• 제목/요약/키워드: impact rating

검색결과 288건 처리시간 0.029초

편타손상에 기인한 급성두통환자의 한방치료에 대한 후향적 증례 연구 (Korean Medicine Treatment for Acute Headache Patients Caused by Whiplash Injury: A Retrospective Case Series of Five Patients)

  • 김석우;진소리;박무진;김동우;강경래;김수연;오승주;김은송;진동은
    • 대한한방내과학회지
    • /
    • 제41권4호
    • /
    • pp.676-687
    • /
    • 2020
  • Objectives: The aim of this study was to report improvement of acute headache incurred in a traffic accident in five patients who underwent inpatient treatment with Korean medicine. Methods: We collected data for traffic accident patients with acute headache who were admitted to the Ja-Seng Hospital of Korean Medicine from November 2019 to April 2020 and received combinational Korean medical treatment. All patients had numerical rating scale (NRS) values of 6 or greater. The patients were treated with acupuncture, pharmacopuncture, herbal medicine, and chuna treatment. We measured the validity of the treatment with the NRS, Headache Impact Test-6 (HIT-6), and Henry Ford Headache Disability Inventory (HDI) at admission and on the date of hospital discharge. Results: At the end of the treatment, all patients showed decreases in NRS, HDI, and HIT scores. Conclusions: The combination of Korean medicine at admission was effective in five patients with acute headache after a traffic accident. However, the number of subjects was insufficient and individual efficacy was not measured in this study. Therefore, further studies are needed on this topic.

개결서경탕(開結舒經湯)을 투여한 긴장형 두통 여성 환자 치험례 1례 (A Case Report of Gaegyeolseogyeong-tang Treatment of a Female Patient with a Tension Type Headache)

  • 이유라;오주현;공건식;송진영;박진훈;김소원;강만호;이형철;엄국현;송우섭;임수연
    • 대한한방내과학회지
    • /
    • 제41권5호
    • /
    • pp.705-716
    • /
    • 2020
  • Objective: Tension Type Headache is the most common primary headache, and the prevalence is highest among people in their thirties. The 2009 domestic headache epidemiological survey indicated a prevalence rate of 30.8% per year. The patients often complain of feeling "as if they are tightening their head or wearing a band." No other symptoms, such as nausea and vomiting, accompany the headache, and the physical and neurological findings are normal. Korean medicine treatment of tension type headache is mainly with acupuncture, not herbal medicine. In the present study, a patient with tension type headache was admitted to the Korean medicine hospital for treatment. We report on the patient's progress and the effects of the herbal treatment. Methods: The patient was treated with Gaegyeolseogyeong-tang, acupuncture, herbal acupuncture therapy, and physical therapy. We used the Korean Headache Impact Test-6 and Numeric Rating Scale to assess changes in tension type headache symptoms. Results: The patient was diagnosed with Qi-stagnation syndrome (氣滯證) and Ganyangsanghang-headache (肝陽上亢頭痛). The patient was hospitalized for 42 days and showed recovery from the tension type headache without any adverse events. Conclusion: Patients with tension type headache could be treated with Korean medicine.

척수손상 백서에서 서방형 성장호르몬의 투여가 신경회복에 미치는 영향 (The Effects of Sustained Release Growth Hormone in the Repair of Neurological Deficits in Rats with the Spinal Cord Injury)

