• 제목/요약/키워드: Voice fatigue

검색결과 38건 처리시간 0.025초

반회후두신경 손상을 동반하지 않은 갑상선 절제술 환자에서 수술 초기의 음성 및 연하 기능의 변화에 대한 분석 (Analysis of Voice and Swallowing Symptoms after Thyroidectomy in Patients without Recurrent Laryngeal Nerve Injury in Early Postoperative Period)

  • 김희진;금보람;김근희;전승식;김혜진;김성균;홍석진;홍석민;김용복;박일석
    • 대한후두음성언어의학회지
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    • 제27권2호
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    • pp.108-113
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    • 2016
  • Background and Objectives : After thyroidectomy, many patients experience problems report such things as reduced voice range and vocal fatigue, swallowing problems without superior and recurrent laryngeal nerve injury. The purpose of this study was to evaluate voice and swallowing problems before and after thyroid surgery without laryngeal nerve injury. Materials and Methods : Ninety-three patients who underwent thyroidectomy without laryngeal nerve injury and completed the follow-up evaluations were studied between June 2013 and December 2015. Each evaluation was performed preoperatively, as well as 1 week, 1 month postoperatively. Analysis was performed including voice handicap index (VHI), dysphagia handicap index (DHI), and acoustic voice analysis. Results : Patients show significant variation of parameters in the fundamental frequency (F), maximal phonation time (MPT), shimmer, jitter and soft phonation index (SPI) early after operation, and most of them showed recovery of parameters after 1month of operation. Perceptive complaint of voice and swallowing also showed significant decreased after operation (p<0.005). After 1month of operation, MPT, highest frequency and frequency ranges still showed significant decreased parameters. Comparing acoustic and perceptive parameters of total thyroidectomy and lobectomy, there was no significant changes between them except highest frequency (p=0.042). Conclusion : The results from both subjective and objective evaluations show voice and swallowing disturbance after thyroidectomy even in the absence of laryngeal nerve and provide patients information about the recovery process after surgery. Highest frequency parameter showed most significant changes after operation.

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중풍환자의 기허변증지표에 관한 연구 (Study of The Indicators of Gi Deficiency Pattern Identification In Stroke Patients)

  • 고호연;강경원;강병갑;고미미;김보영;문진석;차민호;설인찬;이인;조현경;최선미
    • 한국한의학연구원논문집
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    • 제12권3호통권18호
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    • pp.69-77
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    • 2006
  • Background and Purpose The purpose of this study was to confirm that what symptoms are adequated indicator in the Gi-Deficiency patients. Methods In the time period July. 2005 to Sep. 2006, 136 patients with a first-ever stroke admitted in the department of Internal Medicine of Daejeon University Oriental Medical Hospital in Daejeon city, Wonkwang Oriental Medical Hospital in Iksan, JeonJu city were included. Patients were hospitalized within 3 months after the onset of stroke. Stroke patients had been interviewed by resident who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. Gi-deficiency patients was confirmed by medical specialist diagnosis, resident diagnosis, case report form analysis without a dissenting voice. Results Gi deficiency group included 23 case, Non Gi deficiency group 47 case out of 136 patients. Fatigue, weakness purse, somnolence, low voice, difficulty of uprise, pale face, pale tongue were higher among Gi deficiency group. Gi deficiency and Non Gi deficiency patients do not significantly differ in white coating tongue, light-red tongue, poor appetite, frequent sweating, teeth printed tongue. Conclusions This study was insufficiency because sample size very small. More data from prospective cohort studies will help to Korean Standard Differentiation of the Symptoms and Signs for the stroke.

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VCM의 제어 및 제진 장치 응용에 관한 연구 (Study on the control of VCM and its application to the vibration isolator)

  • 김진만;남택근
    • Journal of Advanced Marine Engineering and Technology
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    • 제37권1호
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    • pp.91-98
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    • 2013
  • 엔진 및 회전기기의 진동은 선체의 피로도를 증가시켜 내구성을 저하시키는 원인이 된다. 이를 방지하기 위하여 엔진 및 회전기기와 선체사이에는 댐퍼를 부착하여 진동을 최소화 하고 있다. 일반적으로 선박에 부착하는 댐퍼는 수동형 댐퍼로 중 고주파의 특정 진동영역에 대하여 제진 특성을 갖도록 설계되어있지만 저주파영역에서는 그 효과를 기대하기 힘들다. 이에 본 연구에서는 보다 광대역의 진동신호에 대해 높은 제진특성을 얻기 위하여 VCM을 이용한 능동형 제진 장치를 개발하였다. 제진장치를 제어하기 위해 라우스휴리츠 안정조건과 한계감도법을 이용하여 PID제어기를 구성하였고, 제어기 출력은 2상한과 4상한 초퍼회로를 이용하여 VCM을 구동할 수 있도록 하였다. 시뮬레이션과 실제 실험을 통하여 제어알고리즘과 제어장치의 유용성을 확인하였다.

