• Korean Journal of Psychosomatic Medicine
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• v.7 no.2
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• pp.256-262
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• 1999

Because chronic pain disorder may has multiple causes or contributing factors, including physical, psychological, and socio-environmental variables, the treatment of patients with the disorder requires biopsychosocial approaches in a multidisciplinary setting. In treating chronic pain, it is important to address functioning as well as pain, and treatment should be to increase functional capacity and manage the pain as opposed to curing it. Therefore treatment goal should be adaptation to pain or minimizing pain with corresponding greater functioning. Treatment begins with the initial assessment, which includes evaluation of psychophysiologic mechanisms, operant mechanisms, and overt psychiatric comorbidity. Psychiatric treatment of the patients requires adherence to sound pharmacologic and behavioral principles. There are four categories of drugs useful to psychiatrist in the management of chronic pain patients : 1) narcotic analgesics, 2) nonsteroidal antiinflammatory drugs, 3) psychotropic medications, and 4) anticonvulsants, but antidepressants are the most valuable drugs in pharmnacotherpy for them. Psychological treatments tend to emphasize behavioral and cognitive-behavioral modalities, which are divided into self-management techniques and operant techniques. Psychodynamic and insight-oriented therapies are indicated to some patients with long-standing interpersonal dysfunction or a history of childhood abuse.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.17 no.2
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• pp.431-437
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• 2013

These days, many people live a healthy life, but suffering caused by chronic diseases. The main factors of chronic diseases are stress, blood pressure and obesity. Chronic diseases which are caused by high blood pressure are very high incidence. Therefore, this paper suggests the ways to prevent as diagnosis a phenomenon that occur rising in blood pressure consistently by analyzing the voice according th rising in blood pressure. For this, I studied some influence on voicing through rising in blood pressure by applying pitch that measure vocal fold vibration and intensity that measure voice energy size that is one of technique. That collect and analyse the voice after rising blood pressure by aerobic exercise.

• Childhood Kidney Diseases
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• v.18 no.1
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• pp.7-12
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• 2014

Cardiovascular disease (CVD) has been identified as one of the most important factors influencing the long-term prognosis of patients with chronic kidney disease (CKD). However, in pediatric CKD, the clinical importance of CVD tends to be overlooked due to the lack of typical manifestations of CVD in this population. The literature has identified several traditional risk factors of CVD that originate from CKD, including hypertension, diabetes mellitus, dyslipidemia and obesity, in addition to new and non-traditional risk factors including anemia, secondary hyperparathyroidism, oxidative stress and inflammation. In cases of pediatric CKD, cardiovascular disease is usually restricted to subclinical manifestations such as left ventricular hypertrophy, thickening of intimal media on the carotid artery and calcification of the coronary artery. Therefore, risk factors of CVD in pediatric CKD patients should be closely monitored.

• 건강소식
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• v.26 no.1 s.278
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• pp.8-15
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• 2002

새해가 밝으면 가족과 친지들끼리 덕담을 주고받으며 서로의 건강과 만사형통을 기원한다. 그러나 단지 건강을 바라는 마음만으로는 질병 없이 건강하게 살려는 꿈이 이루어지지 않을 것이다. 끊임없이 자신의 건강상태를 체크해보고 개인에게 맞는 건강관리법을 택해 꾸준히 관리하는 것이 건강을 유지하는 유일한 방법일 것이다. 우리나라의 주요 사망원인을 보면 암이 가장 많고 이어 뇌혈관 질환, 심장질환, 운수사고, 간질환 순을 나타났다. 이들 주요 사망원인들은 식생활이나 스트레스 관리, 운동, 안전수칙준수 등으로 충분히 예방할 수 있는 생활습관에서 오는 원인들이다. ‘이달의 건강길라잡이’에서는 주요 만성질환 예방 및 국민건강증진을 위하여 새해를 맞아 건강과 질병의 개념에 대해 알아보고 건강과 질병은 연장선상에 있는 것이며 따라서 건강은 꾸준히 관리해야만 한다는 것의 의미를 알아본다. 또한 암 · 심장질환 등 주요 만성 질병 예방을 위한 건강 지침을 제안하며 가족의 건강생활실천을 도모하고자 한다.

