• Title/Summary/Keyword: 증상 심각성

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Correlations between Neurologic and Psychiatric Symptoms in Acute Stroke Patients (급성기 뇌졸중 환자에서 신경 및 정신 증상간 상호관계)

  • Kang, Hee-Ju;Bae, Kyung-Yeol;Kim, Sung-Wan;Kim, Jae-Min;Shin, Il-Seon;Park, Man-Seok;Cho, Ki-Hyun;Yoon, Jin-Sang
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.2
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    • pp.98-104
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    • 2012
  • Objectives : This study aimed to investigate the correlations between neurological and psychiatric symptoms at two weeks after stroke. Methods : For 412 stroke patients, stroke severity was evaluated by the National Institutes of Health Stroke Scale(NIHSS), disability by the Barthel Index(BI) and modified Rankin Scale(mRS), cognitive function by the Korean Mini-Mental State Examination(K-MMSE), and muscle power by grip strength. Psychiatric symptoms were assessed by Symptom check list-90-Revision(SCL-90-R), consisted of nine symptom domains : Somatization, Obsessive-compulsive, Interpersonal sensitivity, Depression, Anxiety, Hostility, Phobic anxiety, Paranoid ideation, Psychoticism, and Additional items. The correlations between the neurological and psychiatric symptoms were investigated at the time of admission and before discharge(i.e. before and after treatment). Results : At the time of admission, NIHSS score was associated with scores on Phobic anxiety and Additional items ; and scores on BI and mRS were associated with Depression, Phobic anxiety and Additional items. At the time of discharge, NIHSS score was associated with scores on Somatization, Depression, Phobic anxiety, and Additional items ; scores on BI and mRS were associated with scores on Depression, Phobic anxiety and Additional items ; MMSE score was associated with Obsessive-compulsive, Depression, Phobic anxiety, and Additional items ; and grip strength was associated with Somatization, Depression, Anxiety and Additional items. Conclusions : More severe neurological symptoms were associated with higher psychiatric morbidity particularly in depression, phobic anxiety, sleep and appetite disturbance at acute stage of stroke. More intensive psychiatric care and intervention are needed for the high risk group.

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MOTHER-CHILD INTERACTION PATTERNS OF ADHD CHILDREN (주의력결핍 과잉활동아의 모-자 상호행동)

  • Ha, Eun-Hye;Oh, Kyung-Ja;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.3 no.1
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    • pp.84-96
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    • 1992
  • The present study was designed to investigate variables associated with mother-child interaction patterns of Attention Deficit Hyperactivity Disorder(ADHD), and also to evaluate short-term effects of stimulant medication on the behaviors of ADHD children and their mothers during interaction. 15 ADHD boys(ages 5${\sim}$10 years) were treated with metylphenidate(0.5mg/kg per day) for 1 month, and their behaviors as well as their mothers for the 10 minute free play and 20 minute task performance period were videotaped through one-way mirror. The childrens attention was also evaluated using the Continuous Performance Task(CPT) and ratings of their hyperactive behaviors were obtained from their mother prior to the treatment. The videotaped interaction were rated according to the Response Class Matrix developed by Mash, Terdal & Anderson(1973). Results indicated that percentage of behavior of the mother and child during interaction was highly correlated with each other, which, in turn, was highly correlated with the symptom severity of the ADHD child. That is the more severe the cognitive and behavioral symptoms of ADHD, the more negative the interaction behavior pattern was. After 4 weeks of stimulant medication the mothers as well as the ADHD children showed a significant decrease in the percentage of negative-aggressive behavior during the task performance period. The results indicated that negative interaction behavior of the mothers was in large part a response to the negative behavior of their ADHD children.

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Analysing and Neutralizing the Stuxnet's Stealthing Techniques (Stuxnet의 파일 은닉 기법 분석 및 무력화 방법 연구)

  • Lee, Kyung-Roul;Yim, Kang-Bin
    • Journal of Advanced Navigation Technology
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    • v.14 no.6
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    • pp.838-844
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    • 2010
  • This paper introduces Stuxnet, a malicious ware that presently stimulates severity of the cyber warfare worldwide, analyses how it propagates and what it affects if infected and proposes a process to cure infected systems according to its organization. Malicious wares such as Stuxnet secretes themselves within the system during propagation and it is required to analyze file hiding techniques they use to detect and remove them. According to the result of the analysis in this paper, Stuxnet uses the library hooking technique and the file system filter driver technique on both user level and kernel level, respectively, to hide its files. Therefore, this paper shows the results of the Stuxnet's file hiding approach and proposes an idea for countermeasure to neutralize it. A pilot implementation of the idea afterward shows that the stealthing techniques of Stuxnet are removed by the implementation.

