy consumption.

Health Effects of Apartment Noise (층간소음의 건강영향)

  • Park, Young Min;Kim, Kyoung Min
    • Journal of Environmental Policy
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    • v.14 no.1
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    • pp.113-134
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    • 2015
  • In new housing demand, proportion of occupied multi-housing is 89.9% (statistics from 2013). In this way, with many generations living together, apartment noise disputes between the neighbors are continuously rising. The apartment noise problem in Korea is at a very serious level worldwide (about 88% of the population is experiencing stress due to apartment noise). On the other hand, the government has strengthened the regulations (such as the thickness of the floor and floor impact sound reduction performance, etc.) and promoted a resolution of its own for each multi-housing estates for mediating disputes on apartment noise. However, such physical regulations and passive management policies still presents a limit to the dispute mitigation of apartment noise. Also, in order to improve the quality of life in living spaces, policy on health effects of apartment noise should be provided. Therefore, we investigated a case study of the noise exposure-human body reaction to analyze the effect of noise on health. On the basis of this, the health effects according to the exposure period of apartment noise were considered.

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A Study on Factors Affecting the Level of Yangseng(養生) of Certain Elderly People (일부 노인의 양생 수준에 영향을 미치는 요인 연구)

  • Kwon So-Hee;Lee Ki-Nam
    • The Journal of Korean Medicine
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    • v.27 no.1 s.65
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    • pp.104-117
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    • 2006
  • Objectives : To explore the causes that affect the level of Yangseng(養生) certain elderly people.(Level of Yanseng; The oriental medicine tool to measure Yanseng developed to fit the situation of korea) Methods : For this purpose, characteristics, Life Satisfaction and Activities of Daily Living were adopted as independent variables and analyzed statistically. Out of questionnaires distributed to the old people aged 65 or more living in Jeonbuk province, 824 replies were collected from April to June 2004 and processed for an analysis. Results : The analysis revealed that the higher points old persons tend to score in Total of Yangseng, the more they are inclined to be Life satisfaction, the higher K-ADL they get and the longer they have leisure. Rather old men than women or rather those who live with family than those who do not have more possibility to record higher scores of Total of Yangseng(R Square=0.365). There was greater possibility that the higher points persons can get in Morality Yangseng(R Square=0.200), Mind Yangseng(R Square=0.173), Diet Yangseng(R Square=0.139), Exercise Yangseng(R Square=0.353), Sleep Yangseng(R Square=0.187), Seasonal Yangseng(R Square=0.107), Sex life Yangseng(R Square=0.199), the more they tend to be Life satisfaction. It was revealed from the analysis that the better care old people pay to Activities & Rest Yangseng, the higher K-ADL they get(R Square=0.186). Conclusions : Front the above results, it may be concluded that approaches of Oriental medicine can contribute to maintaining and promoting health as well as preventing and controlling disease for old people who are in greater needs for proper health care in the aged period.

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CYP2D6 P34S Polymorphism and Mirtazapine Responses in Koreans with Major Depression

  • Jeon, Si-On;Chang, Hun-Soo;Lee, Hwa-Young;Ham, Byung-Joo;Kang, Rhee-Hun;Jeong, Yoo-Jung;Lee, Min-Soo
    • Molecular & Cellular Toxicology
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    • v.5 no.4
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    • pp.346-353
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    • 2009
  • Drug metabolism is a critical determinant of the therapeutic and adverse effects of many psychotropic drugs. The metabolism depends on the pharmacokinetics of a drug, which includes its absorption, distribution, and elimination. Psychotropic drugs are metabolized mainly by cytochrome P450 (CYP) enzymes; about 20 of these enzymes exist and they are often responsible for the rate-limiting step of drug metabolism. CYP2D6 is the best-characterized P450 enzyme that exhibits polymorphism in humans. This study determined the relationship between the CYP2D6*10 (P34S) polymorphism and the response to mirtazapine in 153 Koreans with major depressive disorder (MDD). The genotype frequencies were compared using logistic regression analysis, and between-genotype differences in the decrease in the 21-item Hamilton Depression (HAMD21) score over the 12-week treatment period were analyzed using a linear regression analysis. The proportion of remitters was lower in patients with MDD possessing the S allele than in P allele carriers after 2 weeks of mirtazapine treatment. Similarly, the reductions in the HAMD21 and Clinical Global Impression (CGI) scores in S allele carriers were smaller than those in patients with the P allele after 2 weeks of mirtazapine treatment. In the analysis of depression symptoms, the sleep and delusion scores had smaller reductions in S allele carriers. Based on the Liverpool University Neuroleptic Side Effect Rating Scale (LUNSERS), the psychic adverse effects of mirtazapine were associated with CYP2D6 P34S, while weight gain was not. These results suggest that CYP2D6 P34S affects the outcome of mirtazapine treatment in patients with MDD, and that this polymorphism may be a good genetic marker for predicting the clinical outcome of mirtazapine treatment.