• Proceedings of the KSCN Conference
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• 2004.05a
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• pp.416.1-416
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• 2004

본 연구는 투석치료를 받고 있는 만성 신부전환자의 영양소 섭취량과 이에 영향을 미치는 요인을 분석함으로써, 환자들의 영양상태를 개선하기 위한 자료를 제공하고자 실시하였다. 연구 대상자는 대구지역 대학병원에 내원하는 혈액투석 환자 51명과 복막투석환자 50명을 대상으로 직접면담법으로 자료를 수집하였다. 설문지 내용은 영양소 섭취량에 영향을 미치는 요인으로 일반적 특성, 기호도, 영양지식과 태도, 스트레스 자각 정도, 식습관, 식품섭취빈도조사 등이었다. 조사대상자의 신장질환 유병기간은 혈액투석 환자군은 55.8 $\pm$ 61.3개월, 복막투석 환자군은 68.6 $\pm$ 61.5개월이었다.(중략)

• Korean Journal of Psychosomatic Medicine
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• v.9 no.1
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• pp.81-92
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• 2001

Stress has been linked to the pathophysiology and pathogenesis of various psychiatric illnesses. Over the past few years, our understanding of the brain and neuroendocrine systems that are linked to stress responses has increased enormously. This article reviews a series of animal and human studies to understand what are the central pathways by which stress is perceived, processed, and transduced into a neuroendocrine response. We focus on the limbic-hypothalamic-pituitary-adrenal(LHPA) axis and several neurotransmitter systems such as norepinephrine, CRF, serotonin, acetylcholine, and dopamine. LHPA stress circuit is a complex system with multiple control mechanisms which are altered in pathological states. CRF and related peptides in the central nervous system appear to enhance behavioral responses to stressors. Norepinephrine systems are also activated by stressors and cause the release of catecholamines from the autonomic nervous system. CRF-norepinephrine interaction makes a feed-forward system which may be important for an organism to mobilize not only the pituitary system but also the central nervous system, in response to environmental challenges. The interactions among several neurotransmitters and endocrine systems appear to play key roles in mediating various behavioral and psychological stress responses involving abnormal responses to stressors such as anxiety and affective disorders.

• Journal of agricultural medicine and community health
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• v.34 no.3
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• pp.334-345
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• 2009

Objectives: This study was performed to investigate the management status of chronic disease at community health centers. Methods: The study subjects were 450 employed persons at community health centers in Jeonlanamdo. General characteristics, status of chronic disease management and health education were collected for statistical analysis. The differences on management status among working areas were assessed with chi-square test and ANOVA. Results: The mean values of work duration were 18.7 years in rural, 14.4 years in fishing village, and 17.4 years in urban-rural, respectively. The number of management registration was highest in hypertension. The ways of disease management were medication check-up, diet stopping smoking. The contents of group health education were exercise, diet and prohibition of smoking. The place of health education was town assembling hall. The fields which officials wanted to be educated were symptom, diagnosis, treatment and complication. The most important field was early detection of chronic disease patients and health education. Finally, the field requiring support was work standardization. Conclusions: Community health workers have worked positively in chronic disease management. The barriers to work were the lack of professional and preliminary data. The support system with other health organ and health education were needed for the improvement of working ability.

• Korean Journal of Community Nutrition
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• v.4 no.2
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• pp.254-259
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• 1999

노화는 모든 사람에게 공통적으로 일어나는 자연스러운 현상이다. 그러나 이에 따른 신체적인 변화는 각 개인에 따라, 그리고 한 개인 안에서조차 각종 장기별로 다양한 속도로 진행된다. 노년기의 생리적인 변화는 예비용량(reserve capacity)의 저하에 따라 외부의 스트레스에 대처하여 항상성을 유지하는 능력이 감소되어 나타나게 된다. 안정적 상태에서 기능수준에는 큰 변화가 없으나 활동상태의 기능 수준은 연령증가에 따라 상당히 저하되는 것을 보여준다. 노년기의 생리적 변화에 따라 직병에 대한 감수성은 증가하나 대다수의 만성퇴행성질환은 특정 병리현상에 의해 발생하며 노화가 직접적인 원인으로 작용하지는 않는 것으로 알려지고 있다.

