• 제목/요약/키워드: Symptom development

검색결과 648건 처리시간 0.022초

혈압 건강군과 비건강군 근로자의 건강실천 관련 요인 조사연구 (A Study on the Relationship between Health Behavior Factors and Blood Pressure of Workers)

  • 최현주;정문희;김윤신
    • 한국보건간호학회지
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    • 제18권2호
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    • pp.312-329
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    • 2004
  • This study was examined 718 workers who had consistent blood pressure results in 2001 and 2002 general health examinations that were held at a work places managed by a health care agency in Seoul. Significant results are found as follows by analysing SPSS 11.0 on the result of self-recorded questionnaires investigated from Mar 1, 2003 to April 30, 2003. 1. A sampled healthy group and a sampled unhealthy group had significant differences in four variables out of possible nineteens that are sex, age, marriage and occupation. The unhealthy group had more males than females, more aged (over 50 years old) than youngers (under 50 years old), more married than singles, more manufacturing workers than non-manufacturing workers. In the case of systolic blood pressure, as the healthy group had 16.52mmHg while that of the other group had 149. 58mmHg, 33.06mmHg of difference between those groups were detected. In the case of diastolic blood pressure, 74.93mmHg of the healthy group and 96.53mmHg of the unhealthy group yielded 21.60mmHg of difference between them. This result implies that a guidance of health care is required to be aware of 20-30mmHg volatility in blood pressure rate or to understand and treat properly own blood pressure. as it is difficult to detect hypertension in early stage due to no initial symptom. According to the result. an establishment of management system of workers, companies and health care agencies is required for consist health care. 2. In terms of risky habits to health, the unhealthy group had more proportion of past smokers, over-twice-a-week drinkers, people with higher obesity rate. However, in terms of excercise, the proportion of regularly exercising people is higher in the unhealthy group while that of non-exercising people is higher in the healthy group. On the other hand. the average grade of health practicing behaviour in two groups are not significantly different as the health group had 3.00 out of possible 6.00 while the other had 3.10. This result means that as workers are not interested in health practicing behaviour. health promoting programmes must be developed in such a way of various method of motivations and incentives. Particularly this implies that distortional objectives of exercises should be readjusted through health guidance. 3. Systolic blood pressure in the healthy group can be explained by sex and the obesity rate while that in the unhealthy group can be explained by subjective health awareness and the obesity. Diastolic blood pressure in the healthy group can be explained by sex and the obesity rate like the former. The obesity rate was significant variable affecting the blood pressure of both groups, and particularly the effect to the unhealthy group was remarkably higher than that to the healthy group. Therefore, this research identified that the health care on the blood pressure of workers is not only limited to hypertension patients, but also extended to all workers. In order for consistent care, an establishment of management system of workers, companies and health care agencies is required.

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ICT 의료시설 기반에서 미숙아 어머니의 퇴원 교육 요구도와 간호사의 교육수행 정도 (The Needs for Discharge Education and Educational Performance of Nurses Perceived by Premature Infants Mothers In the ICT Medical Service)

  • 김수희;최성우;류소연;한미아
    • 한국전자통신학회논문지
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    • 제11권7호
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    • pp.707-716
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    • 2016
  • 본 연구는 ICT 시대에서 미숙아 어머니의 퇴원 교육 요구도와 미숙아 어머니가 인지한 간호사의 교육수행 정도를 알아보고 관련 있는 요인들을 파악하고자 실시되었다. 대상자는 G광역시 2차 진료기관인 K종합병원의 신생아 중환자실에 입원한 미숙아 어머니 중에서 연구에 동의한 54명이며, 자기 기입식 설문을 통해 조사하였다. 퇴원 교육 요구도와 간호사의 교육수행 정도에 유의한 차이를 보인 영역은 '이상증상 확인과 관리'($0.55{\pm}0.97$, p=0.001), '배설관리'($0.45{\pm}1.11$, p=0.004), '성장발달'($0.41{\pm}1.08$, p=0.007)이었다. 퇴원교육 요구도는 분만형태(질식분만: $4.41{\pm}0.47$, 제왕절개: $4.03{\pm}0.47$, p=0.040)와 출생순위(첫째: $4.37{\pm}0.53$, 둘째: $4.25{\pm}0.51$, 셋째이상: $3.75{\pm}0.72$, p=0.031)에 따라 유의한 차이를 보였다. 미숙아 어머니가 인지한 간호사의 교육수행도는 조력자의 유무(있음: $4.15{\pm}0.66$, 없음: $3.48{\pm}0.67$, p=0.002)에 따라 유의한 차이를 보였다. 그러므로 이런한 결과를 기반으로 미숙아 어머니의 퇴원 교육 요구도에 근거한 실질적으로 도움이 되는 ICT 기반하의 퇴원교육 프로그램 개발 연구를 제안한다.