A Comparative Study on Health Risk Factors between Cancer Patients and Healthy People (암환자와 건강인의 건강위험요인 비교)

  • Lee, Hyang-Yeon;Kim, Yoon-Hee;Han, Sang-Sook;Paik, Seung-Nam;Won, Jeong-Suk;Kim, Si-Young;Jang, Mi-Heui
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.668-678
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    • 2005
  • Purpose: The purpose of this study was to provide the basic data of a comprehensive counter-plan to promote health for people by comparing various factors related to cancer outbreak factors including general characteristics, health-related lifestyles, health promoting behaviors, perceived healthy status, life event stress and health care seeking behaviors with cancer patients and health people. Method: The study was designed to be a retrospective-comparison-survey-study and its data was collected through 5 types of questionnaires from September 2003 to December 2003. Results: Cancer patients had lower education and household income, and many of them had no occupation. Cancer patients had a higher rate of smoking and drinking periods. Exercise level was higher in healthy people. However, Cancer patients were better in sleep and rest. In comparison with health promoting behaviors, it was higher in healthy people than in cancer patients but the two groups had no significant differences statistically. The perceived health status was higher in healthy people than in cancer patients. The health care seeking behaviors were higher in healthy people than in cancer patients. Cancer patients and healthy people's life event stress had no significant differences statistically. Conclusion: As a result of comparative analysis of cancer patients and healthy people's health risk factors, smoking, drinking period, regular exercise and health care seeking behaviors were suggested as direct or indirect risk factors for cancer patients. These finding can be applied to health promoting behavior programs to keep and promote optimal health status as well as to prevent cancer disease.

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States, Behaviors and Cues of Infants (영아의 상태, 행동, 암시)

  • Kim, Tae-Im
    • Korean Parent-Child Health Journal
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    • v.1
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    • pp.56-74
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    • 1998
  • The language of the newborn, like that of adults, is one of gesture, posture, and expression(Lewis, 1980). Helping parents understand and respond to their newborn's cues will make caring for their baby more enjoyable and may well provide the foundation for a communicative bond that will last lifetime. Infant state provides a dynamic pattern reflecting the full behavioral repertoire of the healthy infant(Brazelton, 1973, 1984). States are organized in a predictable emporal sequence and provide a basic classification of conditions that occur over and over again(Wolff, 1987). They are recognized by characteristic behavioral patterns, physiological changes, and infants' level of responsiveness. Most inportantly, however, states provide caregivers a framework for observing and understanding infants' behavior. When parents know how to determine whether their infant is sleep, awake, or drowsy, and they know the implications, recognition of states has for both the infant's behavior and for their caregiving, then a lot of hings about taking care of a newborn become much easier and more rewarding. Most parents have the skills and desire to do what is best for their infant. The skills 7373parents bring to the interaction are: the ability to read their infant's cues: to stimulate the baby through touch, movement, talking, and looking at: and to respond in a contingent manner to the infant's signals. Among the crucial skills infants bring to the interaction are perceptual abilities: hearing and seeing, the capacity to look at another for a period of time, the ability to smile, be consoled, adapt their body to holding or movement, and be regular and predictable in responding. Research demonstrates that the absence of these skills by either partner adversely affects parent-infant interaction and later development. Observing early parent-infant interactions during the hospital stay is important in order to identify parent-infant pairs in need of continued monitoring(Barnard, et al., 1989).

