• Title/Summary/Keyword: 신체 검사

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The Stress Perception, Depressive Symptoms and Medical Comorbidity in Healthcare Center (대학병원 건강검진센터 내원자의 스트레스 지각 정도, 우울 증상 및 신체질환 이환율)

  • Shim, In-Bo;Joe, Sook-Haeng;Ham, Byung-Joo;Han, Changsu;Jeong, Hyun-Ghang;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.1
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    • pp.27-43
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    • 2013
  • Objectives : We surveyed this study for knowing the relation within stress, depression and medical comorbidities, and finding the risk factors of major depression. Methods : 1764 subjects were enrolled from Jan. 2009 to Dec. 2009 who visit Korea University Guro hospital healthcare center. The subjects answered the questionnaire of PSS(Perceived Stress Scale), PHQ-9(Patient Health Questionnaire-9) and the demographic data. We categorized them as the stress group, depressive group, medical comorbidity group and analyzed the correlation analyses and logistic regression analyses. Results : 198 of 1764 subjects(11.8%) were applied to major depression, and the depressive group showed the higher mean stress score(23.19) and mean depression score(12.95) than the normal group. The total PHQ-9 score was increased by perceiving more stress, having more medical comorbidities. The subjects with female, visiting due to recent health problems, irregular exercise, current smoking, history of angina and cerebrovascular disease showed the increased risk of major depression. Conclusions : In this study, we find the PSS, PHQ-9 were valuable for mental health screening in healthcare center. As perceiving more stress and having more medical comorbidity, risk of major depression were increased. Accordingly the individuals with medical diseases or unhealthy lifestyle would need the mental health screen.

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Evaluation and Management of Nocternal Enuresis (소아 야뇨증의 진단과 치료)

  • Park, Yong Hoon
    • Clinical and Experimental Pediatrics
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    • v.45 no.4
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    • pp.425-434
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    • 2002
  • 야뇨증은 소아뿐만 아니라 부모들에게 매우 애를 먹이는 현상이며, 때로는 정신적, 정서적 장애 또는 행동장애를 유발할 수도 있다. 적절한 치료를 하기 위하여서는 세심한 병력, 신체검사와 필요에 따라서 적절한 실험실 검사 및 방사선검사으로 단인증상성 야뇨증인지를 제대로 구별하여야 한다. 실제 임상에서 야뇨증의 치료는 그렇게 용이하지만은 않아 우선 어린이와 부모들이 야뇨증을 제대로 이해할 수 있도록 사전 교육을 통하여 적극적인 치료 의지를 갖도록 하는 것이 중요하다. 여러 가지 행동요법 및 야뇨경보기, 적절한 약물요법을 환자의 상황에 맞도록 적절한 치료 방법을 모색하여 보다 치료 효과가 높고 재발이 적도록 노력하여야 한다.

Effects of Physical Expressive Activities on Creativity in Young Children (통합적 신체표현활동이 유아의 창의성에 미치는 영향)

  • Kim, Tae Ju;Shin, Nary
    • Korean Journal of Childcare and Education
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    • v.9 no.6
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    • pp.289-307
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    • 2013
  • This study was designed to examine the effects of integrated physical expressive activities on creativity in young children. Subjects of this study were 38 preschoolers at the age of 4 who consisted of both the experimental group of 18 children and the control group of 20 children. To measure the creativity of young children, this study adopted Figural Test A of Torrance Test of Creative Thinking (TTCT) as pre-and post-tests with both experimental and control group. The results showed that effects of integrated physical expressive activities varied by sub-dimensions of creativity; children's participation in integrated physical expressive activities was effective to improve openness, abstractness of titles, and elaboration even if overall creativity and fluency increased after their program participation. Also, originality was the only sub-dimension that was not improved. It implied that integrated physical expressive activities have partial positive effects on some sub-dimensions of creativity.

