• Title/Summary/Keyword: 증상경험

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A Case of Sheehan's Syndrome Mimicking Psychotic Depression (정신병적 우울증 양상을 나타낸 Sheehan씨 증후군 1례)

  • Jeong, Jong-Hyun;Hong, Seung-Chul;Lee, Sung-Pil;Han, Jin-Hee
    • 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.

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Relations between Self-reported Symptoms of Industrial Workers' Work-related Musculoskeletal Disorders and Psychosocial Factors (산업체 근로자의 작업관련성 근골격계질환의 자각증상과 사회심리적 요인과의 관계)

  • Ko, Dae-Sik
    • The Journal of the Korea institute of electronic communication sciences
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    • v.7 no.6
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    • pp.1463-1469
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    • 2012
  • This study aims to identify the relations between self-reported symptoms of industrial workers work-related musculoskeletal disorders and psychosocial factors. The subjects of the study were 120 male workers who were using the rehabilitation center of K company and they were voluntarily interviewed with a use of organized questionnaire. Except the responses from eighteen subjects whose responses were insincere and who had disorders in musculoskeletal areas, the responses of 102 ones were decided for the final analysis. The results showed that there were significant differences in self-reported symptoms of work-related musculoskeletal disorders between the subjects according to smoking, physical burden and self-efficacy. To prevent and control work-related musculoskeletal disorders, multi-characteristic aspects of how the disorders appeared and psychological factors, in particular, self-efficacy, should be carefully considered. Then, as psychosocial factors affect musculoskeletal disorders, relations between the disorders and factors should be analysed through long-term follow-up studies, psychosocial factors should be actively intervened, and the effect should be evaluated.

The Effects of Dementia Attitude, Burden of Behavioral and Psychological Symptom in Dementia(BPSD), and Nursing Professionalism on Dementia Nursing Performance among Long-term Care Hospitals Nurses (요양병원 간호사의 치매태도, 치매행동심리증상 부담감, 간호전문직관이 치매간호수행에 미치는 영향)

  • Kang, Da-Hai-Som
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.301-309
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    • 2020
  • The purpose of this study was identify factors influencing dementia nursing performance among long-term hospitals nurses. Participants were 161 long-term hospitals nurses. Data were collected with structured qustionnaires from November 4 from December 13, 2019. Data were analyzed SPSS/WIN 21 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. The significant factors of the dementia nursing performance among long-term hospitals nurses were dementia attitude (β=.280, p=.001), nursing professionalism(β=.237, p=.006), burden form BPSD(β=-.174, p=.012), and dementia education experience(β=.166, p=.014). Therefore, in order to improve dementia nursing performance among long-term care hospital nurses, it is necessary to develop program and apply dementia education to establish a positive dementia attitude and nursing professionalism, and to reduce the burden of dementia behavioral and psychological symptoms.

A Study on the Analysis of Crew Members Fatigue Survey for the Ship Types in Korea (국내 선종별 선박승무원 피로도 분석에 관한 연구)

  • Yang, Won-Jae
    • Journal of Navigation and Port Research
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    • v.38 no.5
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    • pp.479-484
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    • 2014
  • This paper presents the crew members fatigue survey in order to understand the current state of various fatigue causal factors and personnel fatigue subjective symptoms, and then analyzes the survey items. The results of this survey are as follows. Firstly, many crew members were struggling with the lack of sleep and rest hour. Secondly, environmental factors such as weather, ship motion and vibration, noise, accommodation condition etc. disturbed the sleep of crew members. In third, their duty hours were more than 10 hours per day in certain types of ship. In fourth, they felt fatigue a lot when they were on board because of the workload and stress. Lastly, in some measurement items of fatigue symptoms(physical, mental, emotional), many crew members were experiencing more than moderate fatigue symptoms.

The Mediating Effect of Anxiety in the Relationship between the Oral Health Status and Oral Health Quality of Life of Workers Participating in Self-sufficiency (자활 참여 근로자들의 구강건강 상태와 구강건강 삶의 질의 관계에서 불안의 매개효과)

  • Hong, Min Hee;Lee, Jung-Min
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.176-185
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    • 2021
  • This study conducted a survey from September 5 to 30, 2020 targeting 415 workers participating in regional self-sufficiency center programs in four locations in Daejeon and Daegu. The purpose of the study was to examine oral symptoms of the study subjects and the effects if psychological anxiety parameters on oral health and quality of life. As a result of the study, oral dryness, temporomandibular joint symptoms, and periodontitis all had a significant effect on oral health and quality of life, and psychological anxiety factors had a partial mediating effect. The subjective oral symptom problems led to a negative psychological state, which could further impair the quality of life. In the future, the results of this study can be used as basic data for expanding psychological counseling programs for self-supporting workers and improving oral health policies for regular oral health education.

A Study on Trauma Experiences among Korean Adults based on Conditional probability of PTSD symptoms (PTSD 증상의 조건비율에 근거한 한국 성인의 트라우마 경험에 관한 연구)

  • Kim, Ji-Yun;Lee, Dong-Hun;Kim, Si-Hyeong
    • Korean Journal of Culture and Social Issue
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    • v.24 no.3
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    • pp.365-383
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    • 2018
  • In this study, to search for events that cause high levels of PTSD symptoms, traumatic events are classified into 'criterion events' that meet DSM-IV-TR criteria and 'life stresssful events', conditional probability of PTSD was confirmed. From a sample of 1,000 adults residing in South Korea, 998 statistically relevant samples were extracted. Criterion events include cases of 'sexual harassment before age 16', 'sightings of other accidents', 'rape before 16', 'domestic violence before 16', 'disaster', 'traffic accidents', 'other accidents'. Life stressful events appeared to be 'legal arrest or detention(person and family)', 'parental separation or divorce', 'failure or despair causing serious stress', 'extreme conflict with family or frequent quarrels'. Among the demographic characteristics, age, marital status, religion were found to affect PTSD symptoms. The implications and limitations of these results are discussed.

