• Title/Summary/Keyword: 증상

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A Study on the Risk Factors of Work-Related Musculoskeletal Disorders in Librarians of University Libraries (대학도서관 사서들의 작업관련 근골격계 질환 위험요인에 관한 연구)

  • Kim, Jeong-Hyen
    • Journal of Korean Library and Information Science Society
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    • v.42 no.4
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    • pp.243-262
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    • 2011
  • The aim of this study was to investigate musculo-skeletal symtoms and working conditions of university library's librarians to search for the risk factors related to musculo-skeletal symptoms. The study subjects were 266 librarians who were working at 20 university libraries. A self-recording questionnaire was used to investigate the general characteristics, working conditions, job intensity, job satisfaction and stress, education of musculoskeletal disorders and nature of musculoskeletal symptom. Statistical analysis was done by using t-test and multiple regression analysis. The complaint proportion of self-reported positive musculoskeletal symptoms was 62.5% and that of severe musculoskeletal symptoms was 26.1%. Multiple regression analysis showed that low satisfaction of working conditions, high job intensity, irregular mealtime, job stress were closely related to the positive rate of musculoskeletal symptoms. Therefore, it will be necessary to make efforts to reduce the prevalence of musculoskeletal disorders improving working conditions and mitigating the job intensity.

Study on the Skin Temperatures of the Orofacial Trigger Points for the Patients with TMJ disorders (턱관절장애환자의 안면 발통점의 피부온도에 대한 연구)

  • Jung, Deuk-Jin;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.26 no.4
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    • pp.345-353
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    • 2001
  • Thermography는 신체 체표면에서 발생되는 온도를 정량화하는 다양한 방법에 대한 일반적인 표현이다. Electrothermography는 의학분야에서 사용이 증가되고 있는 술식이다. 인체를 포함한 모든 물체는 적외선을 방출한다. 그래서, Wien의 법칙에 따르면, 방출되는 최대에너지에서의 주파수는 체온에 의존한다는 것을 알 수 있다. 따라서, 피부 표면에서 방출되는 적외선을 측정하는 것에 의해 온도가 측정될 수 있다. 최근에는, electrothermography가 만성 구강안면동통 환자의 진단에 있어서 새로운 진단 기기로서 각광을 받고 있다. 본 연구에서는 측두하악관절장애의 증상이 있는 교근, 측두근, 그리고 측두하악관절의 발통점의 피부 온도와 증상이 없는 대측의 피부 온도를 디지틀 적외선 체열 촬영으로 비교하고자 하였다. 측두하악관절장애를 주소로 하고 편측성의 구강안면동통을 호소하는 21명의 내원환자를 선택하였다. 디지틀적외선 체열촬영은 DTI-16-DOREX21(Dorex Inc., U.S.A) 기기를 사용하였다. 발통점 피부에 marker를 부착하고, 좌측과 우측의 color thermogram을 $0.1^{\circ}C$ 해상도로 측정하였다. 본 실험에서 측정한 발통점은 masseter inferior, masseter anterior, temporalis anterior 그리고 TMJ이었다. 증상이 있는 부위와 증상이 없는 대측의 피부온도 차이를 알아보기 위해 paired t-test를 사용하였으며, 실험 결과는 다음과 같다. 1. 급성 근육장애 환자에 있어서는 증상이 있는 부위와 증상이 없는 대측과의 피부온도 차이가 통계학적으로 유의한 차이가 있었다(p<0.0075). 2. 만성 근육장애 환자에 있어서는 증상이 있는 부위와 증상이 없는 대측과의 피부온도 차이가 통계학적으로 유의한 차이를 볼 수 없었다. 3. 측두하악관절 내장증 환자에 있어서는 증상이 있는 부위와 증상이 없는 대측과의 피부온도 차이가 통계학적으로 유의한 차이를 볼 수 없었다. 결론적으로 적외선 체열촬영은 급성저작근장애의 진단에 있어서 유용한 진단방법의 한가지로 사료되며, 앞으로 임상적으로 더욱더 심화된 연구가 필요할 것으로 사료된다.