Clinical Analysis of Intussusception Delayed in the Final Diagnosis (발병 초기에 진단하지 못한 장중첩증에 관한 고찰)

  • Kim, Eo Jin;Lee, Min Hae;Lee, Hae Young;Kim, Jum Su;Seo, Ji Hyun;Lim, Jae Young;Choi, Myoung Bum;Park, Chan Hoo;Woo, Hyang Ok;Youn, Hee Shang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.1
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    • pp.16-23
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    • 2004
  • Purpose: In this study, we tried to evaluate the clinical characteristics or circumstances that lead to unintentionally the delay in the diagnosis of intussusception or to the wrong direction that prevent the proper management early. Methods: All the patients of intussusception with delayed diagnosis in the department of pediatrics or emergency room at Gyeongsang National University Hospital from 1990 to 2003 were enrolled and reviewed retrospectively. Results: There were 8 boys and 6 girls and their median age was 8 months (range 2 months to 10 years). Their initial symptoms and signs were vomiting, seizure, diarrhea, lethargy, irritability, bloody stool, palpable abdominal mass, foul odor of urine and tachycardia. Clinical diagnosis or impressions at admission consisted of acute gastroenteritis, shigellosis and toxic encephalopathy, convulsive disorders, urinary tract infections, sepsis, abdominal mass and intestinal obstruction. Eight patients were luckily diagnosed due to the delayed manifestations of cyclic irritability or currant jelly stool. Six patients were not paid attentions for the possibilities of intussusception and diagnosed serendipitiously by the abdominal sonography or CT during the evaluation of the abdominal mass or distension. Only five of 14 cases (35.7%) were successfully managed by barium or air reductions. The other 9 cases needed surgical operations. Conclusion: Delayed diagnosis of intussusception arise when doctors initially diagnose the patients incorrectly due to the unusual presentations or when they overlook the newly arising symptoms or signs suggestive intussusception after the admission because they are ardently attached to the first impressions or initial clinical diagnosis.

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Clinical Characteristics and Heart Rate Variability in Patients with Comorbid Panic Disorder and Major Depressive Disorder (주요우울장애가 동반된 공황장애 환자의 임상 특징과 심박변이도)

  • Choi, Young-Hee;Kim, Won;Kim, Min-Sook;Yoon, Hye-Young;Choi, Seung-Mi;Woo, Jong-Min
    • Sleep Medicine and Psychophysiology
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    • v.12 no.1
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    • pp.50-57
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    • 2005
  • Objectives: This study was designed to evaluate the differences in clinical characteristics and severity of symptoms between panic patients with and without comorbid major depressive disorder, and to ascertain the differences in the function of the autonomic nerve system measured by heart rate variability (HRV). Methods: The subjects were 60 patients who have panic disorder without major depressive disorder and 19 patients who met DSMIV criteria for both panic disorder and major depressive disorder. First, they drew up symptom checklists and self-rating scales, and were measured by Anxiety Disorder Inventory Schedule-Panic Attack & Agoraphobia (ADIS-P&A), Clinical Global Impression (CGI), Hamilton Rating Scale for Depression (HAM-D), Panic Disorder Severity Scale (PDSS) and Heart Rate Variability (HRV). For statistical analysis, we performed t-test to compare the scores of self reported scales and clinician’s rating scales in panic patients with comorbid major depressive disorder and those without major depressive disorder. ANCOVA was used to compare the variables of HRV, considering age as a covariate. Results: The subjective severities of depression and anxiety that comorbid patients complained of were higher than those of patients with only panic disorder. Futhermore, comorbid patients were more sensitive to anxiety and physical sensations, and they tend to be more negative in their thinking. The scores of clinician-rating scales such as CGI and PDSS were also higher in the comorbid patients. However, there were no significant differences in HRV variables between both groups, despite a tendency to low heart rate variability in the comorbid group. Conclusion: This study suggests that patients with panic disorder and comorbid major depressive disorder tend to complain of more symptoms and to be more sensitive to various symptoms than those with panic disorder without comorbid depression. However, in this study comorbid major depressive disorder did not have a significant impact on the HRV variables of patients with panic disorder.

