• Korean Journal of Psychosomatic Medicine
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• v.7 no.2
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• pp.274-280
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• 1999

A variety of mechanism may generate pain resulting from injury to the central and peripheral nervous system. None of these mechanism is disease-specific, and several different pain mechanism may be simultaneously present in anyone patient, independent of diagnosis. Diagnosis of neuropathic pain is often easily made from information gathered on neurologic examination and from patient history. Although treatment of neuropathic pain may be difficult, optimum treatment can be achieved if the neurologist has a complete understanding of therapeutic options, the mainstay of which is pharmacotherapy. Selection of an appropriate rharmacologic agent is by trial and error since individual responses to different agents, doses, and serum levels are highly variable. An adequate trial for each agent tried is key to pharmacologic treatment of neuropathic pain. Tricyclic antidepressants are first-line agents, although other drugs, including anticonvulsants, local anesthetic antiarrhythmics, clonidine, opiates, and certain topical agents, also offer pain relief in some patient populations. The novel antidepressants venlafaxine and nefazodone are potentially useful new drugs that are better tolerated than tricyclic antidepressants. Also Gabapentine seems an interesting and promising drug for the treatment of neuropathic pain.

• Journal of Nutrition and Health
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• v.10 no.4
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• pp.33-42
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• 1977

강원도(江原道) 원성군(原城郡) 종합영양(綜合營養) 시범사업(示範事業)의 영양평가(營養評價)의 일익(一翼)으로 해당 영양시범사업시행전(營養示範事業施行前)의 기초자료(基礎資料) 수집을 위(爲)한 예비조사(豫備調査)로서 시행(施行)한 것이다. 조사시행기간(調査施行期間)은 1976년(年) 7월(月) 중순(中旬)에 8일간(日間)에 걸쳐 2명(名)의 의사(醫師)를 포함(包含)한 16명(名)으로 구성(構成)된 조사진(調査陣)으로서 4개리(個里)에서 40개(個) 세대(世帶)(각리(各里)에서 10개(個) 세대(世帶))를 무작위임의선정(無作爲任意選定)하며 한 세대(世帶)에 대(對)하여 연(漣) 3일간(日間) 조사(調査)하고 조사기간중(調査期間中) 식품섭취상태조사(食品攝取狀態調査)와 아울러 신체계측(身體計測) 임상조사(臨床調査) 및 혈액채취(血液採取)를 하여 영양섭취상태(營養攝取狀態), 신체발육상태(身體發育狀態), 임상증상(臨床症狀) 및 혈색소양(血色素量)을 측정(測定)하여 평가(評價)하였다. 특(特)히 학령전기아동(學齡前期兒童)의 영양상태(營養狀態)에 중점(重點)을 두었다. 조사결과(調査結果)를 요약(要約)하면 다음과 같다. 1. 일반적(一般的)으로 열양섭취양(熱量攝取量)이 부족(不足)하다. 2. 섭취식품(攝取食品)의 대부분(大部分)이 식물성식품(植物性食品)이고 양질(良質)의 단백질(蛋白質)이 부족(不足)되어 있다. 3. 비타민 A와 $B_2$ 그리고 칼슘 섭취양(攝取量)도 부족(不足)하다. 4. 대상주민(對象住民)의 전체적(全體的)인 임상검사(臨床檢査)로 뚜렷한 영양실조(營養失調)나 결핍증상(缺乏症狀)은 희유(稀有)하나 아동(兒童)에서는 비타민 $B_2$ 부족성(不足性) 증상(症狀)이 많다. 5. 아동(兒童)의 체위(體位)는 대체(大體)로 전국(全國) 평균치(平均値)에 미급(未及)하다. 6. 가임부(可妊婦)의 75%와 아동(兒童)의 23.7%에서 혈색소치(血色素値)가 빈혈(貧血)에 속(屬)하고 있다. 7. 특별(特別)한 이유식(離乳食)이 전무(全無)한 실정(實情)이고 임신부(妊娠婦)나 수유부(授乳婦)를 위(爲)한 보충식(補充食)도 따로 없다.