국내외 소방대원의 외상 후 스트레스 연구경향 (The Posttraumatic Stress Research Trends of Korean and Foreign Firefighters)

  • 백미례
    • 한국응급구조학회지
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    • 제13권2호
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    • pp.61-72
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    • 2009
  • Purpose : This study aimed to analyze the posttraumatic stress research trends in Korean and foreign firefighters. Method : Total 63 published international articles were searched by Pub Med internet site and total 17 published Korean articles were searched by Korean Medical Database internet site using 'PTSD in firefighters'. These articles were analyzed by published time, domains of journal, research designs, key words and research subjects. Result : 1) By the published time, there were 29 disaster-related researches(46.0%) and 34 job-related researches(54.0%) among 63 international articles. However, there were 16 disaster-related researches(94.1%) and 1 job-related research (5.9%) of Korean 17 articles. 2) By the international research domain, 9 researches(14.3%) were published in The Journal of Nervous and Mental Disease. Among domestic research domain, there were 9 researches(52.9%) consisting of 6 master's degrees and 3 doctor degrees. In major analysis of Korean domain, the highest portion is 4 psychology researches. (23.5%) 3) In the term of the international research design, quantitative research methods were highly used in both 23 disaster-related researches (36.5%) and 30 job-related researches(47.5%). In domestic research, quantitative research methods were mostly used in 14 job-related researches(82.3%) and Q methodology was only used in 1 disaster-related research(5.9%). 4) Looking on the research content trends according to the key words, 9 researches (31.0%) done on posttraumatic stress and coping had the most research and was followed up by posttraumatic stress symptom. Among these researches, key words for PTSD(Posttraumatic Stress Disorder) and PTS(Posttraumatic Stress) were mostly used. Moreover, there was 1 domestic study done on verifying the trends of Posttraumatic Stress in disaster-related research with PTS as the key word. In job-related research, the relationship between the Posttraumatic Stress and other factors had the most with ten studies (62.5%). Among these researches, key words for 5 PTSD(31.3%) were mostly used. 5) According to the international research subjects, the Posttrau consist the most subjects with 16 cases each for disaster and job related stress ; however, domestic research had 16 studies(94.1%) only using firefighters and 1 (5.9%) with their families as subjects. Conclusion : Although the studies of Posttraumatic Stress on Korean firefighters had started later than those on Foreign firefighters, first used for crucial topics show research development in various fields of study and should be tested for studies like those done in abroad regarding multiple topics and methods.

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산후조리원의 표준화 관리 지침을 위한 연구 - 산모와 신생아 관리현황을 중심으로 - (A Study for the Development of Standardized Management Manuel in Sanhujoriwon - Centered on the Management of Women & Newborn -)