Effects on Exercise Training in person with Incomplete Hemisection cord injury after Discharge (불완전 척수손상자의 퇴원 후 운동훈련의 효과 사례보고)

  • Park, Mi-Hee
    • Journal of Korean Physical Therapy Science
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    • v.12 no.4
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    • pp.25-31
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    • 2005
  • 이 사례연구는 2002년 10월 15일 칼에 의한 좌상으로 경추 3-4번의 불완전 척수손상을 입은 25세의 남자 환자가 최초 병원에서 2002년 12월 한달 간의 치료를 마친 후, 2003년 1월 3일부터 4월 28일까지 태릉에 위치한 N 재활센터에서 주 5회 2시간의 자세조절 훈련, 심폐지구력 훈련, 웨이트 훈련, 스포츠(축구, 소프트 볼), 여가활동(등산)의 프로그램을 적용하여 척추손상 환자의 사회적응을 돕기위한 재활 프로그램의 다양화를 꾀하기 위한 기초 선행 작업으로 시작되었다. 신체능력을 평가하기 위한 측정도구는 관절가동범위(Range of Motion), 수동근력검사(Muscle Manual Test), 경직(Spasticity), 신체체력(Physical Fitness), 발란스(Balance: one leg stand), 상대적인 등속성 하지근력(Isokinetic Muscle Strength) 그리고 신체조성(Body Composition)로 하였다. 재활기간을 통해 처음 시작 일자에서 45일 간격으로 3차례의 측정을(1월 3일부터 4월 28일까지 실시하였다) 실시하였다. 최초 환자의 상태는 부분적으로 일상생활의 도움을 받아야 하는 상태로 동작을 시작하려 할 때 경직이 발생되어 옷을 입고 벗기, 신발 신고 벗기, 운전, 식사, 보행과 계단보행, 경사보행에서 보조자의 도움이 필요했으며, 작은 물건 잡기와 글씨쓰기, 타이핑 작업은 불가능 한 상태였다. 또한 스포츠 활동과 여가활동 역시 불가능 한 상태였다. 3달 15일간의 기간 동안 환자는 복학을 준비하기 위해 적극적으로 치료에 임했으며, 결과는 다음과 같았다. 신체조성은 재활 훈련을 통해 체중, 체지방율(%), 복부지방율(WHR)의 많은 감소를 가져왔다. 경직을 측정하는 Ashworth Scale은 정상에 가깝게 감소하였다. 관절가동범위는 고관절, 무릎, 발목에서 모두 증가하였다. 수동근력검사(0-9)는 많은 향상을 가져왔다. 신체체력능력 항목에서 근지구력의 윗몸일으키기와 팔굽히기, 악근력, 유연성으로 앉아 체간 숙이기, 민첩성으로 사이드 스텝, 순발력의 서전트는 모두 크게 향상되었다. 환자의 일상능력에서도 옷을 입고 벗기, 신발 신고 벗기, 운전, 식사, 보행과 계단보행, 경사보행에서 보조자의 도움이 필요없었으며, 타이핑 작업은 5손가락을 모두 사용하지는 않았지만, 1분에 80타로 큰 향상을 가져왔다. 또한 축구와 소프트볼, 등산을 달에 1회 정도 실시하여 약간의 도움만으로 가능하게 되었다.

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Hepatocellular Carcinoma in a Cocker Spaniel Dog with Hypoglycemia (저혈당증을 동반한 코커스파니엘견에서의 간선암종 증례)

  • Kang, Min-Hee;Yoo, Jong-Hyun;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.27 no.2
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    • pp.175-178
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    • 2010
  • A 5-year-old male Cocker spaniel was presented with an abrupt seizure episode. The dog was moderately dehydrated, hypersalivation and loss of consciousness at the presentation. Tentative diagnosis was made through history taking, clinical signs, physical examination, neurologic examination, basic laboratory examinations, radiological examination and cytologic examination. In addition, serum alpha-fetoprotein (AFP) value was measured to diagnose in this case. The serum AFP concentration was marked elevated (1513.5 ng/ml). The patient was suspected as HCC and medical therapy was initiated to control hypoglycemic-associated seizure. However, the dog was euthanized because of the owner's request. It was diagnosed as hepatocellular carcinoma (HCC) based on the histopathologic examination. This case indicates that AFP measurement might be valuable to diagnose HCC in dogs.

