• 제목/요약/키워드: sweating

검색결과 452건 처리시간 0.029초

독나방에 의한 피부질환의 집단 발생에 관한 역학 조사 (An Epidemiologic Study on an Outbreak of Dermatosis Associated with Moths at a Factory)

  • 임현술;정철;김두희;성열오;김정란;신유항
    • Journal of Preventive Medicine and Public Health
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    • 제29권2호
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    • pp.359-370
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    • 1996
  • An outbreak of dermatosis occurred at a machine manufacture factory in Kyongju on Aug 1995. Authors conducted a questionnaire ,survey among 92 workers in the factory and a dermatologist examined their skin lesions. Authors also collected moths and identified them. The results are as follows; 1. Forty-two cases of dermatosis were identified with attack rate of 45.7%. Attack rate was not different by company, age, sex, educational level and duration of employment. Attack rate was 47.8% among productive workers, 25.0% among clerical workers and 100.0 % among patrolmen. 2. Two cases among 42 dermatosis cases and three subjects among 50 non-cases had a history of same dermatosis last year. Four of dermatosis cases had a history of dermatosis among their family members. 3. Skin lesions of the cases were scattered or grouped rice-sized erythematous papules or vesicles. Duration of dermatosis from the onset to the time of survey was from one day to more than 30 days. The most frequent site of skin lesion was the arms(81.0 %), and it was also observed at the neck(47.6 %), abdomen(45.2 %), chest(42.9 %), legs(38.1 %) and back(35.7 %). Skin lesion was aggravated with sweating(31.0 %), after shower(16.7 %) and with scratching(11.9 %). 4. Moths were collected and identified as Euproctis subflava (Bremer). Many poisonous stings were observed on their wngs which is harmful to human. 5. Contact with moths' wing droppings to two authors on thier forearms for provocation resulted in severe immediate pain followed by prolonged pruritus. Erythematous macules quickly appeared and succeeded by firm wheal-like red papules. Authors thought that the outbreak of dermatosis was brought about by Euproctis subflava (Bremer). Further studies on the factors contributing to the prosperity of the moths in this area are needed.

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불안척도에 의한 노인들의 정신건강 (Evaluation of the Mental Health Status of the Aged by Zung's Self-rating Anxiety Scale)

  • 이중훈;박병탁;정성덕;강복수;정종학
    • Journal of Yeungnam Medical Science
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    • 제1권1호
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    • pp.121-128
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    • 1984
  • 노인들의 정신건강상태를 파악하기 위하여 1983년 10월부터 1984년 6월까지 대구직할시와 경북 경산군의 각 1개 보건소에 내소한 노인과 서울특별시에 있는 4개 노인학교에 출석한 60세이상 노인, 남자 329명과 여자 522명을 조사대상으로하여 Zung이 고안한 불안척도(SAS)를 사용하여 조사한 결과 다음과 같이 요약한다. 불안척도로 측정한 평균총점은 남자노인이 41.12였고 여자노인이 44.92로서 여자노인이 다소 높은 성적을 보였으나 통계적인 유의성은 인정할 수 없었다. 불안의 항목별 성적은 진땀나기, 우려, 호흡곤란, 안절부절, 불면등이 상위 항목이었고 졸도감, 공황, 공포, 진전, 적면등이 하위 항목으로 남녀양군이 순위는 다소 차이가 있었으나 항목은 동일하였다. 남자노인군은 SAS 총점이 50점 이상이 14.6 %였고 여자노인군은 29.4%였으며 전체노인중 50점 이상이 23.6%로서 일반인의 불안신경증 발명빈도 보다 월등히 높았다. 불안과 관련된 사회정신의학적 여건중 남녀노인의 불안성적과 관련성이 인정되는 요소로는 직업유무, 부양자유무, 생업을 그만둔 기간, 현거주지역, 종교유무 및 사회보장제도에 대한 만족도 등(p<0.01)으로 평가되었다.

