• Title/Summary/Keyword: Disturbance score

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Validity Field Testing of Family Nursing Phenomen in Korea by the Retrospective Method of ICNP (ICNP의 후향적 방법에 의한 한국가족현상의 실무타당성 검증연구)

  • Kim, Hyun-Sook;Kwon, Yong-Suk;Park, Kyung-Min;Kee, Ji-Hyun;Ko, Young-Ae;So, Ae-Young;Yang, Soon-Ok;Kim, Young-Im;Kim, Hee-Girl;Oh, Jin-Joo;Wang, Myoung-Ja;Kim, Soon-Lae;Yun, Soon-Nyung
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.423-432
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    • 2002
  • This study was conducted to test the validity of characteristics of family nursing phenomena in Korea identified in a previous study by Yoon, S. Y, et al. (1999). Data for this study were collected from 355 (first measurement 186, second measurement 169) nurses whose family nursing careers were more than one year using a cross sectional survey method. The distribution per one characteristic ranged between 0 to 5. The phenomena that had two or more characteristics and had a score of 3.0 points or more included disturbance in marital role', 'disturbance in family communication', 'inappropriate family coping', 'lack of family intimacy', 'unhealthy life style', 'deficit of financial management skill and support', 'inadequate care management sick member', and' inadequate home-making'. The essential characteristics of the 8 phenomena presented above included 27 items. Further studies on family nursing phenomena in Korea are needed to support the evidence through surveys of families in the field. A reconfirmation study, as well as qualitative research on the low validity of the characteristics, needs to be more performed in the future.

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A case study of gait disturbance on early stage MSA-C treated with Korean Medicine (보행장애를 호소하는 초기 다계통 위축증(MSA-C) 환자 한의 치험 1례)

  • Choi, Jeong-Woo;Kim, Seo-Young;Kim, Ha-Ri;Jeon, Gyu-Ri;Cho, Seung-Yeon;Park, Seong-Uk;Park, Jung-Mi;Ko, Chang-Nam
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.21 no.1
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    • pp.67-76
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    • 2020
  • ■ Objectives The purpose of this case is to report the effectiveness of Korean medicine in the treatment of early stage multiple system atrophy-cerebellar ataxia(MSA-C) ■ Methods The patient was treated with acupuncture, bee venom, and herbal medicine. The clinical symptoms was assessed using unified multiple system atrophy rating scale(UMSARS) and 20M gait time and steps. ■ Results After treatment, UMSARS score and 20M gait time and steps showed improvement. ■ Conclusion This study suggested that Korean medical treatment could be an effective option for treating early stage MSA-C.

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Case Report of Drug-Induced Parkinsonism with Gait Disturbance Treated with Adjuvant Korean Therapy (보행장애를 호소하는 약인성 파킨슨 증후군 환자의 한방복합치료 1례)

  • Ye-chae Hwang;Hye-jin Lee;Kyeong-hwa Heo;Hye-min Heo;Seung-yeon Cho;Jung-mi Park;Chang-nam Ko;Seong-uk Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.187-196
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    • 2023
  • Objective: This case study reported the effectiveness of adjuvant Korean therapy on gait disturbances induced by drug-induced Parkinsonism. Method: A patient suffering from frontotemporal lobe dementia was diagnosed with drug-induced Parkinsonism and treated with adjuvant Korean therapy, including herbal medicine and pharmaco-acupuncture. The evaluation was performed by monitoring the length of time and number of steps during an 8 m gait, using the Unified Parkinson's Disease Rating Scale (UPDRS). Results: After 17 days of adjuvant Korean therapy, the UPDRS score improved from 32 to 16. The length of time for the 8 m gait improved from 20 seconds to 14 seconds. The patient also showed a decrease in the number of steps during the 8 m gait from 43 to 22. Conclusion: This case suggests that adjuvant Korean therapy can be effective for drug-induced Parkinsonism.