A Thought on the Fire Fighting Official Selection Examination (소방공무원 채용시험에 관한 소고)

  • Hyun Seong-Ho;Song Yun-Suk;Lee Chang-Woo
    • Fire Science and Engineering
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    • v.19 no.4 s.60
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    • pp.80-86
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    • 2005
  • Fire fighting officials perform their works in the field and in most cases, undergo circular appointments for their service period. If they don't gain experience in field works, they have difficulty in performing faithful planning or administrative works. So they surely have to gain experiences in field works. Like this, fire fighting officials' works comprise a lot of fields, comparing with other job workers. So they need a strict body condition. The aim of this inquiry is to scrutinize body standards and important roles concretely which are necessary to fire fighting officials, to analyze written examination, physical test, physical strength test, and interview examination, and to establish the proposal which is necessary to improvement.

The Change of Physical Function and Obstacle Gait on Otago Exercise in Patients with Stroke (오타고 운동에 따른 뇌졸중환자의 신체기능 및 장애물 보행의 변화)

  • Ko, Dae-Sik;Jung, Dae-In
    • Proceedings of the Korea Contents Association Conference
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    • 2013.05a
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    • pp.223-224
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    • 2013
  • 이 연구는 뇌졸중환자를 대상으로 낙상예방을 위하여 오타고운동과 요부안정화운동을 실시하고 신체기능 및 장애물 보행의 변화를 측정하였다. 뇌졸중환자 20명을 대상으로 신체기능은 근력, 균형능력을 측정하였고, 장애물 보행은 장애물 극복속도와 최대수직여유를 측정하여 운동 전과 운동 후, 각 운동군 간을 비교분석하였다. 근력은 30초 의자에서 앉았다 일어나기, 균형은 FRT와 TUG 검사, 그리고 장애물 보행은 장애물 극복속도와 최대수직여유로 측정하였다. 실험결과 운동 후 ?고운동군은 요부안정화운동군에 비해 FRT와 장애물 극복속도는 유의하게 증가되었으며, TUG는 유의하게 감소되었다. 결론적으로 오타고 운동이 뇌졸중 환자의 신체기능 및 장애물 보행에 긍정적인 영향을 미친다.

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Effect of Weight of Fire-protective Clothing for Physical Balance and Agility after Maximum Physical Activity (소방방화복 무게가 최대 신체활동 후 평형성과 민첩성에 미치는 영향)

  • Bang, Chang-Hoon;Huh, Man-Dong
    • Journal of the Korean Society of Hazard Mitigation
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    • v.11 no.1
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    • pp.45-49
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    • 2011
  • The aim of study intends to investigate effect of weight of fire-protective clothing for physical balance and agility after maximum physical activity and to provide the base data for the safety of firefighter. For evaluation of static and dynamic-balance, the closed-eyes foot balance and the beam-walking were performed respectively. For evaluation of static and dynamic-agility, the whole body reaction and the side-step were carried out. This study demonstrates that after maximum physical activity, the weight of fire-protective clothing effects on physical static-balance and dynamic-agility and suggests that it could be useful for actual safety field studies of firefighters.

Development of Fitness Avatar Model for Increasing Physical Activity in Individual with Spinal Cord Injury (척수장애인 신체활동 증가를 위한 피트니스 아바타 모형 개발)

  • Kang, Sunyoung
    • Convergence Security Journal
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    • v.14 no.3_1
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    • pp.65-70
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    • 2014
  • The aim of this study is to suggest the fitness Avatar model for increasing physical activities in individuals with SCI(spinal cord injury). With the increasing of the disable, the ratio of individuals with SCI is also increasing. Avatar is a movable image that represents a person in a virtual reality environment or in cyberspace. With the expansion of new technology, such as video games and virtual reality, there has been an increase in the interest of using virtual reality in therapy. It is not easy for individuals with SCI to access tho sports facilities due to paraplegia. The increasing physical activities based on virtual reality will be the most innovative and future-oriented approach. First, building a system and establishing a comprehensive support system is essential to activate and spread variety of physical activities for individuals with SCI. Second, providing a appropriate feedback and identifying the effect of intervention will be considered.