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건강개염(健康槪念)의 사상의학적(四象醫學的) 고찰(考察) (A Study on 'Health' concept of Sasang Constitutional Medicine)

  • 황민우;임진희;정용재;김상복;이수경;고병희;송일병;이태규
    • 사상체질의학회지
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    • 제15권3호
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    • pp.88-99
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    • 2003
  • Background and Objective : The status of development of instruments to assess the 'health status' reflecting the concept of Sasang Constitutional Medicine is still far from satisfaction, despite their importance in building basic data for health promotion, evaluation of effectiveness of treatment, health policy and so on. for these reasons the health scale of Sasang Constitutional Medicine shod be developed. Therefore as from of preliminary research, this study is to review the concept of health and symptoms in health status in Sasang Constitutional Medicine. Methods : It was researched as bibliologically with Dong-mu's chief medical writings such as ${\ulcorner}Dongyi$ Soose $Bowon{\lrcorner}$(東醫壽世保元)${\ulcorner}Dongyi$ Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷)${\lrcorner}$ - Results and conclusion : 1. In Sasang Constitutional Medicine, it is suggested that Inherent vitality(命脈實數) has relations to health and Knowledge-Acting(知行) is a primary factor which affects health. And it is thought that Healthy condition(完實無病) is that human being has enough Healthy energy(保命之主) of Small viscera. 2. In Sasang Constitutional Medicine, it is thought that stool, urine, sweating and digestion become important indexes to measure the physical health state. 3. In Sasang Constitutional Medicine, it is thought that the mental health is in control of inclination of mind by golden mean(中庸) and in tranquillity of constant mind according to constitution. 4. In Sasang Constitutional Medicine, it is thought that the social health is state thar can do social acting harmoniously by keeping away from alcohol, sexual appetite, property and power.

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염화코발트법을 이용한 직물의 동적 수분전달에 대한 연구 (A Study on Dynamic Moisture Transfer in Textiles Using Cobaltous Chloride Method)

  • 홍경희;김은숙
    • 한국의류학회지
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    • 제13권4호
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    • pp.400-411
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    • 1989
  • Moisture related properties of fabrics in dynamic modes are considered to be important in the judgement of the subjective comfort characteristics of clothing fabrics. In the current study, an attempt to improve the cobaltous chloride test method was made which has been known as a convenient screening test for dynamic surface wetness. The color changes of cobaltous chloride treated fabrics on the simulated sweating skin were calibrated against standard color strips. The standard color strips were made of all typs of test fabrics and installed inside of the test tubes containing a series of saturated salt solutions, which gives more quantitative informations on dynamic moisture transfer Influences of fiber types and finishes on dynamic moisture transfer in textiles were studied using a single layer of fabric samples. Fiber types included $100\%$ cotton, C/P 50/50, C/P 35/65. Durable press and soil release finished cotton and C/P 50/50 fabrics were also included. There were significant fiber effects on the dynamic moisture transfer. The order of time taken to reach to the specified $\%$ RH was C/P 35/65$100\%$ cotton fabrics. It was possible to detect significant finish effects by increasing the concentrations of cobaltous chloride solutions. The order of time taken to reach to the specified $\%$ R.H was durable press$100\%$ cotton, C/P 50/50, C/P 35/65 and $100\%$ PET were placed at the inner side of the outer layer and tested. It was shown that cobaltous chloride treated $100\%$ cotton fabirc was easier to detect color changes than C/P blend fabic in the double layer experiments. By placing test sample under the cobaltous chloride treated cotton fabrics, it was able to detect the differences among the test samples, some of which were known to be difficult in padding with cobaltous chloride solutions. Besides, the double layer method would provide with the broader application of the cobaltous chloride method in !uture, since it is possible to test the dynamic moisture transfer of clothing as worn.