  • 김민수;허정;권용석;이근철;김석권
    • Archives of Plastic Surgery
    • /
    • 제35권3호
    • /
    • pp.235-242
    • /
    • 2008
  • Purpose: Due to increasing interest in the treatment of spinal cord injuries, many histopathological studies have been conducted to prove that many neurotrophic factors including growth hormone are important for regeneration of the injured spinal cord. Growth hormone has to be given everyday, however, and this negatively affects compliance in clinical trials. Recently, the invention of sustained release growth hormone (SRGH) that can be given just once a week may both help the regeneration of injured spinal cord and, at the same time, be more compliant and convenient for clinical patients. Methods: In this study, thirty 7-week-old female Spraque-Dawley rats were subjected to a weight-driven impact spinal cord injury. They were divided into 3 groups and Group I and II were injected with SRGH once a week for 4 weeks; Group I were injected into the injured spinal cord area, while Group II were injected into the peritoneal cavity. Meanwhile, Group III were injected with normal saline solution. The functional outcome was evaluated using the Basso-Beattie-Bresnahan motor rating score and the inclined plane test was done 4 weeks after the first injection. Histopathological examination was performed at the same time and the amount of residual white matter was measured in all groups. Results: After 4 weeks, Groups I and II showed greater improvement than Group III(the control group) in the functional test. In the control group, invasion of atypical phagocytes, axonal degeneration, edema and cavity formation in the posterior site of spinal cord gray matter was observed in histopatholgical examination. The rate of residual white matter in Group III was less than in the other groups. Conclusion: Data showed significant functional and histopathological improvement in the groups treated with SRGH into the spinal and peritoneal cavity compared with the control group. SRGH is therefore beneficial because it helps with regeneration of the injured spinal cord and improves the compliance and convenience of patients.

서울시내 정상 또는 저체중 여중생의 다이어트 행위 실태와 관련요인 분석 (A Study on Dieting Behaviors and Related Factors among Normal or Low-weight Middle School Girls in Seoul)

  • 박선희
    • 한국학교보건학회지
    • /
    • 제14권1호
    • /
    • pp.115-130
    • /
    • 2001
  • Dieting behaviors prevail among most women and are highly increasing among female adolescents who don't have to lose weight. The dieting behaviors of normal or low weight groups are highly related to the negative impact of health risk behaviors. We need a strategy for intervening in the dieting behaviors of relevant groups. With this background, a study was conducted to examine the current situation of dieting behaviors and related factors in middle school girls, and to provide guidelines for the relevant dieting group. This survey was carried out by self-questionnaires passed out to 901 middle school girls from 3 middle schools in Seoul. Data were collected from April 10th, 2000 to April 17th, 2000 and 794 respondents' data were finally selected for analysis. The instruments of this study were Shin's scale for effects of mass-media, Birleson's depression self-rating scale translated by shim, Rosenberg's self-esteem scale, Smilkstein's Family APGAR score translated by Yoon, Kim's school-related adjustment scale. The credibility of instruments was 0.41~0.83 in the pilot study and 0.70~0.86 in the main study. The summary of results was as follows: 1. The general characteristics of respondents were analyzed. In comparison of grade and dieting behaviors, the subjects of the group perceived that their body image was obeser than their real body image and their ideal body image was slenderer than their current body image. A dieter's body image was seriously distorted. 2. The dieting behaviors were analyzed. The Subjects' BMI was within the normal to low range -- they didn't have to lose weight. But actually 47.3% of the respondents were dieters. Their main dieting methods were exercise(71.8%), computer games(64.9%) such as DDR and pump, and intake reduction(64.1%). Most dieters were using desirable methods such as exercise and intake control. But unhealthy methods such as saunax, smoking and harmful drug-use were also used by a few dieters. The main reason for dieting was attractiveness. The chief resources of dieting methods were mass-media(67.8%), friends(64.3%), and parents & relatives(35.1%). Only a few subjects obtained the information from health professionals. While they were trying to lose weight, 42.1% of the subjects experienced side effects such as dizziness(45.0%), apathy(20.5%), appetite loss(18.5%), amenorrhea and the irregularity of the menstrual cycle(16.6%). 3. The relationship between dieting behaviors and factors was analyzed. Dieting behaviors were significantly related to the experience of menarche, the experience of dating with heterosexuals, perceived body image, self-esteem, depression, family's relationship, school instruction-related adjustment, school life-related adjustment, and the effect of mass-media. After that, the multiple logistic regression was used. The analysis revealed that dating, perceived body image, the experience of menarche and the effect of mass media were significant factors. In conclusion, strategies for preventing irrelevant dieting behaviors are urgently required to enhance female adolescents' ability to choose the right information from countless others and to recognize their optimum body image.