  • 정은실;유은광
    • 여성건강간호학회지
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    • 제8권2호
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    • pp.301-313
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    • 2002
  • The purpose of this study was to develop the frame for standardized manual for Sanhujoriwon by finding out the status of the management of women & newborn in Sanhujoriwon, like postpartum care center. The subjects were 95 staffs of 22 Sanhujoriwon agreed on oral consent, in Seoul and Bundang, Korea. Data were collected from Sep. 15 to Oct. 24, 2001. The instrument used for this study was a structured questionnaire consisted of 16 items of general characteristics & educational characteristics about postpartum care, 31 items of degree of management of women's postpartum care (Cronbach's $\alpha$.93 ), 24 items of degree of management of newborn's care(Cronbach's $\alpha$.94 ), 10 items of methods of management of women's postpartum care, 8 items of methods management of newborn's care. The data were analyzed by the SPSS/PC+ program using frequency, percentage, mean, standard deviation, t-test, ANOVA and Pearson correlation coefficient. The results of the study were as follows ; 1. The mean of the degree of management for postpartum women was 4.1. The mean score for the degree of management of general postpartum care for women was 4.00 & traditional postpartum care(Sanhujori) was 4.20. The degree of management of traditional postpartum care was higher than general postpartum care for women. 2. The degree of management for newborn : The mean score for the degree of management of newborn was 4.37. 3.There was a strong positive correlation between general postpartum care and traditional postpartum care($r=.744^{**}$), and postpartum mother care and newborn care($r=.798^{**}$). 4.The basic frame for the management of the women and newborn in Sanhujoriwon. 1) For women: Integrated postpartal care Physical management : Vital sign & BP check, contraction of uterus, form and amount of lochia, management of personal hygiene, management of breast & breast-feeding, management of postpartum exercise, prevention of infection, symptom & sign of high risk and prevention & management of high risk condition; Emotional-psychological management: assessment and management of mother-baby attachment, emotional state; Educational management : education of vaccination schedule, urinary incontinence, rearing infant, breast-feeding ; and Environmental management : temperature, humidity, disinfection, cleaning, light, infection control integrated with 6 principles of Sanhujori. 2) For newborn Physical management : check of vital sign, management of umbilical cord, jaundice, prevention of infection, management of diaper rash; Emotional-psychological management : assessment of sleep, crying, activity, response of mother-baby attachment; and Environmental management : temperature, humidity, disinfection, cleaning, light, infection control integrated with 6 principles of Sanhujori. In conclusion Sanhujoriwon must be health care center for the postpartum women and newborn. Therefore, the establishment of various laws and regulations in such a way to meet the realistic needs of Sanhujoriwon as a health care center for women and infants future health should be done. The standardized management manual based on the results is absolutely required above all.

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요통에 관한 침구임상 진료지침 프로토콜 개발을 위한 전자우편 설문조사 (E-mail Survey for Developing Clinical Guideline Protocol on Acupuncture Treatment for Low Back Pain)

  • 이승훈;남동우;강중원;김은정;김현욱;송호섭;김선웅;김갑성;이건목;이재동
    • Journal of Acupuncture Research
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    • 제26권3호
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    • pp.115-131
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    • 2009
  • Objectives: This survey was done in order to find out how Korean medical doctors derive pattern identification for acupuncture prescriptions in treating low back pain in real clinical practice. Methods : The survey questionnaire was developed by the committee of experts who major in acupuncture & moxibustion or statistics for acupuncture clinical trial protocol development. The questionnaires were distributed via e-mail to 75 members of Korean Acupuncture & moxibustion society from March 26th to April 14th in 2009. 57 members completed answers, and the computerized data were analyzed by SPSS 17.0 statistical program. Results : 1.57 Korean medical doctors selected meridian pattern identification based on the course of the meridians(44.6%), visceral pattern identification(32.1%), pattern identification based on cause of disease(14.3%) as the most commonly used pattern identification methods for acupuncture prescription when treating low back pain patients in real clinical practice. 2. In meridian pattern identification based on the course of the meridians, gallbladder meridian of hypochondriac region(13.0%), bladder meridian of lateral low back region(11.2%), governer vessel of central low back region(11.7%) were selected 3. In visceral pattern identification, yang deficiency of kidney(20.2%), deficiency of kidney(19.3%), liver(16.7%), yin deficiency of kidney(14.0%), violence qi of kidney(8.8%), small intestine(7.9%) were selected. Conclusions : In our e-mail survey, Korean medical doctors answered that Meridian Pattern Identification based on the course of the meridians is the most often used diagnosis method. Visceral pattern identification, pattern identification based on cause of disease, meridian pattern identification based on symptom and pattern identification based on qi-blood-yin-yang theory in order of frequency used, were selected for low back pain diagnosis in real clinical practice.

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슬통의 침구임상 진료지침 프로토콜 개발을 위한 전자우편 설문조사 (E-mail Survey for Developing Clinical Trial Protocol on Acupuncture Treatment for Knee Pain)