동의보감(東醫寶鑑)중 망면색(望面色)에 대한 연구(硏究) (A study on the diagnosis of observing face color by Dongeuibogam)

  • 김민정;박원환
    • 대한한의진단학회지
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    • 제17권2호
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    • pp.131-155
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    • 2013
  • Objectives A study on the importance of observing face color in the Dongeuibogam and the other things to know when we observe face color. Methods We used Deyuk Dongeuibogam of Dongeuibogam publishing company from original photographic edition. Results (1) In all section(ex. Naekyungpyeon, Oehyeongpyeon and Japbyoungpyeon), the chapters related with observing face color were fifty-one. In Naekyungpyeon, the chapters related with observing face color were nineteen(37%). In Oehyeongpyeon, the chapters related with observing face color were ten(20%). In Japbyoungpyeon, the chapters related with observing face color were twenty-two(43%). In all section(ex. Naekyungpyeon, Oehyeongpyeon and Japbyoungpyeon), the statements related with observing face color were three-hundred and nine. In Naekyungpyeon, the statements related with observing face color were sixty-four(21%). In Oehyeongpyeon, the statements related with observing face color were fifty-two(17%). In Japbyoungpyeon, the statements related with observing face color were one hundred ninety-three(62%). (2) In each chapter, the number of statement related with observing face color was studied. Pediatric Chapter (75) were the most common, followed by The way of finding the cause of a disease (27) Face (26) Cold (24) Weak&Fatigue (12) Phlegm, Jaundice (8) Nose, Worm, Chronic indigestion (7) Mouth&Tongue, Woman, Stool (6) Bodyshape, Liver, Heart, Kidney, Cough (5) Eye, Carbunculosis (4) Blood, Voice, Spleen, Lung, Chest, Fire, Edema, Detoxification (3) in order. (3) In each section(ex. Naekyungpyeon, Oehyeongpyeon and Japbyoungpyeon), the rate of chapter related with observing face color was studied. Naekyungpyeon(73%) was the highest. Japbyoungpyeon(61%). Oehyeongpyeon(38%) was the lowest. Conclusions The importance of each chapter for observing face color in the Dongeuibogam was studied. In addition, the entire ocular inspection, the part ocular inspection, moisture and the difference of skin according to the personal constitution should be considered. There are not only the important parts of the past that does not mean but also the unimportant parts of the past that are meaningful now. Additional studies will be needed for the latter.

허실 변증 설문지 개발 가능성에 대한 고찰 (Study on Deficiency-Excess Pattern Questionnaire Development Possibility)

  • 유현희;이혜정;장은수;이시우;이기상;김종열
    • 동의생리병리학회지
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    • 제23권3호
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    • pp.534-539
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    • 2009
  • Deficiency and excess pattern differentiation is unique characteristic of traditional oriental medicine on diagnosis and treatment. This differentiation is accomplished through pulse, tongue diagnosis and question examination, but most of these processes need to be objectified for efficacious treatment and traditional medicine development. In this study, we developed the deficiency and excess pattern questionnaire for objectification of question examination. The deficiency and excess pattern questionnaire was made out through The Traditional Oriental Medical Literature with Delphi Technique. Patients who visited oriental medical hospital filled out the questionnaire by themselves. Diagnosis of deficiency and excess pattern are conducted separately by oriental medical doctors with more than 5 years' clinical experience. Various physical condition factors were derived for the deficiency and excess pattern questionnaire. (Ordinary health degree, pain pattern, fatigue, weight change, sweating, uncomfortable awareness on chest and abdomen) Deficiency symptoms group acquired internal consistency, but excess symptoms group did not. (Cronbach's ${\alpha}$ > 0.6) There were significant associations between doctor's diagnosis and deficiency and excess symptoms in 'ordinary heath degree', 'voice weakening', and 'chest distress' (p-value < 0.1) There were significant differences between deficiency and excess syndrome patients groups in deficiency questionnaire score but there were no significant differences between deficiency and excess syndrome patients groups in excess questionnaire score. We acquired the internal consistency and significant result of deficiency pattern questionnaire, but we can find out some difficulties in development of the excess pattern questionnaire. These difficulties are associated with insufficiency description of traditional literature and small number of patients diagnosed as excess pattern.