우리 나라 성인 중 73.4%가 불면증 경험

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.24 no.4 s.257
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    • pp.11-11
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    • 2000
  • 수면은 우리 삶의 많은 부분을 차지하는 중요한 삶의 영역이다. 그러나 여러 가지 원인으로 인하여 많은 현대인들이 수면의 즐거움을 제대로 누리지 못하고 있다. 미국의 경우 수면 장애에 의한 졸리움증으로 생기는 사회적ㆍ개인적 손실의 규모를 연간 약 150억 달러로 추정하고 있을 정도다. 우리나라 성인 중에 수면 장애의 하나인 불면증을 경험한 사람의 비율은 73.4%나 될 정도로 광범위하게 나타나고 있지만 정작 그 해결책을 찾지 못하고 있는 실정이다. 수면장애에는 크게 불면증을 보이는 수면 장애, 낮에 과도한 졸리움을 일으키는 수면 장애, 자다가 이상한 행동을 보이는 수면 장애로 구분되어지는데 우리가 일상에서 인식하는 수면 장애는 불면증 정도로 그치는 것이 일반적이다. 더욱이 이러한 수면 장애를 해결하는 방법의 이해 부족으로 수면제나 담배, 술 등에 의존하기 쉽고 단순히 잠을 자야 한다는 강박관념에 시달려 오히려 증상을 악화시키는 경우가 많다. 그러나 수면 장애를 올바르게 이해하고 있다면 그 해결 방안은 의외로 간단하다. 우리의 몸속에 있는 생체 시계의 주기를 규칙적으로 맞추어 가는 것이 중요하다. 또한 수면은 신체적인 요소보다는 정신적인 요소가 많이 작용하기 때문에 무엇보다도 편안한 마음가짐과 무의식적인 수면 유도가 필요하다. ('이달의 건강길라잡이'에 관한 자세한 내용은 건강길라잡이 홈페이지(http://healthguide.hihasa.re.kr)에 있습니다.)

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The Effects of Adolescents' Truancy Experience on Self-awareness and Emotional Problems - Based on the Data of Korean Children and Youth Panel Survey(KCYPS) - (청소년의 무단결석 경험이 자아인식과 정서문제에 미치는 영향 - 한국아동·청소년패널 자료를 중심으로 -)

  • Jeon, Gu-Hun
    • The Journal of the Korea Contents Association
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    • v.21 no.6
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    • pp.369-379
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    • 2021
  • The purpose of this study was empirical verification of the effect of adolescents' truancy experience on the self-awareness and emotional problems. For this, using the data of 2016 in the Korean Children and Youth Panel Survey(KCYPS), we compared and analyzed using t-test and multiple regression analysis the self-awareness and emotional problems of adolescents who experienced truancy and adolescents who did not. As a result of the analysis, adolescents with truancy experience had relatively low self-awareness, and statistically significant but low scores in self-identity and career identity. However, there was a clear difference in emotional problems, and truancy adolescents scored high in attention, aggression, physical symptoms, and depression. This proved that adolescents with experience of truancy were more exposed to emotional problems, and it was necessary to develop a support system and program for this.

Experience of Patients with Mucopolysaccharide Receiving Enzyme Replacement Therapy (효소보충치료(ERT)를 받고 있는 뮤코다당증 환자의 경험)

  • Kwon, Eun Kyung;Jung, So-Young;Choi, Eu Jin;Cho, Sung Yoon;Jin, Dong Kyu
    • Journal of Industrial Convergence
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    • v.19 no.4
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    • pp.37-48
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    • 2021
  • The purpose of this study was to explore the meaning of the experience of Mucopolysaccharidosis patients receiving Enzyme Replacement Therapy(ERT). A qualitative research design was adopted. The participants were 7 patients diagnosed with MPS who is receiving ERT for several years. Data were collected through in-depth interviews from 1 July 2018 to 22 July 2018 for seven adult patients with MPS receiving ERT. Individual interviews were recorded, and transcribed data were analyzed using the inductive method of content analysis. The final 4 categories and 15 subcategories were identified. The 4 categories of the experience of Mucopolysaccharidosis patients receiving ERT were "Physical and psychological changes through ERT", "Continuous tunnel called ERT", "Accepting the reality" and "Cautious hope". This study provides deep insight into the experience of Mucopolysaccharidosis patients receiving ERT. Medical staff including nurses and related organizations should concern their distress during ERT as well as physical symptoms.

Elastofibroma Scapulae (견갑부 탄성섬유종)

  • Kang, Hyun-Guy;Cho, Hwan-Seong;Park, Weon-Seo;Lee, Joo-Hyuk;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.118-125
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    • 2006
  • Purpose: We report elastofibroma which is a rare fibrous lesion that most commonly occurs in the between subscapularis and thoracic cage. Materials and Methods: Four patients include one man and three women, the average age was 70 years and the average follow up period was six months. Two patients had on left side, two patients had on both sides. Main symptom was palpable mass. One patient complained mild pain, two complained scapular snapping. Results: All four masses removed with marginal or wide margin. Average mass size was 9.7${\times}$7.2${\times}$3.8 cm. Preoperative symptoms disappeared after surgery. All of the patients have returned to their daily living and showed no recurrence. There was no serious complication such as limitation of shoulder motion and winged scapula. Conclusion: Elastofibroma scapulae can be diagnosed through patient's age, tumor location and radiological finding without preoperative biopsy. When patient is symptomless, observation is enough without surgical operation. Surgical operation considered for relieve of symptoms of pain and snapping.

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