• Journal of Nutrition and Health
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• v.19 no.4
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• pp.233-245
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• 1986

The relationships between nutritional status and psychological functionings in elementart school children were studied using dietary survey, physical and biochemical examinations and psychological measures of both cognitive and personality traits. The results obtained are as follows: (1) Performance of Y school (higher economic class) children on the tests of cognitive functionings, was generally higher than that of B school(lower economic class) children. The means of all anthropornetric measurements were also higher in Y than B school children. (2) Nutrient intakes were found to be positvely correlated with the psychological funtionings of the children to the varing degrees depending on the variables tested. However, the correlations between the physical measures and psychological functionings were low. (3) Most nutrient variables showed positive correlations with body size. (4) The functionings of both cognitive and personality traits are of utmost importance reflecting the positive effects of balanced diet on behavior.

• Journal of the Korean Society of Food Science and Nutrition
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• v.22 no.5
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• pp.552-558
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• 1993

This study was conducted to investigate nutritional status and anthropometry of preschool children in orphanage. The height, weight and head circumference of preschool in orphanage were lower than that of Korean growth standards, but not chest circumference. The average daily intakes of Ca by all subjects, the average daily intakes of Fe, riboflavin and ascorbic acidin some subjects were lower than those of the Korean RDA. The prevalence rates of iron deficiency assessed by hemoglobin, hematocrit were found to be 12.9% and 18.6%, respectively. When assessed with serum iron, the prevalence rate of iron deficiency was 4.3%. Serum total protein and serum albumin level were turned out to be normal. Considering this results of the survey, financial help from social work organization for meal service and more aggressive efforts should be made to improve nutritional status of the subjects in orphanage.

• Korean Journal of Psychosomatic Medicine
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• v.5 no.1
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• pp.118-122
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• 1997

We experienced a case of 51-year-old female patient who showed symptoms of persecutory delusion, auditory hallucination and hallucinatory behavior, severe insomnia, psychomotor retardation and social withdrawal, along with some clinical signs of the deficiency of various hormones those gradually progressed after massive postpartum vaginal bleeding 13 years ago. She was admitted to a psychiatric ward under the impression of psychotic depression. However careful history taking and evaluation of clinical feature gave rise to the possibility of underlying medical condition. Laboratory work-up revealed panhypopituitarism, hypoglycemia and hyponatremia. After replacement of thyroid hormone and cortisol for 1 week, her clinical symptoms including psychiatric symptoms were improved. Taken together, these findings were compatible with the diagnosis of Sheehan's syndrome. On reporting this case, we would like to emphasize again the importance of differential diagnosis of medical problems causing psychiatric symptoms those are easily neglected in the clinical approach toward psychiatric patients.

• Smart Media Journal
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• v.1 no.4
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• pp.52-58
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• 2012

In recent years the combination of IT and BT for U-Healthcare Medical Services has attracted popular attention as an alternative for solving health problems due to aging issue. Active oxygen as free radicals causes unstable state of the body resulting to other disease on which approximate 90% of the diseases are associated with active oxygen. The severity is even higher along with increasing age. Therefore, there is a need for systematic management of active oxygen saturation for the elderly and chronic patients. In this paper, the data about active oxygen measurements from the body measurement is sent to the data storage of medical facilities by the service provider. Medical information is measured by devices provided complying with the standard, support and information using Bluetooth communication. Users can check their health status themselves using the proposed system through 3G/4G mobile devices like smart phone to medical institutions in which the smart phone act as a gateway for medical data transferred from patient to medical institutions and vice versa. Users can get and experience a diagnosis and effective U-Environmental Health Services from Medical institutions anywhere using the proposed built system.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.155-160
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• 2020

Objectives : This study investigate to identify the stability of temperament and personality characteristics of patients including Posttraumatic Stress Disorder (PTSD) patients. Methods : The number of subjects was 102, of which 33 were PTSD patients and 69 were non-PTSD patients. To demonstrate the change in individual temperament and personality characteristics, Temperament and Character Inventory (TCI) were administered repeatedly on the subjects. Repeated measures ANOVA and simple main effects analysis were conducted. Results : When analysed by dividing the subjects into PTSD groups and non-PTSD groups, the differences between the primary and secondary tests did not appear in the non-PTSD groups, but the differences between the primary and secondary tests were significant in Harm Avoidance (HA), Reward Dependence (RD), Self-Directedness (SD), Cooperativeness (C). In addition, it was noted that the time and group interaction effects of HA, RD, SD and C were significant, and that the main effects of time of HA, RD, SD and C were significant. Conclusions : This study is meaningful in that in the course of experience and recovery of traumatic events, we have clinically confirmed that changes in the temperament, known as stable variables, are possible.