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이하선 절제술 후 요오드-녹말 검사를 이용한 Frey 증후군의 발생 빈도 및 임상 양상 (Incidence and Characteristics of Frey's Syndrome after Parotidectomy by Minor's Starch-Iodine Test)

  • 강태욱;송창면;김홍대;고석화;장연일;지용배;태경
    • 대한두경부종양학회지
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    • 제32권1호
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    • pp.1-5
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    • 2016
  • Objectives: Frey's syndrome is an infrequent complication after parotidectomy and its incidence varies from 23.5% to 50.8% in the literature. The objective of this study was to evaluate the actual incidence and clinical characteristics of Frey's syndrome. Methods: We analyzed 31 patients who underwent parotidectomy and serial Minor's starch-iodine test. The mean follow-up period was $66{\pm}26.1$ months (range, 24-118 months). The Frey's syndrome was analyzed using a questionnaire for the assessment of the subjective symptom and Minor's starch-iodine test for the objective measurement at 1, 3, 6, and 12 months after the surgery and then every 6 or 12 months. Minor's starch-iodine test was graded from 0 to 3 according to the area of discolorization. Results: Frey's syndrome occurred in 11 patients (35.5%) on the Minor's starch-iodine test. The mean onset of Frey's syndrome on the starch-iodine test was $13.6{\pm}10.4$ months after parotidectomy. Sixteen patients (51.6%) complained about gustatory sweating and flushing. The onset of the subjective symptom was $11.27{\pm}6.96$ months after the surgery. There was a significant correlation between the grade of the starch-iodine test and the severity of subjective symptoms (P <0.001). Various factors including size and location of tumor, incision method, and extent of parotidectomy did not correlate with the Frey's syndrome. Conclusion: The incidence of Frey's syndrome was 35.5% on the Starch-Iodine test, and the onset was about postoperative 13.6 months.

아편유사제 복용 중인 암성 통증 환자들에서 경구 Oxycodone/Naloxone으로 전환 후 발생한 금단증상 (Opioid Withdrawal Symptoms after Conversion to Oral Oxycodone/Naloxone in Advanced Cancer Patients Receiving Strong Opioids)

  • 김정훈;송하나;이경원;강정훈
    • Journal of Hospice and Palliative Care
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    • 제20권2호
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    • pp.131-135
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    • 2017
  • 목적: 경구 oxycodone/naloxone 복합제는 아편유사제에 의해 유발되는 변비를 완화시키거나 예방하는 목적으로 사용되고 있다. Naloxone에 의해 oxycodone의 진통 효과가 상쇄되거나 금단증상이 나타난다는 보고는 거의 없었으나 저자는 실제 임상에서 몇몇 금단증상 예를 경험하였기에 이 환자들에 대한 조사 연구를 수행하였다. 방법: 2012년 1월 1일부터 2016년 12월 31일까지 경남 지역 암센터에 방문했던 진행성 암환자들로 oxycodone/naloxone extended-release tablets를 투약 받고 마약 금단증상이 나타났던 환자들의 의무기록을 후향적으로 조사하였다. 결과: 연구 기간 중 경구 oxycodone/naloxone을 처방 받은 1,641명의 암 환자 중, 총 10예(0.6%) 에서 마약 금단 증상을 겪었다. 금단증상 관련 통증 강도의 변화는 oxycodone/naloxone 투여 전 NRS 3에서 평균 NRS 6점으로 증가하였다. 금단증상 중 오한이 10예 중 7예에서 나타나 가장 많이 나타난 증상이었으며 그 외에 식은땀, 전신 쇠약감, 근육경련, 복부경련(각 5예), 불안(4예), 열, 어지럼증, 의식혼란, 하품(각 2예)의 순으로 빈번하게 관찰되었다. 결론: Oxycodone/naloxone extended-release 복합제에 의한 마약 금단증상은 흔하지는 않아도 적은 수의 환자에서라도 나타날 수 있다. 향후 이에 대한 다기관, 전향적 연구가 필요하다.