  • PDF

아세트알데하이드에 의한 전통직물의 손상 특성 (Damage Characteristics of Korean Traditional Textiles by Acetaldehyde)

  • 김명남;임보아;이선명
    • 보존과학회지
    • /
    • 제32권3호
    • /
    • pp.321-331
    • /
    • 2016
  • 아세트알데하이드가 직물에 미치는 손상여부, 손상정도는 다른 재질에 비해 명확하지 않다. 본 연구는 견, 면, 모시, 삼베의 무염색, 천연염색시편을 대상으로 아세트알데하이드 0.1, 0.5, 1, 10, 100, 500, 1000 ppm 농도에서의 손상, 손상농도에서 온 습도 조건에 따른 손상 가중, 손상농도에서 열화직물시편의 손상을 광학적, 화학적, 물리적 측정방법으로 평가하였다. 이 결과, 아세트알데하이드 농도 1000 ppm/day에서 면_황색시편의 색차가 증가하였고, 고습조건($25^{\circ}C$, 80%), 고온조건($30^{\circ}C$, 50%), 고온 고습조건($30^{\circ}C$, 80%)에서 황색시편들의 색차 증가와 변퇴색등급 감소가 뚜렷하였으며, 고온 고습조건($30^{\circ}C$, 80%)에서 면_무염색시편의 아세트산이온 농도 증가, 견_무염색시편의 pH 감소가 나타났다. 열화직물의 경우, 흑색시편들의 아세트산이온 농도가 증가하였다. 이를 통해 아세트알데하이드가 전통직물에 미치는 손상은 크지 않으나 황색직물의 탈색과 열화된 흑색직물의 아세트산이온 농도 증가가 예상된다.

실습선 승선기간에 의한 승선 집단별 피로도 분석에 관한 연구 (A Study on the Fatigue Analysis by the Boarding Period on Training Ship)

  • 김승연;박유진;이윤석
    • 해양환경안전학회지
    • /
    • 제22권2호
    • /
    • pp.160-166
    • /
    • 2016
  • 승무원의 피로는 해양사고의 주요 원인으로 인식되고 있다. 해양사고 원인의 대부분을 차지하는 인적오류를 예방하기 위한 다양한 방안이 강구되고 있으나 인적요인에 직접적인 영향을 미치는 승무원의 피로에 관한 체계적인 연구는 아직 미흡한 실정이다. 본 연구는 교원 학생 직원, 그리고 남성 여성과 같이 다양한 승선경력 및 업무 형태를 가지고 있는 실습선 한바다호 승무원 128명을 대상으로 87일간의 해양실크로드 항해탐험 동안 이들의 피로도 변화를 분석하였다. 승선기간에 따른 승무원의 피로도 변화는 설문조사와 간호사의 개별 면담을 통해 이루어졌고, 수집된 데이터는 정량적인 통계 처리를 실시하여 피로도 요인으로 분류한 후, 승선 집단별로 피로도 요인의 변화를 비교하였다. 연구 결과 승무원의 피로도 요인은 정신적 피로도, 생리적 피로도, 신체적 피로도로 분류되었고, 승선기간에 따른 직위별, 성별 피로도 변화에 대한 반복측정 분산분석 결과, 직위별로는 교수 부원 집단이 학생 집단보다 정신적, 신체적 피로도를 더 많이 느끼는 것으로 나타났고, 성별로는 여성 승무원이 남성 승무원에 비해 신체적 피로도를 더 많이 느끼는 것으로 나타났다.

초등학생의 인터넷 중독과 VDT 증후군 및 건강행위 간의 관련성 (The Relationship with Internet Addiction, VDT Syndrome and Health Behavior of Elementary School Students)