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Convergent Relations between Health Factors and Eating Behaviors and Oral Symptoms in Middle school students (중학생의 건강요인·식습관과 구강증상과의 융합적 관련성)

  • Kang, Hyun-Joo
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.89-98
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    • 2018
  • The purpose of this study was to analyze the effects of middle school students' health factors and eating behaviors on their oral symptoms using the data from 30,885 students in the 13th Korea Youth Risk Behavior Web-Based Survey in 2017. The logistic regression for the effects of the health factors and eating behaviors on the oral symptoms were analyzed using a logistic regression method. The results showed that the groups of higher levels of achievement, and stress, lower daily frequency of tooth-brushing, and no intake of processing meat led to significantly higher levels for toothache and gingival pain recognition. Also, the higher halitosis recognizers had significantly higher levels of stress and the lower daily frequency of tooth-brushing. In conclusion, adolescents' health factors and eating behaviors affected their oral symptoms. This study is expected to help development of a oral health education program that can prevent these oral symptoms.

CLINICAL CHARACTERISTICS OF CHILD AND ADOLESCENT PSYCHIATRIC INPATIENTS WITH MOOD DISORDER (입원한 기분장애 소아청소년의 임상특성 - 주요 우울증과 양극성장애의 우울삽화 비교를 중심으로 -)

  • Cho, Su-Chul;Paik, Ki-Chung;Lee, Kyung-Kyu;Kim, Hyun-Woo;Hong, Kang-E;Lim, Myung-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.2
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    • pp.209-220
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    • 2000
  • The purpose of this study is to find out the characteristics of depressive episode about major depression and bipolar disorder in child and adolescent. The subjects of this study were 34 major depression patients and 17 bipolar disorder patients hospitalized at child and adolescent psychiatry in OO university children's hospital from 1st March 1993 to 31st October 1999. The method of this study is to review socio-demographic characteristics, diagnostic classification, chief problems and symptoms at admission, frequency of symptoms, maternal pregnancy problem history, childhood developmental history, coexisting psychiatric disorders, family psychopathology and family history and therapeutic response through their chart. 1) The ratio of male was higher than that of female in major depressive disorder while they are similar in manic episode, bipolar disorder. 2) Average onset age of bipolar disorder was 14 years 1 month and it was 12 years 8 months in the case of major depression As a result, average onset age of major depression is lower than that of bipolar disorder. 3) The patients complained of vegetative symptoms than somatic symptoms in both bipolar disorder and depressive disorder. Also, the cases of major depression developed more suicide idea symptom while the case of bipolar disorder developed more aggressive symptoms. In the respect of psychotic symptoms, delusion was more frequently shown in major depression, but halucination was more often shown in bipolar disorder. 4) Anxiety disorder coexisted most frequently in two groups. And there coexisted symptoms such as somartoform disorder, mental retardation and personality disorder in both cases. 5) The influence of family loading was remarkable in both cases. Above all, the development of major depression had to do with child abuse history and inappropriate care of family. It is apparent that there are distinctive differences between major depression and bipolar disorder in child and adolescent through the study, just as in adult cases. Therefore the differences of clinical characteristics between two disorders is founded in coexisting disorders and clinical symptoms including onset age, somatic symptoms and vegetative symptoms.

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Thyroid Dysfunctions Associated with the Mood Symptoms and the Psychosomatic Symptoms in Patients with Schizophrenia (정신분열병 환자에서 갑상선기능과 기분증상 및 신체증상)

  • Kim, Se-Hee;Han, Doug-Hyun;Na, Churl;Min, Kyung-Joon;Joo, So-Youn
    • Korean Journal of Psychosomatic Medicine
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    • v.17 no.1
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    • pp.30-36
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    • 2009
  • Objectives : Thyroid function is associated with psychiatric disturbance such as mood symptoms, cognitive functions, anxiety and sleep problem. We evaluate the effects of thyroid dysfunction on negative symptoms of schizophrenia, mood symptoms and somatic symptoms in patients with schizophrenia. Methods : Sixty five patients with schizophrenia were recruited. The patients were classified into two groups; the patients with the history of abnormal thyroid indices level(group of abnormal thyroid function) and the patients without the history of normal thyroid indices level(group of normal thyroid function). At baseline and 8 weeks later, psychiatric symptoms were assessed with the Scale for the Assessment of Negative Symptoms (SANS), the Scale for the Assessment of Positive Symptoms(SAPS), and Beck Depression Inventory(BDI), Somatosensory Amplication Scale(SSAS). Results : During 8 weeks, there were significant differences in the changes of SANS, BDI, SSAS between group of abnormal thyroid function and group of normal thyroid function. Compared to group of normal thyroid function, group of abnormal thyroid function showed greater reduction of the scores of SANS(23.3%), BDI (19.6%), and SSAS(16.2%), respectively. However, there was no significant correlation between the scores of SANS, BDI, and SSAS. Conclusion : Our study suggested that abnormal thyroid indices would predict the prognosis of negative symptoms, mood symptoms, and somatic symtpoms in patients with schizophrenia.

