• Title/Summary/Keyword: Examination stress

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A Study on Relations between the Index of Obesity by Body Composition Analysis and Results of other Oriental Health Examinations on Some Women (일부 여성의 한방검진에서 체성분 검사를 통한 비만지표와 그 외 한방 검진 결과와의 상관관계 연구)

  • Kim, Hyun-Jung;Kim, Yoon-Sang;Lim, Eun-Mee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.4
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    • pp.169-182
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    • 2008
  • Purpose: The purpose of this study is to find out the relations between the index of obesity by body composition analysis (EMI. %BF and WHR) and results of other oriental health examinations (QSCC II, HRV and APG) on some women. Methods: 114 women who were tested by oriental health examination between May 2006 and August 2008 were studied. Results: As a result of the study on the relations between the index of obesity by body composition analysis and sasang constitution, it was found that each of them had significant differences among themselves and Taeumin had the highest significance than other sasang constitution. As a result of the study on the relations between the index of obesity by body composition analysis and HRV, it was discovered that there was no significant relationship between BMI and WHR and HRV. However, %BF had negative correlations with autonomic activity, stress resistance and stress index. As a result of the study on the relations between the index of obesity by body composition analysis and APG, it was found that they had positive correlations with each other. Conclusion: In conclusion, there are significant relations between the index of obesity by body composition analysis and results of other oriental health examinations.

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Association Between Sleep Pattern, Chronotype and Depressive Symptoms in Korean Adults (한국 성인에서 수면양상, 일주기 유형과 우울증상 간의 상관관계)

  • Kim, Dong Hee;Kang, Tae Uk;Koh, Sang Hyun
    • Korean Journal of Biological Psychiatry
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    • v.28 no.2
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    • pp.58-69
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    • 2021
  • Objectives The aim of this study was to examine the association between the sleep pattern, chronotype (midpoint of sleep on free days) and the depressive symptoms in adults aged 19 years and over in Korea. This study also investigated the mediating effect of perceived usual stress (PUS) and self-rated health (SRH) on the association between chronotype and depressive symptoms. Methods Among the subjects of the 7th Korea National Health and Nutrition Examination Survey (KNHANES) 2016 and 2018, 16142 adults aged 19 or over responded to the survey and finally 8604 were analyzed according to the exclusion conditions. Logistic regression analysis was conducted to see the risk of depressive symptoms, suicidal ideation over sleep pattern, chronotype. Finally, mediation analysis was performed in order to clarify how PUS and SRH are associated to chronoytpe and depression. Results After controlling for potential covariates, weekly sleep duration < 5 hours, ≥ 10 hours was associated with depressive symptoms. And late bed time sleeping after am 1:00 and later midpoints of sleep was associated with a higher level of depressive symptoms. Additionally, the PUS and SRH between chronotype and depressive symptoms showed a serial multiple mediation effect. Conclusions Short or long sleep duration, late bed time and later midpoints of sleep on free days are associated with depressive symptoms. Furthermore, the mechanism between chronotype and depressive symptoms needs to be further clarified by identifying the serial multiple mediation effects of PUS and SRH.

Association between Secondhand Smoke Exposure and Depressive Symptoms among Korean Adults (한국 성인에서 간접흡연노출과 우울증상 간의 상관관계)

  • Jin, Sunkwon;Han, Kyu-Man;Nam, Min;Chang, Jisoon
    • Korean Journal of Biological Psychiatry
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    • v.27 no.2
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    • pp.101-111
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    • 2020
  • Objectives The aim of this study is to investigate the association between secondhand smoke (SHS) exposure and depressive symptoms among Korean adults. This study also explored the mediating role of self-rated health (SRH) and perceived usual stress (PUS) in the association between depressive symptoms, suicidal ideation and SHS exposure. Methods Data from the Korea National Health and Nutrition Examination Surveys (KNHANES) in 2014 and 2016 was analyzed for 10539 participants aged 19 years or older. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated in the logistic regression analysis with adjustment for the potential confounding factors. We also adopted the mediation analysis method by Hayes and Preacher. Results After adjusting for the potential confounding factors, SHS at home and at public places were associated with depressive symptoms and suicidal ideation among non-smokers. After adjusting for the potential confounding factors, SHS at home and at public places was associated with depressive symptoms and suicidal ideation among non-smokers. Meanwhile SHS at workplaces was associated with depressive symptoms among former smokers and with suicidal ideation among current smokers. There was an additive effect of SHS on depressive symptoms only among non-smokers. SRH mediated the association between SHS and depressive symptoms and suicidal ideation among non-smokers. We did not observe any significant mediating effect of SRH nor PUS on the association between SHS and depressive symptoms among former and current smokers. Conclusions SHS may be associated with depressive symptoms and suicidal ideation in Korean adults. Our study elucidated how SHS interacted with depressive symptoms among non-smokers through the mediation by SRH.