  • 이경란;황미혜
    • 한국학교ㆍ지역보건교육학회지
    • /
    • 제9권2호
    • /
    • pp.65-80
    • /
    • 2008
  • Objectives: To identify the relationship between the internet addition of elementary school students, and their health behavior and VDT syndrome, and thereby to detect the impact of internet addiction on the health behavior of elementary school students, to get the basic information necessary to develop a prevention program for internet addiction and to plan for VDT syndrome prevention program. Methods: We conducted this study during the period from jun 27, 2007 through July 8, 2007. The subjects of this study were 416 children whose grades were in 4th through 6th grades of elementary schools located in the city A in Kyung Pook Providence. Data were obtained from self-rating questionnaires. The questionnaires were composed of Korean Internet Addiction Self-examination on Internet Use Patterns (K-scale), Health Behavior Profile, VDT Syndrome, and general characteristics. We used t-test, AVOVA with Ducan method for Post-hoc comparison in means comparison between groups, $X^2$-test for frequency analysis and Pearson's correlation coefficient. We used SPSS/PC(12.0 ver) program and the LISREL 8.53 Win program for covariance structural analysis. Results: Major results were as follows. 1. The internet addiction propensity distribution based on the distribution of scores were investigated according to the self diagnosis scale on internet addiction. 6.5% of them were high risk user group, 14.4% were potential risk users and 79.1% of them were common user groups. 2. Internet addictions by sex, internet use duration, frequency (days/week), time(hours/day), purpose, position, brightness of internet, attitude of parents and frequency of conversation of family members were statistically significant(p<0.01). 3. There was a statistically significant difference in VDT syndrome according to internet addiction groups(p<0.001) besides ocular symptoms, dry mouth and GI troubles. 4. The health behavior score was the lowest in high risk user group(p<0.001). There were significant differences between internet addiction groups in personal hygiene and habits of daily living(p<.002), the prevention of accidents(p<.002), the practice concerned with the prevention of infectious disease(p=.002), and mental health(p<.001). 5. There was also a significant negative correlation between internal addiction and health profile(r=-0.365, p<0.01) and a significant positive correlation between internal addiction and VDT syndrome(r=0.331, p<0.01). 6. As the result of structural model analysis, internet use time(/day), days of internet use(/1week), conversation frequency among family members, degree of brightness of internet use had significant direct effects on internet addiction. Conclusions: The results will help the development of an effective intervention program for the prevention and treatment of internal addiction by clarifying the effect of the internal addiction upon elementary school students' VDT syndrome and health behavior.

  • PDF

소아기 우울장애의 유병률 및 역학적 특성 : 자가평가 연구 (The Prevalence and Epidemiological Characteristics of Childhood Depressive Disorder in South Korea : Self Reported Study)

  • 최혜원;이문수;임명호;권호장;하미나;유승진;김은정;백기청
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제23권3호
    • /
    • pp.134-142
    • /
    • 2012
  • Objectives : Childhood depressive disorder one of the most prevalent chronic health conditions affecting school aged children. The objective of this study was to examine the prevalence and epidemiological characteristics of childhood depressive disorder in Korea. Methods : In this study, a survey was conducted of elementary school children in the Cheonan area from September 2009 to August 2010. A total of 12,084 children were included in the analyses. The primary measure of depression was the 27-item Kovacs' Children's Depression Inventory (CDI), the Korean Dupaul attention-deficit hyperactivity disorder Rating Scales (K-ARS), Autism Spectrum Screening Questionnaire (ASSQ) and Restless Legs Syndrome Questionnaire (RLSQ) were also administered. Results : The prevalence rate of childhood depressive disorder was 3.07%. The mean age was $9.21{\pm}1.81$ years for the control group (5,969 male, 6,054 female) and $9.91{\pm}1.83$ years for the depression group (CDI score${\geq}$22 ; 159 male, 210 female). Age, height, weight, and economic status were similar for the two groups. However, there were statistically significant differences in the distribution of sex. The distribution of school grade also differed between the two groups. Scores for CDI, K-ARS, and ASSQ in the depressive group were higher than those of the control group. Conclusions : This is the first large-scale population-based study to report on the prevalence of childhood depressive disorder in South Korea. Increased rates of childhood depressive disorder, as reported by primary caretakers, might reflect the increasing negative impact of environmental risk factors on neurobehavioral health. Longitudinal study of the prevalence of childhood depressive disorder should be considered for further evaluation.