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Related Factors to Visual Display Terminal Syndrome in Employees of A General Hospital in one Metropolitan City (한 광역시 종합병원 근로자의 VDT 증후군 자각증상에 대한 관련요인 연구)

  • Yoo, Se-Jong;Hong, Jee-Young;Bae, Seok-Hwan
    • Journal of radiological science and technology
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    • v.34 no.4
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    • pp.297-303
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    • 2011
  • The existing studies of VDT syndrome have been researched only about for nurse groups without radiological technologists. The target of this study was workers who perform VDT task in general hospital placed in Daejun City such as insurance judgement, patient affairs, medical record management, medical computing service, hospital administration, and radiological sections. This study was conducted at October 15, 2009 to November 2, 2009 using structured questionnaire. Results of group A (age 20-29, less than 5 years experience at clinical site, normal staff, and unmarried group) showed significant skin and psychological conditions among recognition symptoms of VDT syndrome. Group B (age 30-39, 6-10 years experience at clinical site, managing staff, and married group) tends to be similar at orbital, whole body and muscles' frame response among recognition symptoms of VDT syndrome. Results of "Multiple Linear Regression" with dependent variable that is scores of recognition symptoms of VDT syndrome are as follows. The factors which influences for orbital-related problem is gender, health cares and obstacles during daily life. The factors which influences for whole body-related is exercise, stress and recognition for health condition and the factors which influences muscles' frame-related is 6-10 years experience at clinical site, human relationship, health cares and obstacles during daily life. These are proved to be similar by statistic analysis. There is small difference at recognition symptom of VDT syndrome between the radiological technologist and other groups in general hospital. Yet, as the working circumstance of radiological technologist gradually changes to VDT environment, the recognition symptom of VDT syndrome became conscious. This can be prevented by regular job rotation, which will escape the continuous repetition of working pattern.

Symptoms and Cognitive Function in Chronic Schizophrenia: 6 Months Follow-up Study (만성 정신분열병 환자에서 증상과 인지기능:6개월 개월 추적연구)

  • Kim, Chul-Kwon;Kim, Seong-Hwan;Choe, Byeong-Moo
    • Sleep Medicine and Psychophysiology
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    • v.11 no.1
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    • pp.44-49
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    • 2004
  • Objectives: The purpose of this study was to investigate whether longitudinal changes in positive and negative symptoms affect cognitive functioning in chronic schizophrenia. Methods: Sixty-eight patients diagnosed with DSM-IV schizophrenia were examined on two occasions over 6 months for symptoms and cognitive changes. Symptoms were measured by PANSS. Cognitive functions were examined for sustained attention, executive function, concentration and attention, and verbal memory and learning using Degraded Stimulus Continuous Performance Test, Wisconsin Card Sorting Test, Digit Span, and Rey Auditory Verbal Learning Test, respectively. Twenty control subjects were assessed to compare the cognitive scores of remitted schizophrenic patients. Results: Patients showed significant improvement in symptoms and all cognitive tests after 6 months treatments. Significant improvements in positive and negative symptoms did not predict improvements in any aspect of cognitive functioning measured. Normal controls performed significantly better than remitted schizophrenic patients on all cognitive tests. The results show no relationship between change in symptoms and change in cognition in chronic schizophrenia. Conclusion: We suggest that symptomatic and cognitive impairment may be a distinct construct. These findings highlight the importance of treating cognitive impairment in addition to the clinical symptoms of schizophrenia.