Depressive Symptoms among a Group of Medical Students : Prevalence, Related Factors and Moderating Effect by the Positive Psychology (의과대학생들의 우울 증상 : 유병율, 관련요인 및 긍정심리의 조절효과)

  • Kim, Sang Hoon;Kim, Jung Ho;Jung, Hyung Shik;Park, Jong Chul;Kim, Young Shim
    • Mood & Emotion
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    • v.12 no.2
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    • pp.128-136
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    • 2014
  • Objectives : This study was undertaken to investigate the prevalence of depressive symptoms and their related factors among a group of medical students. Method : A total of 874 (529 male and 345 female) medical students were randomly selected to participate in a survey. Depressive symptoms, satisfaction with life, health behavior including alcohol use, stress, sleep disturbance and happiness were collected using self-reported questionnaires. Results : The prevalence of depressive symptoms was 10.8%. In stepwise multiple regression analysis, lower satisfaction of life, daytime dysfunction due to sleepiness, history of suicidal attempt, stress, sleep disturbance were found to be significant relating factors of depressive symptoms. In moderated regression analysis, the result showed that the impact of life stress were moderated by satisfaction of life on depressive symptoms, but the moderating effect of happiness was not significant. Conclusion : This study showed considerably high prevalence of depressive symptoms and BDI score in medical students. The findings suggest that early detection of depressive symptoms and intensive mental health promotion program is needed in order to improve medical student's mental health status.

A Study on the Factors Related to the Cognitive Function and Depression Among the Elderly (일부지역 노인들의 인지기능과 우울에 관련된 요인에 관한 연구)

  • Shin, Cheol-Ho;Kim, Soo-Young;Lee, Young-Soo;Cho, Young-Chae;Lee, Tae-Yong;Lee, Dong-Bae
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.199-214
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    • 1996
  • To investigate the factors which affecting the cognitive function and depression of the 65 or more age group, the authors surveyed for the subjects in the region of Taejon and nearby Taejon area. 729 studied subjects were tested for cognitive function with MMSE and depression with GDS. The main results were followings; In the studied subjects, the rate of normal cognitive function was 56.8%, the rate of mildly impaired was 24.1% and the rate of severe impairment was 19.1%. The cognitive function level was closely related to the depression score. As the age increased, the cognitive function was more impaired. Sexual difference was also existed in the cognitive function level and the depression score. After adjusting the effect of age, the variables such as sex, marital status, education level, past job, instrumental ability of daily living, regular physical exercise, frequencies of going out the house, chest discomfort, visual and auditory disturbance, and dizziness had the significant relationship with cognitive function impairment. Among these variables instrumental ADL, age, visual disturbance, and sex showed statistical significance in the logistic regression model. In the multiple stepwise regression, the variables which had significant relationship to depression score were education level, frequencies of going out house, current job and house work activity, regular physical exercise, instrumental ADL, self-rated health and nutritional status, dimness, visual disturbance, and chest pain. In conclusion, main characteristics which had close relationship to the cognitive function and depression symptoms in the studied subjects were physical function and self rated health status.

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A Study on the Factors related to postpartum Depression in Postpartum Women (산욕기 산모의 산후 우울증에 영향을 미치는 요인)

  • Choi, Euy-Soon;Oh, Jeong-Ah
    • Women's Health Nursing
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    • v.6 no.3
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    • pp.358-371
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    • 2000
  • The purpose of this study was to provide the basic, data for developing a program for effective prevention for Postpartum Depression (PPD) by investigating the level of PPD in postpartum 2 weeks women. The subjects were 384 women who visited obstetrical clinics for postnatal care. The data were collected from June 29. 1999 to April. 2000, using a 46-item questionnaire related to PPD, and analyzed by SAS program for t-test, ANOVA, Scheffe test, stepwise multiple regressions. The results were as follows : 1. The level of PPD according to general characteristics Women had mild PPD (Min score; 46.0, Max score; 124.0). The PPD levels were significantly differences according to religion and marital satisfaction (p<0.05). 2. The level of PPD according to obstetrical characteristics 1) Characteristics related to pregnancy The PPD levels were significantly differences according to mood change, confidence of body weight recovery, depression related to appearance change, husband's help to housework, and husband's emotional support (p<0.05). 2) Stressful events during pregnancy The PPD levels were significantly differences according to financial problem, conflict between partners, conflict between family, and husband's job change (p<0.05). 3) Characteristics related to delivery and post natal period The PPD levels were significantly differences according to baby's health state, parenting confidence, and difficulties related to postpartum care (p<0.05). 3. The variables to predict postpartum depression in postpartum women are depression related to appearance change (10.4%), parenting confidence (8.8%), husband's help to housework (2.7%), confidence of body weight recovery (2.4%), husband's job change (1.9%), baby's health state (1.9%), difficulties related to postpartum care (1.6%), mood change (1.2%), conflict between partners (0.6%), marital satisfaction (0.5%), financial problem (0.4%). The sum total of all the above variables can account for 32.4% of postpartum depression. 4. The level of PPD according to PPD factors. Women had the highest degree of PPD in biophysiological phenomena-disturbance of physical functioning factor. The factors of relationship to baby-negative feeling and cognitive phenomena-self concept disturbance were showed the lowest degree of PPD. As a result of the above findings, a systemic and individualized program is strongly recommended for PPD prevention, diagnosis, and care for PPD in postpartum women. In near future, this study should be expanded to investigate the coping skills according to the PPD levels in postpartum women.