• 프린팅코리아
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• s.20
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• pp.152-154
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• 2004

21세기를 사는 우리네 자화상이다. 하루종일 휴대전화, 이메일, 메신저를 통해 대화하고 확인한다. 정보화시대를 사는 우리는 디지털 세상에 단단히 접속되어 있음을 수시로 확인해야 직성이 풀린다. "나는 접속한다. 고로 존재한다"라는 명제는 진부할 정도다. 존재의 당위를 넘어 가히 집착의 수준이다. 디지털 문명의 노예가 되어버린 것이다. 20세기는 '접속' 이라는 단어가 모든 것을 가능케 해 줄 것만 같았던 시기였다. 21세기가 되자 접속이 중독을 낳는 상황이 초래되었다. 바로 이 지점에서 문제가발생한다. 인간의 심성구조, 생활패턴에서부터 사회구조에 이르기까지 우리 사회가 디지털 문명의 소용돌이에 휘몰리는 상황, 이른바 디지털 신드름에 빠지게 된 것이다. 그 속에서 살아가는 우리는 디지털 피로, 디지털 스트레스를 만성적으로 겪고 있다.

• Journal of agricultural medicine and community health
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• v.25 no.1
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• pp.51-63
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• 2000

Ten Dongs were selected according to the systematic cluster sampling in Koryong Gun, and the survey was conducted on 571 women in the age between 30-69 years. The first survey was performed for 6 days between August 27 to September 1, 1999 with the investigation rate of 60.3%, and the second survey was performed in November with the investigation rate of 91.8%. The contents of survey included demographic characteristics, health behaviors, dyspepsia symptom score, sleeping induction time and the degree of sleep satisfaction, and degree of stress in the subjects. The dyspepsia symptom score was in the average 13.4 points out of a total 44 points and was the highest in the 50-59 year-old age group with 13.9 points. The sleep induction time was in the average of 35 minutes and was the highest in the 50-59 year-old age group with 40.9 minutes; the degree of sleep satisfaction was in the average of 7.9 points and was the lowest in the 50-59 year-old age group with 7.5 points. The stress score was in the average of 18.3 points and was highest in those subjects in their 40's and 50's with 18.7 points. When the correlation among the stress score, the degree of sleep satisfaction and dyspepsia symptom score was analyzed, the results showed that he stress score and the degree of sleep satisfaction showed a significant negative correlation and that the stress score and dyspepsia symptom score showed a significant positive correlation. Also, a significant negative correlation was found between the degree of sleep satisfaction and dyspepsia symptom score. According to each age group, a significant correlation was revealed among the stress score, dyspepsia symptom score and the degree of sleep satisfaction in those subjects over 40 years of age compared to those subjects who were younger than 40 years of age. As for educational level, the correlation among the stress score, the degree of sleep satisfaction and dyspepsia symptom score was higher in those subjects with less than middle school education compared to those subjects with more than high school education. When those factors that effects on the dyspepsia symptom score were analyzed with multiple regression, the results showed that the level of stress and chronic diseases were selected as significant variables. When those factors that affected on the degree of sleep satisfaction were analyzed, the sleep induction time and presence of chronic diseases and stress were selected as significant variables. Those women in their 50's who live in rural areas showed the highest level of stress, lowest the degree of sleep satisfaction, and highest level of dyspepsia, indicating that they need stress management. Also, since stress was showed to be a significant variable effecting on dyspepsia or the degree of sleep satisfaction, it is concluded that health promotion is possible through stress management. More studies are needed in the future on coping resources that would strengthen coping against stress, and by conducting studies on stress and related factors on community people, the measures of mental health promotion need to be developed.