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Bradykinesia, Rigidity and Gait Disturbance Due to "Possible" Normal Pressure Hydrocephalus in a Patient with Anxiety and Bipolar Disorder : A Case Report (불안, 기분장애로 치료 중 보행장애 외에 서동과 강직을 동반한 정상뇌압수두증 증례)

  • Jang, Sae Heon;Jae, Young Myo;Choi, Jin Hyuk;Bae, Jung Hoon;Seong, Sang Yoon;Cho, Se Hoon;Kim, Young Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.1
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    • pp.66-69
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    • 2015
  • In addition to classical triad such as gait disturbance, urinary incontinence and dementia, parkinsonian extrapyramidal motor signs and neuropsychiatric symptoms can be observed in patients with normal pressure hydrocephalus (NPH). In our case, a 46 year old female patient showed extrapyramidal symptoms such as bradykinesia, rigidity and neuropsychiatric symptoms such as agitation, anxiety, restlessness and regressed behavior beside two(gait disturbance & urinary incontinence) symptoms of three classical triad. It was difficult to diagnose this patient as NPH from the beginning because of her relatively young age and previous psychiatric mediation history for controlling advanced anxiety and affective disorder. Antiparkinsonian agents and discontinuation of psychiatric medications did not work for this patient. Patient's brain computed tomographic finding showed enlarged ventricles. We suspected NPH and did empirical drainage of 30mL CSF. Finally, patient's pyramidal and neuropsychiatric symptoms as well as two of three classical triad of NPH were improved dramatically within several days. It is important to consider NPH as one of the differential diagnosis in patient with parkinsonian symptoms and various neuropsychiatric symptoms who did not respond to usual clinical management especially in case of ventricular enlargement in neuroimaging because of its treatable property by CSF shunt operation.

Relationships Between Premonitory Urge, Tics and Comorbidities in Children and Adolescents With Chronic Tics (만성 틱장애 소아청소년의 전조충동, 틱증상 심각도, 동반질환 간의 관련성)

  • Joo-Han Kwon;Sang-Keun Chung;Jong-Chul Yang;Jong-Il Park;Ha-Min Kim;Tae Won Park
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.142-148
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    • 2023
  • Objectives : The purpose of this study is to investigate the relationships between premonitory urge, tic severity, and comorbidities in children and adolescents with chronic tic disorders. Methods : In this study, scales for tic symptoms, premonitory urge, obsessive-compulsive symptoms, and ADHD symptoms were repeatedly measured twice in 26 children and adolescents aged 10 to 18 years with chronic tic disorders. Correlations between scales were confirmed through repeated measures correlation analysis, and causal relationships between scales were confirmed through regression analysis using a linear mixed model. Results : The degree of premonitory urges showed a significant positive correlation with the severity of tic symptoms, the severity of obsessive-compulsive symptoms, and the severity of ADHD symptoms. The ADHD symptoms showed a significant positive correlation with the severity of tic symptoms. These results were the same even in children and adolescents with tic disorders who were not diagnosed with obsessive-compulsive disorder. Additionally, premonitory urges were found to have a significant positive effect on the severity of tic symptoms. Conclusions : These results may be helpful in treating tic disorders and can be used in future tic disorder research considering developmental trajectory.

Clinical Study of UGI Finding on Patients with Health Screening (생명보험 종합검진중 상부위장관 조영술 결과에 대한 임상적 고찰)

  • Ra, Sea-Chull;Park, Min-Sun
    • The Journal of the Korean life insurance medical association
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    • v.17
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    • pp.63-67
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    • 1998
  • 연구배경 : 상부위장관 조영술결과 유소견을 보인 환자와 그들이 호소하는 증상, 그들의 사회적 환경, 생활특성이 어떠한 관련이 있는가 알아보고자 하였다. 연구대상 : 1995년 1월부터 1997년 12월까지 제일생명(주) 부속의원 종합검진센타에 내원한 8,982명을 대상으로 상부위장관조영술을 시행하고 이와함께 상부위장관 증상에 대한 설문조사를 시행하여 그 결과를 분석하였다. 결과 : 상부위장관 조영검사자 총 8,982명중 유소견자는 598명(6.66%)이며, 그중 남자 420명(70.24%), 여자 178명(29.76%)으로 나타났다. 유소견중에는 십이지장 궤양이 제일 많았으며 그 중 남자 $30{\sim}40$세에서 제일 많이 발견되었다. 증상발현율은 진단결과와 다른 큰 차이가 없었으며 각 증상중에 진단결과와 유의한 관련을 갖는 것은 없었다. 결론 : 상부위장관 증상은 기질적 원인보다 성별, 연령이나 생활환경의 영향을 더 받는 것으로 보여 진단에 있어 호소하는 증상을 고려하기보다 위장관조영술과 더불어 상기요인에 대한 고려가 필요하다.

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