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Effects of Different Types of Sounds on Visitors' Profile of Mood States (POMS) in a Healing Forest Area (치유의 숲에서 다른 유형의 소리가 방문객의 기분상태(Profile of Mood States: POMS)에 미치는 영향)

  • Kim, Sang-Oh;Kim, Sang-Mi;Park, Seung-Chan;Choi, Sol-ah
    • Korean Journal of Environment and Ecology
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    • v.30 no.3
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    • pp.423-433
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    • 2016
  • This study compared the effect of different types of sounds(no sounds, sounds of nature, music, and sounds of children playing) on profile of mood states(POMS) in a healing forest. Data were collected from 231 respondents selected from among visitors to the 'Healing Field' in 'Jangseong Chukryongsan Pyeonbaek Healing Forest' in October, 2012. Each respondent was exposed to one type of sound. The results showed that there were differences in POMS among the different sound treatment groups. Sounds of children playing showed negative effects on POMS. Unexpectedly, however, sounds of nature and musical sounds had no effects on POMS. These tendencies were consistently found not only for total mood disturbance score (TMDS) but also for POMS by factors (i. e. tension, anger, vigor, fatigue, confusion, depression). Perceived crowding level was positively correlated with TMDS(r=0.568) and POMS by factors (range: r=0.331 - 0.571). This paper discusses the research results and suggests several managerial implications.

The Clinical Analysis on 32 Cases of Dementia (치매환자(患者) 32례(例)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Lee, Y.W.;Kang, H.J.;Cho, M.R.;Jin, C.S.;Hong, S.;Kim, J.S.
    • The Journal of Internal Korean Medicine
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    • v.19 no.1
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    • pp.301-317
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    • 1998
  • A clinical analysis was carried out for 32 patients who were treated in Dept. of Dong-shin Oriental Medicine Hospital from 10st January to 16st May in 1998 and ruled out as dememtia. The results were summarized as follows. 1. In the distribution of sex, female was more than male. And the age of seventies(17 cases, 53.125%) was highest in the frequency of age. 2. In the distribution of having history of drinking and smoking were each 4 cases(12.5%) and 7 cases(21.875%). 3. In the distribution of seasons, the ratio of spring and winter were each 16 cases(50.0%), 15 cases(46.875%), that of summer and fall were comparatively low. 4. In the period from onset to admission, the period within a week had 20 cases(62.5%) as top, and the most period of treatment was 2 and 3 weeks(28.125%). 5. The number of cases that had preceding disease was 35 cases(71.875%), a major portion of preceding diseases were hypertension, diabetes mellitus, stroke. 6. The most common symptom was disorientation(78.125%), and the next common symptom was motor desability(71.875%), and memory disturbance, verbal disturbance was each 59.375 and 47.1%. 7. In the distribution of the CT scan films, 15 cases(46.875%) showed cerebral infarction and that of another 5cases (15.625%) showed cerebral hemorrhage, that of another 2 cases(6.25%) showed brain atrophy. 8. In the lipid density of blood, T-Cholesterol, TG, HDL-Cholesterol, LDL- Cholesterol was within normal limit. 9. In the MMSE-K, the most score was from 16 point to 20 point, and second only was from 11 point to 15 point, and the next was from 6 point to 10 point. 10. In the Ischemic score, 20 cases(62.5%) was diagnosed as brain vascular type dementia, and mixed type dementia was 9 cases(28.125%), Alzheimer type dementia was 3 cases(9.375%). 11. The most used recipes were a sort of recipes to activate of flow the vital energy and the blood, to remove the phlegm(41 cases 33.9%), especially DODAMHOALHEL TANG (12 cases, 9.9%), ANSINCHUNGNOITANG (8 case, 6.6%) was the most used recipe. 12. In the judgement of efficacy, 17 cases(53.125%) showed excellent efficacy, 10 cases(31.25%) showed good efficacy, 5 cases(15.625%) showed no change and that according to MMSE-K, 4 case(18.18%) showed excellent efficacy, 15 cases(68.18%) showed good efficacy, 15 cases(68.18%) showed no change.