불법스팸 방지를 위한 개선방안 : 정책적 제안을 중심으로 (A Study on the Effective Countermeasure of SPAM : Focused on Policy Suggestion)

  • 손종모;임효창
    • 산업융합연구
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    • 제19권6호
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    • pp.37-47
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    • 2021
  • 오늘날 이메일(E-mail), 스마트폰, SNS 등의 다양한 정보통신 매체는 정보공유 및 의사소통을 위한 필수품이다. 하지만 불법으로 수집한 개인정보와 보안에 취약한 기기를 활용하여 대량으로 불법 스팸을 보내거나, 사기에 이용하기 위한 악의적인 공격에 이용되고 있다. 불법스팸과 스미싱, 사기 메일(SCAM) 등은 기업과 사용자들에게 정신적 피로감 등의 사회적 비용뿐만 아니라 IT인프라 자원의 불필요한 소모와 경제적 손실 등 직간접적으로 많은 피해를 주고 있다. 스팸 관련 법제도가 마련되어 있지만 교묘히 회피하여 여전히 기승을 부리고 있고 피해자가 지속적으로 발생하고 있어 문제점이 없는지 검토가 필요하다. 불법스팸을 차단하고 이로 인한 사기 피해를 예방하기 위해 관련 제도를 개선하는데 기여하는 학술적 연구가 필요한 상황이다. 본 연구는 국내외 법제도와 스팸 관련 대응 활동과 문제점을 도출하고 정책적 개선 방안을 제안하였다.

코로나19 확진 간호사의 롱코비드(long COVID) 증상과 관련 요인 (Long COVID symptoms and associated factors in registered nurses with COVID-19)

  • 박가은;박연환
    • 한국간호교육학회지
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    • 제30권1호
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    • pp.49-60
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    • 2024
  • Purpose: The coronavirus disease 2019 (COVID-19) pandemic has had significant physical and psychological impacts on registered nurses (RNs). This study aimed to identify long COVID symptoms and their associated factors specifically among RNs. Methods: This descriptive correlational study's sample comprised 189 nurses (31.57±5.98 years, 93.7% female) in Korea. Self-reported long COVID symptoms were assessed using the COVID-19 Yorkshire Rehabilitation Scale. Data were collected from December 31, 2022, to January 13, 2023, using the online survey method and were analyzed using independent t-test, Wilcoxon signed-rank test, one-way ANOVA, Pearson's correlation, and a multiple linear regression analysis with the IBM SPSS Statistics 26.0 program. Results: A total of 179 participants (94.7%) experienced one or more long COVID symptoms. The most prevalent symptoms were weakness (77.8%), fatigue (68.3%), breathlessness (67.7%), cough/throat sensitivity/voice change (50.3%), and sleep problems (50.3%). The factors related to long COVID symptoms were marital status, type of institution, working time, acute COVID-19 symptoms, and vaccination status. The quarantine period (β=.26, p<.001) and the nursing workforce after COVID-19 (β=-.17, p=.018) were significantly associated with long COVID symptoms (Adjusted R2 =.33). Conclusion: Providing comprehensive recognition is necessary for the understanding of long COVID symptoms and their associated factors among nurses and could promote a long COVID symptom management education program targeted at nurses. Moreover, it could facilitate effective nursing care and education plans for long COVID patients.

비듬 증상 완화를 위한 에션셜 오일의 유효성 연구 - 티트리 오일을 중심으로 - (A Study on Efficiency of Essential Oil for Dandruff Symptoms Relief - Focused on Tea tree oil -)

  • 박은하
    • 한국패션뷰티학회지
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    • 제3권3호
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    • pp.31-40
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    • 2005
  • The reason that aromatherapy began to draw attention again as the alternative therapy is because the essential oils that are used for aromatherapy not only allow the human body to maintain homeostasis but also have an effect on curing a mental feeling of fatigue and because these efficacies and effects are proceeding with being proved scientifically. Also, with coming to be high in a voice of concern about severally side effects that the modern medicine and the synthetic chemistry have, the aromatherapy came to be paid attention as the replacement therapy that can substitute for and supplement this. In particular, at the time of requiring a study on a substance to substitute for this after having been announced in Japan for 1998 a risk of Zincpyrithione that is being used as a component of dandruff treatment, it is thought that the aroma oil that was known for having an anti-dandruff effect has a merit of being easy in a user's access, thus it will be effective in curing the symptom of dandruff. Accordingly, this study conducted the following experiment in a bid to examine whether the aroma oil has the anti-microbial effect on the actual malassezia. First of all, it measured the minimum concentration of aroma oil in which the growth of malassezia is inhibited, by carrying out MIC(Minimum Inhibition Concentration) test in terms of anti-microbial activity against Malassezia furfur KCTC 7744 while using oils of Patchouli, Rosemary, Lavender, and Tea tree among aroma oils that are being used for dandruff treatment. As a result of that, Tea tree oil has the most excellent anti-microbial activity, and the measurement result of anti-microbial activity was shown in order of Lavender oil>Rosemary oil>Patchouli oil. Next, it carried out the is actually eased by applying Tea tree oil directly to the scalp of dandruff. In consequence of the experiment, the massage of Tea tree oil indicated the result of relieving the symptoms of dandruff such as scale, itch, pain, inflammation, and sebum, and among these symptoms of dandruff, it was shown to be most effective in easing itch. Especially, this clinical experiment was indicated that the massage of Tea tree oil has the most effect on relieving itch of targets with a dry-skin type who had no experience of dandruff treatment.

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