• Title/Summary/Keyword: 질병의 장애단계

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Study of the mediating effect of Physical activity on the relationship of Generalized anxiety disorder and Smartphone overdependence in adolescent - Based on 2020 Adolescent Health Behavior Survey- (청소년의 범불안장애와 스마트폰 과의존의 관계에서 신체활동의 매개효과에 관한 연구 -2020년 청소년건강행태조사를 바탕으로-)

  • Lee, Yung-Yong;Seo, Hee-Jung
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.279-286
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    • 2022
  • The purpose of this study is to examine the mediating effect of physical activity in the relationship between generalized anxiety disorder and overdependence on smartphones in adolescents. To find a way for solving the problems caused by the over-use of smartphones during adolescence, we tried to find the importance of a health promotion program through physical activities. For the purpose of the study, the 2020 Youth Health Behavior Survey data conducted by the Ministry of Education, the Ministry of Health and Welfare, and the Korea Centers for Disease Control and Prevention were used as analysis data for this study. As a result of the study, firstly, generalized anxiety disorder has a negative (-) relationship with physical activity, and physical activity also has a negative (-) relationship with overdependence on smartphones. Secondly, as a result of analyzing the mediating effect of physical activity in the relationship between generalized anxiety disorder and smartphone overdependence experience, the physical activity was found to be a significant factor. Thirdly, it was confirmed that the physical activity has a partial mediating effect in the relationship between generalized anxiety disorder and smartphone overdependence experience. Increasing physical activity through team sports rather than individual sports may help reduce smartphone use.

Blood Biomarkers for Alzheimer's Dementia Diagnosis (알츠하이머성 치매에서 혈액 진단을 위한 바이오마커)

  • Chang-Eun, Park
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.4
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    • pp.249-255
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    • 2022
  • Alzheimer's disease (AD) represents a major public health concern and has been identified as a research priority. Clinical research evidence supports that the core cerebrospinal fluid (CSF) biomarkers for AD, including amyloid-β (Aβ42), total tau (T-tau), and phosphorylated tau (P-tau), reflect key elements of AD pathophysiology. Nevertheless, advances in the clinical identification of new indicators will be critical not only for the discovery of sensitive, specific, and reliable biomarkers of preclinical AD pathology, but also for the development of tests that facilitate the early detection and differential diagnosis of dementia and disease progression monitoring. The early detection of AD in its presymptomatic stages would represent a great opportunity for earlier therapeutic intervention. The chance of successful treatment would be increased since interventions would be performed before extensive synaptic damage and neuronal loss would have occurred. In this study, the importance of developing an early diagnostic method using cognitive decline biomarkers that can discriminate between normal, mild cognitive impairment (MCI), and AD preclinical stages has been emphasized.

DEVELOPMENTAL DENTAL COMPLICATIONS AFTER ANTICANCER THERAPY IN CHILDREN (항암 치료를 받은 아동의 치아 발육 장애)

  • Kim, Min-Jeong;Lee, Hyung-Sook;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.607-612
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    • 2009
  • The malignant tumor in childhood is one of the main causes of children s death due to disease. The traditional treatment for the malignancy is known for the radiation therapy and the chemical therapy or both. However, the treatments tend to induce intraoral complications. Different from adults, almost all children on cancer therapy are expected to have dental complications, because their permanent teeth are on the developmental stage. The degree of dental complication depends on the patient's age, type of chemical and other factors-radiation dose and frequency. In this report, 3 children who had experienced the anti-cancer therapy on their age between 1 and 4 years were selected and dental complications were examined. The children have chance for the various oral complications including the developmental problems such as agenesis, microdontia and hypoplasia of the teeth. Therefore, it's important to understand the side-effects of anticancer therapy during the permanent teeth had been developmental stage in young patients. Also, oral health care specialists, including pediatric and hospital dentist can support the oncology team by providing basic oral care, implementing oral care protocols, delivering emergency dental treatment undergoing anticancer treatment.