  • 윤은혜;김은정;정찬영;장민기;이승덕;남동우;김현욱;이은용;조현석;이건목;이재동;김선웅;김갑성
    • Journal of Acupuncture Research
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    • 제26권3호
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    • pp.59-65
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    • 2009
  • Objectives : This survey was done in order to find out how Korean medical doctors derive pattern identification for acupuncture prescriptions in treating knee pain in real clinical practice. Methods : The survey questionnaire was developed by the committee of experts who major in acupuncture & moxibustion or statistics for acupuncture clinical trial protocol development. The questionnaires were distributed via e-mail to 75 members of Korean Acupuncture & moxibustion society from March 26th to April 14th in 2009. 57 members completed answers, and the computerized data were analyzed by SPSS 17.0 statistical program. Results : 1.54 Korean medical doctors selected meridian pattern identification based on the course of the meridians(52.5%), visceral pattern identification(27.1%), pattern identification based on cause of disease(8.5%) as the most commonly used pattern identification methods for acupuncture prescription when treating knee pain patients in real clinical practice. 2. In meridian pattern identification based on the course of the meridians, liver meridian of the medial knee region(13.2%), bladder meridian of the posterior knee region(12.0%), spleen meridian of the lateral knee region(11.7%), stomach meridian of the anterior knee region(9.8%) and kidney meridian of the medial knee region(8.6%) were selected. 3. In visceral pattern identification, blood stasis of sinews due to liver and kidney deficiency(5.3%), damp joint with yang deficiency of liver and kidney(4.9%), kidney qi deficiency with congealing cold(4.5%), yin deficiency of liver and kidney(4.1%) were selected. Conclusions : In our e-mail survey, Korean medical doctors answered that Meridian Pattern Identification based on the course of the meridians is the most often used diagnosis method. Visceral pattern identification, pattern identification based on cause of disease, pattern identification based on symptom and pattern identification based on qi-blood-yin-yang theory in order of frequency used, were selected for knee pain diagnosis in real clinical practice.

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생리활성이 우수한 고품질 유색미의 단회 경구투여 안전성 연구 (A Study on Single Oral Dose Toxicity of Highly-Developed Anthocyanin-Pigmented Rice Varieties)

  • 한혜경;최성숙;신진철;정하숙
    • 한국식품영양과학회지
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    • 제36권5호
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    • pp.527-533
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    • 2007
  • 건강효능이 우수한 고품질 유색미 과피의 안전성 규명을 목적으로 ICR계 마우스 암수 각각 10마리를 이용하여 적진주벼, 흑진주벼 및 흑향벼 과피를 80% EtOH로 추출한 농축물을 1회 경구투여 후 14일 동안 실시한 급성독성 평가 결과는 다음과 같다. 시험물질을 1회 경구투여한 경우, 총 14일의 실험기간 동안 모든 시료투여군의 암수 동물에서 정상적인 체중증가가 관찰되었으며, 체중증가는 유의적인 차이를 나타나지 않았으며, 시료투여군의 경우 용량의존적인 체중변화도 관찰되지 않았다. 시험물질 투여 14일 후 부검결과, 암수 모든 실험군의 간장, 신장(좌, 우), 비장, 심장, 폐 및 뇌에서 시험물질 투여에 따른 어떤 육안적 이상 소견도 발견되지 않았다. 치사시킨 동물의 혈액 생화학적 검사 결과, 모든 시료 투여군의 ALT와 AST 활성도가 정상 수치를 나타냈으며, 본 실험의 최고 용량인 10.0 g/kg투여에도 정상치를 나타내는 것으로 보아, 유색미 과피 추출물을 10.0 g/kg 이하 섭취할 경우에는 어떠한 간독성도 나타내지 않음을 확인할 수 있었다. 이상의 실험결과를 통해 고품질 유색미인 적진주벼, 흑진주벼 및 혹향벼 과피 추출물의 단회 경구투여에 의한 독성시험 시, 시험물질 투여에 의한 표적 장기가 관찰되지 않았으며, 어떠한 독성학적인 변화도 관찰되지 않는 것으로 보아, 무해 용량은 암수 모두 10.0 g/kg을 상회할 것으로 추정할 수 있었다.

Trichothecium roseum에 의한 감귤 분홍빛열매썩음병 발생 (Pink Mold Rot on Unishiu Orange (Citrus unshiu Mac.) Caused by Trichothecium roseum (Pers.) Link ex Gray in Korea)

  • 권진혁;강동완;최옥희;심홍식
    • 식물병연구
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    • 제19권3호
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    • pp.226-228
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    • 2013
  • 2012년 경상남도 진주시 농산물도매시장에 판매중인 감귤에서 분홍빛열매썩음병이 발생하였다. 병징은 감귤 과실 표면이 수침상으로 물러지고 썩으면서 그 위에 분홍빛 곰팡이가 많이 형성되었다. 균총의 색깔은 처음에 흰색이고 배양기간이 경과됨에 따라 배지 표면에 분홍빛의 분생포자가 많이 형성되었다. 균사생육 적온은 $25^{\circ}C$이었다. 분생포자의 모양은 서양배형이며 좌우 zigzag로 부착하며 성숙한 분생포자는 2세포로 되어 있으며 크기는 $12-26{\times}8-12{\mu}m$이었다. 분생자경은 균사표면에 직립으로 형성하고, 폭이 4-5 ${\mu}m$이고 무색이었다. rDNA의 complete internal transcribed spacer(ITS) 영역의 염기서열을 분석하였고, 분석된 염기서열(613 bp)을 BLASTN 프로그램으로 확인한 결과, Trichothecium roseum와 99%의 상동성을 나타내었다. 이와 같이 감귤에서 발생한 병징과 병원균의 균학적 특징을 기초로 하여 이 병을 Trichothecium roseum(Pers.) Link ex Gray에 의한 감귤 분홍빛열매썩음병으로 명명하고자 제안한다.