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Multimedia Expert System for a Nuclear Power Plant Accident diagnosis using a Fuzzy Inference Method (퍼지 추론 방법을 이용한 원자력 사고진단 시스템을 위한 멀티미디어 전문가 시스템)

  • Lee, Sang-Beom;Lee, Seong-Ju;Lee, Mal-Rye
    • Journal of the Korea Society of Computer and Information
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    • v.6 no.1
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    • pp.14-24
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    • 2001
  • The huge and complicated plants such as nuclear power stations are likely to cause the operators to make mistakes due to a variety of inexplicable reasons and symptoms in case of emergency. Thats why the prevention system assisting the operators is being developed for. First of all. I suggest an improved fuzzy diagnosis. Secondly. I want to demonstrate that a classification system of nuclear plants accident investigating the causes of accidents foresees possible problems. and maintains the reliability of the diagnostic reports in spite of improper working in part. In the event of emergency in a nuclear plant, a lot of operational steps enable the operators to find out what caused the problems based on an emergent operating plan. Our system is able to classify their types within twenty to thirty seconds. As so, we expect the system to put don the accidents right after the rapid detection of the damage control-method concerned.

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Study on the K-scale reflecting the confidence of survey responses (설문 응답에 대한 신뢰도를 반영한 K-척도에 관한 연구)

  • Park, Hye Jung;Pi, Su Young
    • Journal of the Korean Data and Information Science Society
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    • v.24 no.1
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    • pp.41-51
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    • 2013
  • In the Information age, internet addiction has been a big issue in a modern society. The adverse effects of the internet addiction have been increasing at an exponential speed. Along with a great variety of internet-connected device supplies, K-scale diagnostic criteria have been used for the internet addiction self-diagnose tests in the high-speed wireless Internet service, netbooks, and smart phones, etc. The K-scale diagnostic criteria needed to be changed to meet the changing times, and the diagnostic criteria of K-scale was changed in March, 2012. In this paper, we analyze the internet addiction and K-scale features on the actual condition of Gyeongbuk collegiate areas using the revised K-scale diagnostic criteria in 2012. The diagnostic method on internet addiction is measured by the respondents' subjective estimation. Willful error of the respondents can be occurred to hide their truth. In this paper, we add the survey response to the trusted reliability values to reduce response errors on the K-scale on the K-scale, and enhance the reliability of the analysis.

Evaluation of Occurrence of Yellow Patch Caused by Rhizoctonia cerealis of Cool Season Turfgrass Cultivars and Species (한지형 잔디의 종과 품종 간에 황색마름병의 발생 평가)

  • Chang, Tae-Hyun;Lee, Yong-Se
    • Asian Journal of Turfgrass Science
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    • v.24 no.1
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    • pp.24-30
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    • 2010
  • We investigated occurrence of yellow patch for early spring season of 48 cultivars in 5 species of turfgrass, most popularly used in Korea golf courses. Only yellow patch disease caused by Rhizoctonia cerealis was occurred naturally from late fall season. Perennial ryegrass and creeping bentgrass cultivars showed susceptibility from yellow patch in early spring, respectively. However, among There was no significantly different between the other species. Creeping bentgrass, 'Pennlinks II' cultivar was the most susceptible. Yellow patch symptom showed reddish brown with margins in color and patch showed size from 5 cm to 50 cm in diameter. Based on our results, Yellow patch showed large differences among cultivar and each turfgrass species.

Experiences of Smartphone Addiction among University Students (대학생의 스마트폰 중독 경험)

  • Jin, Juhye
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.421-429
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    • 2017
  • The high rates of smartphone usage among younger people and the negative impacts are well-known, but there remains a paucity of qualitative research on the topic. This study was designed to explore the experiences of university students addicted to smartphones. The author conducted in-depth individual interviews with 17 university students who scored in the upper 5th percentile on a smartphone addiction scale. All interviews were audiotaped, transcribed, and analyzed using qualitative content analysis. Students with a smartphone addiction were trapped in a vicious cycle. More specifically, they were "Realizing something was wrong with withdrawal symptoms," "Having negative consequences," "Seeking escape," and "Staying addicted." This study helped participating students realize their addiction and disclose their emotional and interpersonal difficulties related to their smartphone use. These understandings may be used to refine and further develop school-based programs to better help those addicted to smartphones to recover.

Treatment of Ankylosing Spondylitis (강직성 척추염의 치료)

  • Kang, Byeong-Jik;Jo, Sung-Sin;Park, Ye-Soo
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.294-304
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    • 2021
  • Ankylosing spondylitis causes ankylosis of the spine due to ossification of the articular cartilage and ligaments around the vertebral body as well as the sacroiliac joint. This pathophysiology limits joint movement and, in many cases, causes pain and deformity of the spine. If this disease is left untreated, it ultimately causes ankylosis and ossification of the whole-body joints. The symptoms generally develop before age 30 years, and the gradual progression of the disease adversely affects the physical function, professional ability, and quality of life. This increases the likelihood of developing psychiatric disorders, such as depression. The authors are aware of this severity and introduce recent trends and studies to prevent surgical treatment with various medications before systemic ossification. This paper presents various surgical treatments and complications in patients who were unable to prevent progression and underwent surgical treatment.