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여름철 돈사 관리의 지혜

  • Park, Jun-Cheol
    • Feed Journal
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    • v.4 no.7 s.35
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    • pp.108-115
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    • 2006
  • 우리나라는 사계절이 뚜렷한 기후적 환경으로 여름철 한낮의 외부온도가 35℃ 이상이 되는 날이 계속되고, 야간에도 25℃ 이상인 열대야가 지속되는 날이 많다. 이러한 조건하에서 양돈 생산성 향상을 위해서는 돼지의 사육환경과 성장단계별 적절한 사양기술을 투입하여야만 한다. 돼지는 생리적으로 추위에 의한 영향보다는 여름철 더위에 의한 영향을 쉬게 받으며, 이로 인해 자돈의 쇠약, 압사,수태율 저하, 번식장애 등으로 생산성 저하의 원인이 되며, 사육기간 중에 일시적인 고온스트레스가 돼지가 생존하는 동안 능력의 저하를 초래하게 된다. 특히 하절기 양돈장은 우기와 무더위로 인한 돈사내 온도의 급상승과 더불어 습도의 불균형에 의한 환경적 스트레스로 번식능력과 생산성에 크게 영향을 미칠 수 있으며,돼지에 일시적인 고온 스트레스 피해는 장기간 계속되며, 생존하는 동안 능력저하를 초래하기 때문에 농장별 사육여건에 따른 성장저해 요인을 제거하는 안목이 필요한 계절이다. 즉,5~9월 모돈에 고온스트레스가 가해지면 11~12월, 다음해 1월 모돈의 분만율은 최저가 되고 , 이 시기에 생산된 자돈은 추운겨울을 이겨내야 함으로 육성률도 낮아지며, 이로 인해 4~7월의 출하성적은 최저가 되는 것이다. 따라서 모돈 관리는 5~9월이 집중관리가 필요한 시기이기도 하다. 고온 다습한 환경 하에서 어미돼지는 영양불균형과 생체리듬의 파괴로 인하여 신생자돈의 폐사가 증가할 수도 있고,이유 후 1주일 이내 발정 재귀율이 약 30%정도 감소하고 무발정돈이 많이 발생되며, 수태가 되어도 조기 배아사멸 및 흡수로 인하여 수태율이 25%까지 감소될 수 있다. 현재 국내 양돈농가에는 예년과 같이 돼지 조모성질환의 발생이 늘어나고 있고, 어려움을 겪고 있는 농장이 많은 것으로 조사 보고되어지고 있는데, 이는 농장에 사육되는 돈군이 외부환경에 대한 적응능력과 질병에 저항력이 부족하여 쉽게 질병에 노출되어 발생함으로 농장에는 돼지가 스트레스를 받지 않게 외부 환경과 사양관리 측면에 심혈을 기울려 강건한 축군을 유지하려는 노력이 무엇보다 우선되어져야 한다고 생각된다. 따라서 본고에서는 여름철에 돼지 스트레스를 줄이고 생산성을 향상시키기 위해 돼지의 생리변화와 돈사 급수설비와 사료관리 및 사육관리에 대해 알아보고자 한다.

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Treatment of the Headache (두통의 치료)

  • Chung, Kyung-Cheon
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.263-273
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    • 1999
  • Headache is a symptom with varied etiologies and extraordinarily frequent. Headaches can be a symptom of another diseases, such as meningitis, subarachnoid hemorrhage or brain tumor, may represent the disease entity itself as the case in migraine. The international Headache Society criteria were the first to distinguish between primary and secondary headache disorders. When evaluating a patient who presents with headache, the physician abviously needs to identify or exclude the myriad conditions that can cause secondary headache and initial diagnostic workup should be considered. If patient meets the criteria for a primary headache disorder, treatment commonly initiated without additional neurodiagnostic tests. The headache type, its associated feature, and the duration and the intensity of the pain attack all can influence the choice of acute therapy in migraine. Pharmacologically, such as NSAIDs, combination analgesics, vasoactive antimigraineous drugs, neuroleptics, antidepressants, or corticosteroids. Other approches to managing headache include a headache diary to identify triggers, biofeedback, relaxation technique and behavioral modification. Daily preventive medication should be considered by his attack frequency and intensity, and maintained for 4 to 6 months. Tension-type headaches are distinguished between episodic and chronic tension-type headache, but physician must make sure that patient is not drug-overuse or independent during symptomatic abortive therapy or preventive medication. The most difficult headache patients to treat are those with chronic daily headache. They often have physical dependency, low frustration tolerance, sleep problems, and depression. So discontinuation of overused medication is crucial. New developments in migraine therapy are broadening the scope of abortive and prophylactic treatment choices available to the physician. The enhanced ease of the use of sumatriptan and DHE will likely increase patient compliance and satisfaction.