후복막강 내시경을 이용한 요추 교감신경절 절제술 - 2례 보고 - (Retroperitoneal endoscopic lumbar sympathectomy - 2 cases report -)

  • 이송암;김광택;백만종;이인성;김형묵;김학제;이건
    • Journal of Chest Surgery
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    • 제31권2호
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    • pp.203-207
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    • 1998
  • 고대 안암병원 흉부외과에서는 각각 1개월과 20개월전에 수족장부 다한증으로 흉강경하 흉추 교감신경절 절제술을 시행받았으나 족장부 다한증이 지속되는 환자 2명에 대해 후복막강 내시경을 이용한 요추 교감신경절 절제술을 시행하였다. 첫 번째 환자의 경우 우측에서 트로카 삽입중 기복이 발생하여 개복적 방법으로 전환해야 했으며, 우측 요추 교감신경절의 불완전한 절제로 발한이 지속되어 재수술을 시행하였다. 술후 각각 70일과 30일이 경과한 시점에서 추적관찰하였으며 만족도 결과를 매우만족, 만족, 보통, 불만족으로 평가하였다. 첫 번째 환자는 '매우만족', 두 번째 환자는 항문주위 대상성 다한증이 있었으나 대체로 '만족'을 나타내었다. 족장부 다한증에 대한 후복막강 내시경하 요추 교감신경절 절제술은 통증이 적고 반흔이 작으며, 회복기간과 입원기간을 줄일 수 있어 족장부 다한증의 유용한 치료방법의 하나이다.

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여름철 노지 고추 수확 작업시 고령농업인의 온열 부담 평가 (Evaluation of the Farmers' Workload and Thermal Environments during Chili Harvest in the Open Field)

  • 채혜선;김현진;오영순;이경숙;김효철;김경란
    • 한국지역사회생활과학회지
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    • 제24권4호
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    • pp.543-552
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    • 2013
  • Physiological and subjective responses of the farmers and thermal environment during chili harvest in the open field were investigated to evaluate the thermal environments and farmers's workload. Eight career female farmers in their sixties participated as subjects both in morning work(MW, AM 9:00~10:30) and in afternoon work(AW, PM 15:00~16:30) with each lasting about 90 minutes. The results were as follows. 1) Air temperature, air humidity, globe temperature and WBGT of MW were mean $25.54^{\circ}C$, 81.82%RH, $37.72^{\circ}C$, $26.27^{\circ}C$ and AW were mean $30.63^{\circ}C$ 82.50%RH, $40.11^{\circ}C$, $30.02^{\circ}C$, respectively. By the WBGT, we evaluated that the thermal environment in the afternoon in the open field gave a thermal burden to farmers. 2) Mean skin temperature of AW($34.8{\pm}0.8^{\circ}C$) was higher than MW($33.5{\pm}1.2^{\circ}C$)(p<0.05). Clothing microclimate temperature on the chest of each work time were $31.3^{\circ}C$(MW) and $32.7^{\circ}C$(AW). Clothing microclimate humidity on the chest of each work time were over 80%RH. Heart rate were 88.5bpm(MW) and 91.7bpm(AW) respectively. 3) Farmers working in the afternoon felt uncomfortable after 45~60 min. of work and in the morning they felt uncomfortable after 90 min. of work. We evaluated that the harvesting of chilies in the open field was 'moderate work' by the physiological responses but the level of thermal burden increased over time especially in the afternoon work. It is suggested that farm workers should drink fluids between work to stay in homeostasis by sweating and to take frequent rests. Active clothing ventilation and wearing functional garments would help farm workers excrete sweat effectively.

"금궤요략심전.분돈기병맥증치제팔(奔豚氣病脈證治第八)"에 대한 번역연구 (Translational Study for "Treatise on Bundon Disease in Chapter 8 of the Essence of the Synopsis of the Golden Chamber")