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Assessment of Physical Habitats Characteristics in Naeseongcheon Basin Streams, Korea (내성천 유역 하천의 물리 서식지 특성 평가)

  • Ki Heung Kim;Heareyn Jung;Il Hong;Hong Koo Yeo
    • Ecology and Resilient Infrastructure
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    • v.10 no.4
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    • pp.143-160
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    • 2023
  • This study applied the stream physical habitat assessment system to obtain basic information for river restoration and watershed management in high-gradient and mid-gradient streams in the Naeseongcheon basin. The total length of high-gradient and mid-gradient streams in the Naeseongcheon basin is about 273 km, and as a result of the assessment, it was analyzed that suboptimal reach was about 8.2 km, normal reach was 180.3 km, and marginal reach was 84.7 km. In addition, the physical habitat quality of high-gradient streams was analyzed to be normal condition with an average of 106 points (53%), and in particular, the score of channel/hydraulic category, which is the most important for the habitat of aquatic animals, was analyzed to be normal, close to the limit, with an average of 54 points (45%). The physical habitat quality of mid-gradient streams was found to be in normal condition with an average of 90 points (45%), and the score of channel/hydraulic category was in marginal condition with an average of 39 points (32%). Overall, among 165 reaches of high-gradient and mid-gradient streams in the Naeseongcheon basin, 4 reaches (3%) were evaluated as suboptimal, 119 reaches (72%) were normal, and 42 reaches (25%) were considered marginal. These results showed that the physical habitat of Naeseongcheon was significantly disturbed. Disturbance of stream physical habitat in the Naeseongcheon basin occured due to farmland around stream, urbanization, reservoir construction, and river maintenance.

Two Cases of Korean Medicine Treatment for Patients with Parkinson's Disease Evaluated Using a Three-Dimensional Gait Analysis System (3차원 보행분석기로 평가한 보행장애 및 자세불안정을 주소로 하는 파킨슨병 환자 한의 치험 2례)

  • Hye-jin Lee;Ye-chae Hwang;Kyeong-hwa Lee;Dong-joo Kim;Seung-yeon Cho;Jung-mi Park;Chang-nam Ko;Seong-uk Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.4
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    • pp.774-790
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    • 2023
  • Objective: This study examined the effectiveness of Korean medicine treatments in two patients with Parkinson's disease complaining of discomfort stemming from postural instability and gait disturbance (PIGD). Methods: Two patients were treated for 3 months. They visited the clinic once a week for the first month and thereafter once every 2 weeks. The Unified Parkinson's Disease Rating Scale (UPDRS) and a three-dimensional gait analysis were performed at the first visit and at 1, 2, and 3 months thereafter. Results: In Case 1, gait speed, stride length, and swing phase increased. Double support decreased until 2 months after treatment but increased slightly after 3 months. Among the kinematic parameters, tilt and rotation increased. The total UPDRS Part III score decreased from 51 points to 29 points after 3 months of treatment. In Case 2, gait speed, stride length, and swing phase increased, but double support decreased. Among the kinematic parameters, tilt, rotation, and obliquity decreased. The total UPDRS Part III score decreased from 11 points to 7 points after 3 months of treatment. Conclusions: This study suggests that Korean medicine can be an effective treatment for patients with Parkinson's disease who experience discomfort due to PIGD.