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A Study on Life Experience by Persons with Mental illness - Focusing on the Experience after the Onslaught of Mental Illness - (정신장애인의 생애경험에 관한 연구 - 정신질환발병 이후의 경험을 중심으로 -)

  • Park, Eun-Ju
    • Korean Journal of Social Welfare
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    • v.63 no.1
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    • pp.5-28
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    • 2011
  • This study, based on the research on the history of life, aimed to recompose and analyze into what life progressive structure the life experience by the mentally ill, after the onslaught of the disease, developed in a bid to understand the risk progress in the mentally ill's life, and to determine what contributed to the current stabilized recovery and adjustment. Five mentally ill persons participated in the study, and Sch$\ddot{u}$tze's narrative interview was used to gather data. The gathered data were analyzed according to Sch$\ddot{u}$tze's process structure of life. The interviewees' life experiences were chronologically organized as understood, and significant stories were recomposed that not only brought about changes but also helped overcome their disabilities in the process of treatment and rehabilitation after the onslaught of the disease. As a result, their experiences were recomposed into the stage of onslaught of the mental illness and confusion, and into the stage of intensive treatment and rehabilitation. The former was categorized into suppression by the disease, repetition and endurance of the painful life, and separation from their family and frustration. The latter was categorized into the rediscovery of self through social role change, others who helped realize the life potential, the expansion of mental health services in the community, obstacle to the integration of communities, re-integration of family relationships, re-analysis of experience of the disease through the examination of the life prior to onslaught of the disease, and expectation for the future. Also, these themes were comparatively examined so as to examine the crisis progress in the mentally ill's life after the onslaught of the disease, as well as the life transfer process through positive rehabilitation. Lastly, on the basis of these results, important areas of mental health services for the mentally ill were discussed.

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A Study on Serious Game Application of Disabled Sports (장애인스포츠 적용을 위한 기능성 게임에 관한 연구)

  • Kang, Seungae;Kang, Sunyoung;Kim, Hyuncheol
    • Convergence Security Journal
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    • v.13 no.4
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    • pp.61-68
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    • 2013
  • Compared to the past, the number of disabled people in Korea is continuing to increase. As for the scope of the disability, it is expanding as well since it now includes all types of illnesses, car accidents, complications resulting from aging, industrial accidents and others accidents. Attempts are made in terms of applying sports game method that grafts IT technology in order to ensure that the disabled people participate continually in sports. While casting away the notion of play which was the role of a game in the past, new roles and domains were developed. In fact, serious game genre is what leads this change. Because serious game is leading the game industry fast, centered on education, sports, fitness and medical use, its market value can be considered very significant since it can be both fund and effective as it targets the disabled who cannot enjoy sports easily in reality. Accordingly, this research seeks to present the direction for the application of serious game for the disabled people by analyzing the current situation pertaining to the integrated and converged cases applied to the field of sports for the disabled when it comes to the serious game that uses contents based on the IT technology.

Risk Factors for Lymphedema Patients (림프부종 환자에서의 위험 인자)