순무모자이크바이러스에 대한 무 육종 계통 저항성 평가 (Resistance Evaluation of Radish (Raphanus sativus L.) Inbred Lines against Turnip mosaic virus)

  • 윤주연;최국선;김수;최승국
    • 식물병연구
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    • 제23권1호
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    • pp.60-64
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    • 2017
  • 무(Raphanus sativus L.) 육종 계통들에 대한 순무모자이크 바이러스(Turnip mosaic virus, TuMV) 저항성을 평가하기 위하여, 20개 무 육종계통들의 잎에 순무모자이크바이러스 BR 병원성을 가지는 국내 분리 계통을 즙액 접종하였다. 순무모자이크바이러스를 접종한 무 개체들은 $22^{\circ}C{\pm}3^{\circ}C$에서 재배하였으며 4주 동안 바이러스 병징 발현을 육안으로 조사하여 저항성을 평가하였다. 순무모자이크바이러스 감염에 의해서 무 육종계통들의 다른 병징 발현에 의해 분석한 결과, 16개 무 계통은 약한 모자이크, 모틀링에서 심한 모자이크 전신 병징을 보였으며 감수성으로 판별되었다. 이러한 결과는 순무모자이크바이러스 외피단백질 유전자에 대한 특이적 역전사중합효소연쇄반응에 의하여 확인되어, 순무모자이크바이러스가 병징을 발현시킨 원인이었다. 이와는 다르게 4개 무 육종계통들에서는 모자이크 등 전신 감염 병징이 발현되지 않았으며, 동일한 무 육종 계통들의 개체들에서 8주 동안 병징이 관찰되지 않았다. 역전사중합효소연쇄반응으로 조사한 결과 4개 무 육종 계통들의 상엽들에서 순무모자이크바이러스가 검출되지 않았다. 이런 결과는 4개 무 육종계통들이 순무모자이크바이러스에 대한 강한 저항성을 가지고 있음을 예시해준다.

저항성 유도물질(acibenzolar-S-methyl)처리에 의한 토마토 잿빛곰팡이병 발병억제 (Induction of Disease Resistance by Acibenzolar-S-methyl, the Plant Activator against Gray Mold (Botrytis cinerea) in Tomato Seedlings)

  • 이중섭;강남준;서상태;한경숙;박종한;장한익
    • 식물병연구
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    • 제12권1호
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    • pp.40-45
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    • 2006
  • 병 저항성 유도물질인 acibenzolar-S-methyl[benzo(1,2,3) thiadiazole-7-carbothioic acid-S-methyl ester, ASM]을 토마토 유묘에 처리하여 잿빛곰팡이균(Botrytis cinerea)에 대한 유도저항성 여부를 조사하였다. 병원균 접종전 ASM 처리구에서는 병원균의 균사생장 뿐만 아니라 발병율도 현저히 감소하였다. 접종 3일전에 토마토 유묘에 처리한 ASM은 잿빛곰팡이병에 대한 균사생장억제(46.5%)와 함께 최고 55%의 발병 억제효과를 나타냈다. 한편, 토마토 유묘내 저항성 정도를 구명하기 위하여 ASM 처리에 의한 peroxidase의 활성을 측정하였다. ASM 처리된 조직 세포내에서는 현저하게 효소의 활성이 증가하였는데, 이러한 결과는 병원균을 미접종한 처리구 보다 접종 처리구에서 훨씬 크게 증가하였다. 그러나, 대조구인 물 처리구에서는 효소의 활성이 나타나지 않았다. 따라서, ASM 처리구내 병원균의 균사생장 및 발병억제는 조직세포내 산화적, 항산화적 보호시스템의 활성이 증가하였기 때문으로 판단된다.