• Journal of the Korea Society of Computer and Information
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• v.29 no.9
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• pp.159-167
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• 2024

In this study, a total of 32 individual musculoskeletal examinations were performed to prevent sarcopenia through squatting exercises and corrective exercises in the elderly, and then squatting exercises and corrective exercises were performed twice a week for 12 weeks to apply and improve various exercise programs, and the following results were obtained. Body composition was significantly increased in skeletal muscle mass and basal metabolism after 12 weeks compared to before participation in the exercise program, and static postural balance was significantly improved in front shoulder, pelvic balance and deflection, left leg medial and lateral cervical and thoracic spine, and pelvic tilt after 12 weeks. Dynamic postural balance showed that the composite imbalance index, excessive upper body lean, lumbar lordosis or kyphosis, and single knee tilt and drop were all highly significant postural balances after 12 weeks. As shown in this study, the variety and precise analysis of exercise prescriptions for customized exercise programs for the elderly is very important, and it is necessary to pay attention to research on the maintenance and promotion of elderly health through practical applications in the field.

• Clinical and Experimental Pediatrics
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• v.49 no.1
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• pp.82-86
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• 2006

Purpose : The isolated microscopic hematuria is the most common abnormality detected by school urinary screening, but there is no consensus about the range of investigations and long-term outcomes of isolated hematuria in children yet. This study aims to elucidate the prognosis of hematuria and the range of diagnostic studies by follow-up results. Methods : Students with isolated hematuria who were referred to the Department of Pediatrics, Asan Medical Center from Aug. 1990 to Feb. 2004 were analysed retrospectively. Cases that presented Through significant proteinuria(>250 mg/day), other symptoms of nephritis or renal dysfunction (creatinine clearance <85 mL/min/$1.73m^2$) were excluded. Follow-up was done every six months with checking urinalysis, serum creatinine, protein and albumin. When albuminuria was detected, 24 hour urine protein was checked. Renal biopsy was done when urine protein was over 500 mg/day. Results : A total of 331 students were enrolled in this study. There were 157 males and 174 females. The mean age at presentation was $9.9{\pm}2.3$ years(7-15 years) and mean follow-up period was $2.2{\pm}1.6$ years(1-10 years). Seventy five(22.7 percent) patients showed the resolution of microscopic hematuria. The mean resolution period was $2.6{\pm}1.7$ years(1-8 years). Eight(2.4 percent) patients developed significant proteinuria and renal biopsy was done in four of them. Two cases of mild IgA nephropathy and two of minimal change were detected. None of them developed hypertension. At the end of the follow-up, renal function had remained stable in all subsets of patients. Conclusion : The prognosis of isolated microscopic hematuria was good. This study suggests that invasive studies including renal biopsy are not necessary and a regular follow-up of urinalysis is enough for children with isolated microscopic hematuria.

• Korean Journal of Psychosomatic Medicine
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• v.14 no.1
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• pp.62-66
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• 2006

Introduction: Unexpected serious and lethal drug interactions can be occurred by polypharmacy for treatment-resistant psychiatric disorders. We report a case who has suspected upper gastrointestinal bleeding after the combination of clozapine and buspirone. Case : A 69-year-old woman with DSM-IV schizophrenia who was admitted to our hospital had no previous medical problems. Findings on physical exam, laboratory values, EEG, and a magnetic reso-nance imaging scans were no abnormality, except for slightly low level of hemoglobin at admission. Because of aggravating anxiety symptom, a trial of buspirone was begun from 15mg, in addition to olanzapine 30mg. And then olanzapine was switched to clozapine due to her treatment-refractory his-tory and poor response on this admission. Moreover, At the admission 11 weeks later, after 4 weeks of starting buspirone and clozapine, she was placed on a regimen of clozapine 300mg and buspirone 60mg. At this point, she started to complaint nonspecific abdominal pain for 4 days and then hematemesis, melena and hypotension were developed suddenly with negative findings in gastroduodenoscopy. After stopping all medication, the suspected upper gastrointestinal bleeding was subsided. After the regimen was switched back to clozapine only, psychotic symptoms were improved without the recurrence of the adverse events. Conclusion : We concluded that the upper gastrointestinal bleeding in this case was attributed to the drug interaction with clozapine and buspirone, although the definite mechanism is not clear. The clini-cians should be very cautious to prescribe the combination of clozapine and buspirone due to a possible lethal adverse effect.