  • Jung, Gyou-Chul;Kim, Sun-Hyun;Yeom, Chang-Hwan
    • Journal of Hospice and Palliative Care
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    • v.8 no.2
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    • pp.156-162
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    • 2005
  • Purpose: Lymphedema is edema developing mainly in the arms and legs due to an abnormal lymphatic system, over one hundred millions of patient worldwide suffer from it. At present, prevention is the best treatment. Thus, It is important to know which patient are more pone to develop it in order to prevent it. By evaluating the risk factor for lymphedema, we intended to find the effective prevention. Methods: We have investigated that outpatients who chiefly complained of lymphedema visited the lymphedema clinic at one university hospital from September 1 in 2003 to August 31 in 2005. We evaluated the risk factor for lymphedema by questionnaires. Questionnaire consists of demographic data, disease factor, treatment factor, posttreatment factor. We evaluated the correlation between lymphedema with each factor. Results: The total number of patients was 50, 19 patients with breast cancer and 31 patients with cervical cancer. In terms of stages of edema, 12 patients were below stage 1 and 38 patients were above stage 2. The incidence of lymphangitis was more frequent, more obese and the impairment of the site of edema site more severe, the stage of cancer was higher in the patients higher than stage 2 than in the patients below stage 1 (P>0.05). Conclusion: Lymphedema is more severe when the cancer stage in higher, accompanying more frequent infections, more obesity and more impairment at the site of edema site. Above all, cancer stage and the impairment of edema site are impossible to correct but obesity and infection may be corrected. Therefore we speculate that we are able to protect the aggravation of edema by weight reduction and infection control.

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Association of Body Mass Index and Cognitive Function in Alzheimer's Disease and Mild Cognitive Impairment (알츠하이머병과 경도인지장애에서 체질량지수와 인지기능과의 연관성)

  • Lim, Eun Jeong;Lee, Kang Joon;Kim, Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.184-190
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    • 2016
  • Objectives : This study analyzed the differences of body mass index(BMI) in Korean patients with Alzheimer's diseases(AD), Mild Cognitive Impairment(MCI), and healthy controls to verify whether low BMI is associated with cognitive impairment. Furthermore, this study also sought to examine any association between BMI and Mini Mental State Examination-Korean version(MMSE-K), Clinical Dementia Rating(CDR), and Global Deterioration Scale(GDS). Methods : A total of 257 subjects were included in the study. History taking, mental status examination, physical examination and neurocognitive function test were carried out for the diagnosis of AD and MCI. The subjects' demographic data and presence of diseases were also surveyed. The overall cognitive function and severity of diseases were assessed using MMSE-K, GDS, and CDR. Results : The order of BMI was found to be healthy controls>MCI>AD, with statistically significant differences among the groups. The order of MMSE-K scores was similar, with healthy controls>MCI>AD in statistically significant differences. The healthy controls had the lowest CDR and GDS scores, and AD patients had the highest scores. There was a significant positive correlation between BMI and MMSE scores(r=0.238, p=0.000). BMI was negatively correlated with CDR(r=-0.174, p=0.008) as well as with GDS(r=-0.233, p= 0.000). Conclusions : Measuring BMI of patients with AD or MCI is expected to be meaningful in that BMI could be a clinical indicator of AD. We expect this to be beneficial for the diagnosis, prevention, and therapeutic approach of AD and also expect large-scale, long-term longitudinal studies to follow.

Analyzation of Correlation between Clinical Factors and Carotid Ultrasonography Diagnosis (경동맥 초음파진단과 관련된 임상변수에 대한 분석)

  • Cho, Jin-Young;Ye, Soo-Young
    • Journal of the Korean Society of Radiology
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    • v.14 no.5
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    • pp.705-713
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    • 2020
  • Arteriosclerosis is a disease in which blood circulation is impaired due to loss of elasticity as blood vessels become narrower, and is a potential cause of recently increasing cardiovascular and cerebrovascular diseases. Carotid ultrasound is used as a predictor of cardiovascular and cerebrovascular diseases by evaluating the degree of atherosclerosis. Therefore, this paper attempted to investigate the correlation between the increase in the thickness of the inner media and various clinical variables in carotid ultrasound. Patients with carotid ultrasound findings were classified into three stages: mild intima thickening, sclerosis, and significant stenosis. CAVI (Carotid Ankle Vascular Index: vascular age) data measured in the degree and physical characteristics of the carotid artery(gender, age, body mass index, blood pressure), blood test(total cholesterol, triglycerides, high-density lipoprotein, low-density lipoprotein, creatine phosphokinase, fasting blood sugar), and arteriosclerosis test were collected. It was confirmed that the carotid intima thickness was correlated with variables such as hypertension, hyperlipidemia, and BMI, and also correlated with the risk factors of cardiovascular disease as CAVI increased.