음악극 창작활동이 지역아동센터 아동의 자아존중감, 자기표현력, 사회성에 미치는 영향 (Group Music Therapy Involving Creation of a Musical Play to Improve Self-Esteem, Self-Expression, and Social Skills in Children)

  • 배성진;김경숙
    • 인간행동과 음악연구
    • /
    • 제17권1호
    • /
    • pp.51-70
    • /
    • 2020
  • 본 연구의 목적은 집단음악치료 기반 음악극 창작활동 프로그램이 지역아동센터 아동의 자아존중감, 자기표현력, 사회성 향상에 미치는 영향을 알아보는 것에 있다. 연구프로그램은 지역아동센터를 이용하고 있는 28명의 아동들을 대상으로 진행하였으며, 저학년 14명, 고학년 14명으로 구성되었다. 학년별 집단은 실험집단 7명, 통제집단 7명으로 배치하였으며, 실험집단은 총 12회기의 음악극 창작활동 프로그램에 참여하였다. 음악극 창작활동 프로그램은 탐색-창작-실행의 총 3단계로 구성되었으며, 각 단계는 아동들이 기존 음악극을 체험하고, 자신들의 음악극을 창작하여 음악극 발표를 경험할 수 있도록 구성하였다. 참여자의 변화를 확인하기 위해 자아존중감 척도, 자기표현능력 척도, 사회성기술평가척도를 사전, 사후에 실시하였다. 연구결과, 실험집단은 통제집단과 비교해 음악극 창작활동 프로그램에 참여 후 자아존중감, 자기표현력, 사회성 점수가 유의하게 증가했다. 이와 같은 연구결과는 단계적으로 구성된 집단음악치료 기반 음악극 창작활동에서 제공되는 음악경험의 수준과 완성도가 발달기 아동의 개인적 사회적 역량강화에 긍정적 경험이 될 수 있음을 시사한다.

환경적으로 안전한 농업과 미래용도를 위한 토질 기준 평가 검토 (Review of Assessing Soil Quality Criteria for Environmentally-Sound Agricultural Practics and Future Use)

  • Doug Young Chung
    • 한국토양환경학회지
    • /
    • 제3권2호
    • /
    • pp.127-145
    • /
    • 1998
  • 인간의 건강에 관련된 수질이나 대기의 기준설정과는 달리, 토질은 지협적이고 한정적인 토양의 기능과 이와 관련된 환경요소에 근거한다. 적정한 토질평가제도는 안전한 식품을 생산하거나, 인간과 동물의 건강증진, 그리고 토양의 퇴화 과정을 나타내는 토양성능 지표의 역할을 하여야 한다. 이에 필요한 요소는 첫째로 수분이동과 흡착의 용이성, 둘째로 식물생장의 유지, 셋째로 토양의 물리적 붕괴에 대한 저항성, 넷째로 안전한 식품생산 기반이다. 그리고 끝으로 비용 절감 농업관리와 식품생산 요소로서 토양은 토양과 수질의 영역, 식품사슬, 지속성과 효용성, 환경과 경제성을 포함하여야 한다. 토질지표는 기본 골격 내에서 각각의 기능에 대하여 여러 단계로 분리되며, 각각의 지표는 체계의 원칙에 근거하여 다목적 접근방법을 사웅하여 상대적 중요도를 반영하는 우선 순위와 가중치를 정한다. 각각의점수 환산체계는 낮은 단계부터 높은 단계로 또는 0주터 10의 범위에서 여러 단계로 등급화되어야 한다. 그리고 각각의 범위 수치에 가중치를 곱하고 그리고 토양의 여러 가지의 물리화학적 특성이 고려된 종합 토질등급으로 결론지어져야 된다. 토질 평가 방법을 개발하는데 필요한 기본 골격과 과정은 해당 지역의 대체 또는 기존의 농업방식으로 얻어진 정보를 사용함으로서 결정된다. 토질에 있어서 부수적인 과정, 관리방법, 그리고 정책의 효과를 검증하기 위한 확장된 기본골격의 용도 또한 고려되어져야 한다. 이외에도 하나의 가능한 토질지수의 형태를 개발하기 위해서는 토양의 특성과 토양 내로 유입되는 또는 기존의 화학물질을 연계시켜야된다. 이 연구는 토질의 평가 시 고려되어야 될 요소를 찾기 위한 접근 방법을 제시하고자 한다.

  • PDF