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Characteristics of Vegetation Distribution with Water Depth and Crossing Slope at the Shoreline of Reservoir Paldang (팔당호 호안에서 수심과 경사에 따른 식생 분포의 특성)

  • Lee, Kwang-Woo;Kim, Min-Kyung;Ahn, Chang-Youn;Sim, Woo-Kyung
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.5 no.2
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    • pp.1-8
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    • 2002
  • The aim of this study was to generate systemic data for the aquatic plant distribution according to water depth and crossing slope in the shoreline. The results of this study were as follows; 1. Anxiety to 0 near area Bidens frondosa, Scirpus tabernaemontani, Carex dispalata etc. total class 21 observe, and Phragmites communis, Iris pseudoacorus etc. class 6 of anxiety 0-70cm extent examined. Class 21 of anxiety observed all such as Bidens frondosa, Scirpus tabernaemontani, Carex dispalata in near area to 0, and Phragmites communis, Iris pseudoacorus etc. class 6 of anxiety 0-70cm extent examined. Anxiety 70-100cm extent Nymphoides indica, Ttapa japonica etc.. class 2 appeared to line Zizania latifolia, Typha angustata back 2 papers, 130cm and examined that Nelumbo nucifera was limit anxiety state 230cm. 2. Aquatic plants of Phragmites communis, Zizania latifolia, Typha angustata etc. range mainly to gentle gradient of slant 10 degree low and distribution pattern was ranging by Zizania latifolia, Typha angustata, Phragmites communis period of ten days from deepwater place. Nelumbo nucifera was forming become independent stock keeping away invasion of plant that ability to breed was different because was prosperous. Slant 10 bores was growing near sleep in been strange steep slope earth and distribution of emerged plant appeared punily and emerged plant and swampy land plant were ranged extensively in gentle gradient of 10 degree low. 3. On lake surrounding plant when wish to do distribution of natural conditions reference need to. That is, gentle gradient and distribution form of steep slope earth are different, and same pitch must consider enough this because appear as distribution, distribution according to that some plant species were growing was different.

A Study on the Mechanism of Spontaneous Sweating(自汗) and Night Sweating(盜汗) -Focusing on Discussions in Classical Medical Texts- (자한(自汗)과 도한(盜汗)의 기전에 대한 고찰 -역대 의서의 논설을 중심으로-)

  • Yun, Ki-ryoung
    • Journal of Korean Medical classics
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    • v.33 no.3
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    • pp.111-133
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    • 2020
  • Objectives : The aim of this paper is to examine the mechanisms of spontaneous sweating and night sweating, their relationship and how the explanations of their mechanisms have changed over the course of time, through examination of past discussions on spontaneous sweating and night sweating. Methods : Contents in classical medical texts that mention the mechanisms of spontaneous sweating and night sweating among search results from databases such as the Siku Quanshu were analyzed, followed by examination of each of their mechanisms, and their relationship with each other. Results & Conclusions : The cause of night sweating before the 『Danxixinfa』 was seen to be caused by yang deficiency in relation to problems of Exterior Qi and the theory of 'Heart governs perspiration', as the focus was on the phenomenon of sweating. However, it seems that yin deficiency came to be seen as playing a more fundamental role in the process of determining the root cause of night sweating. Moreover, Zhu Danxi's emphasis on nurturing yin, the composition of Dangguiliuhuangtang, and the development of the fire-heat pathology since the Jin Yuan period added to this shift in perspective. Night sweating from Shanghan could be seen as a sign of the already damaged Exterior Qi becoming more deficient while the pathogenic qi is in the half-exterior-half-interior zone, or as the pathogenic qi which entered with the Exterior Qi unsettling yin, or as a result of heat that is produced in the struggle between healthy qi and pathogenic qi that happens when Exterior Qi enters. Night sweating from miscellaneous disease could be seen as a sign of a deficient exterior that resulted from excessive entering of the Exterior Qi during yin deficiency, or resulting from relatively excessive Exterior Qi to deficient yin, producing heat that leads to sweating. If yin is not cultivated during the night but rather consumed leading to deficiency of Exterior Qi which also needs to be cultivated during night time, it could result in sweating.