  • 이선란;이용범
    • 대한한의학원전학회지
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    • 제21권2호
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    • pp.21-28
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    • 2008
  • After translating the contents of "Treatise on Bundon Disease in Chapter 8 of the Essence of the Synopsis of the Golden Chamber" and it was compared with the contents of "The Lecture of Synopsis of Prescriptions of the Golden Chamber" and speculated to review the characteristics of the comments of Ui(尤怡) and the following conclusions were made. As the causes of bundon(奔豚) disease, which means gas rushing like a running piggy from the lower abdomen to the throat, they could be categorized into the cases belongs to miscellaneous diseases (雜病) and into the cases of suffering from cold diseases(傷寒). If it was diagnosed as miscellaneous disease, terror and fear(驚恐) could be regarded as its cause and if it was diagnosed as cold disease, insufficiency of heart Gi(心氣) due to the excessive sweating and the invasion of exterior coldness could be regarded as its cause. As the pathogenesis of this disease, the pathogenic factors of liver and kidney could be found. Since the liver and Soyang meridian(少陽經) are subjected to the exterior and interior relation in case of the pathogenic factor of liver, alternate attacks of chills and fever(寒熱往來) could be characteristic for the disease. If this disease was caused by the pathogenic factor of kidney, there are two cases. One is the palpitation under the umbilicus(欲作奔豚: 臍下動悸) developed by the lack of heart Gi(心氣) and the other is gas rushing like a running piggy from the lower abdomen to the throat which could be developed by the exterior cold disease which invade into the interior and reach into the kidney when the heart Gi(心氣) was insufficient. In its treatment, bundon disease caused by the pathogenic factor of liver could be treated with Bundontang(奔豚湯), and the understanding of Ui(尤怡) on Pinellia ternata Breitenbach(半夏) having the effect of perspiration in the prescription is quite unique concept. In case of bundon disease caused by the pathogenic factor of kidney, treatment is focused to treat exterior coldness by applying moxibustion(灸) and Gyejigagyetang(桂技加桂湯), and in case of the palpitation under the umbilicus(欲作奔豚: 臍下動悸), its pathogenic factor of kidney is controlled with Cinnamomum louerii Nees(桂技), Polia cocos Walf and the spleen Gi(脾氣) is cared by using Glycyrrhiza uralensis Fischer et. De Candolle(甘草) and Zizyphus jujuba Mill(大棗). Especially, Ui(尤怡) emphasized Cinnamomum louerii Nees(桂技) as the medication to treat the pathogenic factor of kidney.

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구강건조증에 대한 필로카핀 구강양치액의 효과 (Effect of Pilocarpine Mouthwash on Xerostomia)

  • 김지현;박주현;권정승;안형준
    • Journal of Oral Medicine and Pain
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    • 제36권1호
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    • pp.21-24
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    • 2011
  • 구강건조증이란 주관적인 구강 내 건조감으로 정의되며, 이는 약물, 타액선 질환, 방사선 치료, 쉐그렌 증후군, 심리적 요인 등과 같은 다양한 원인에서 비롯된다. 구강 건조증 환자 중 현저한 타액선 기능 감소가 존재하는 경우 구강캔디다증, 치아우식증, 치주질환, 미각변화, 구취 등의 병발증이 나타날 수 있다. 이러한 구강건조증의 치료로는 우선적으로 구강건조를 유발하는 원인요소를 제거하거나, 환자의 불편감을 감소시키기 위한 대증요법이 주가 되며 실제로 타액 분비 기능이 감소된 경우 이로 인한 합병증을 예방하기 위한 치료와 타액분비를 자극할 수 있는 약물치료를 시행할 수 있다. 이 중 타액분비를 촉진시키는 약물인 필로카핀은 구강건조증 치료제로 널리 사용되어 왔다. 하지만 발한작용, 비뇨기 및 위장관계의 비정상적인 기능유도, 심혈관계 및 호흡기계에 대한 위험 등의 부작용이 있어 천식, 만성폐질환, 심혈관계 질환자에게는 주의 깊은 사용이 요구되며, 특히 조절되지 않는 천식환자의 경우 필로카핀의 절대적 금기증으로 사용이 금지된다. 이처럼 구강건조증 치료에 있어 필로카핀은 부작용으로 인해 전신적인 투여에 많은 제한이 있다. 따라서, 필로카핀의 부작용을 최소화하기 위해 국소적으로 사용되는 방법 중의 하나인 필로카핀 양치액을 이용하여 치료한 증례를 통해 그 효과를 확인해보고자 하였다.