Factors influencing the health-related quality of life of postmenopausal women with diabetes and osteoporosis: a secondary analysis of the Seventh Korea National Health and Nutrition Examination Survey (2016-2018) (골다공증이 있는 폐경 후 당뇨 여성의 건강관련 삶의 질 영향요인: 제7기 국민건강영양조사 자료(2016-2018년) 활용)

  • Kim, Hyuk Joon;Kim, Hye Young
    • Women's Health Nursing
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    • v.28 no.2
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    • pp.112-122
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    • 2022
  • Purpose: The prevalence of osteoporosis in postmenopausal women is increasing, and diabetes patients have decreased bone density. Their health-related quality of life (HRQoL) is diminished by the resultant physical dysfunction and depression. The purpose of this study was to identify factors influencing HRQoL in postmenopausal women with diabetes and osteoporosis. Methods: This was a secondary data analysis of the Seventh Korea Health and Nutrition Examination Survey (2016-2018), which utilized a complex, multistage probability sample design. The participants in the study were 237 women with diabetes and osteoporosis. To evaluate the factors that influenced HRQoL, a complex-samples general linear model was constructed, and the Bonferroni correction was performed. Results: In this sample of women aged 45 to 80 years (mean±standard deviation, 71.12±7.21 years), the average HRQoL score was 0.83±0.18 out of 1.0. Factors influencing HRQoL were age (70s: t=-3.74, p<.001; 80s: t=-3.42, p=.001), walking for exercise more than 5 days a week (t=-2.83, p=.005), cerebrovascular disease (t=-8.33, p<.001), osteoarthritis (t=-2.04, p=.014), hypertension (t=2.03, p=.044), higher perceived stress (t=-2.17, p=.032), poor glycemic control (t=3.40, p=.001), waist circumference (t=-2.76, p=.007), sitting time per day (t=-2.10, p=.038), and a longer postmenopausal period (t=3.09, p=.002). Conclusion: In order to improve the HRQoL of postmenopausal women with osteoporosis and diabetes, it is necessary to implement intervention strategies that enable the effective management of chronic diseases, while preventing the complications of diabetes and minimizing stress through physical activity.

Derivation of a 3D Arching Formula for Tunnel Excavation in Anisotropic Ground Conditions and Examination of Its Effects (비등방 지반에서 터널굴착을 위한 3차원 아칭식의 유도 및 그 영향 조사)

  • Son, Moorak
    • Journal of the Korean Geotechnical Society
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    • v.34 no.12
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    • pp.19-27
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    • 2018
  • Terzaghi proposed a 2D formula for arching based on the assumption of a vertical sliding surface induced in the upper part due to the downward movement of a trapdoor. The formula was later expanded to consider 3D tunnel excavation conditions under inclined sliding surfaces. This study further extends the expanded formula to consider the effects of different ground properties and inclined sliding conditions in the transverse and longitudinal directions considering anisotropic ground conditions, as well as 3D tunnel excavation conditions. The 3D formula proposed in this study was examined of the induced vertical stress under various conditions (ground property, inclined sliding surface, excavation condition, surcharge pressure, earth pressure coefficient) and compared with the 2D Terzaghi formula. The examination indicated that the induced vertical stress increased as the excavation width and length increased, the inclination angle increased, the cohesion and friction angle decreased, the earth pressure coefficient decreased, and the surcharge pressure increased. Under the conditions examined, the stress was more affected at low excavation lengths and by the ground properties in the transverse direction. In addition, The comparison with the 2D Terzaghi formula showed that the induced vertical stress was lower and the difference was highly affected by the ground properties, inclined sliding conditions, and 3D tunnel excavation conditions. The proposed 3D arching formula could help to provide better understanding of complex arching phenomena in tunnel construction.

Examination and Improvement of Accuracy of Three-Dimensional Elastic Crack Solutions Obtained Using Finite Element Alternating Method (유한요소 교호법으로 구한 삼차원 균열 탄성해의 정확성 향상 및 검토)

  • Park, Jai-Hak;Nikishkov, G.P.
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.34 no.5
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    • pp.629-635
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    • 2010
  • An SGBEM (symmetric Galerkin boundary element method)-FEM alternating method has been proposed by Nikishkov, Park and Atluri. This method can be used to obtain mixed-mode stress intensity factors for planar and nonplanar three-dimensional cracks having an arbitrary shape. For field applications, however, it is necessary to verify the accuracy and consistency of this method. Therefore, in this study, we investigate the effects of several factors on the accuracy of the stress intensity factors obtained using the abovementioned alternating method. The obtained stress intensity factors are compared with the known values provided in handbooks, especially in the case of internal and external circumferential semi-elliptical surface cracks. The results show that the SGBEM-FEM alternating method yields accurate stress intensity factors for three-dimensional cracks, including internal and external circumferential surface cracks and that the method can be used as a robust crack analysis tool for solving field problems.

Observational Study on the Effectiveness of Korean Medical Treatment on Stress Caused by Traffic Accidents (한의 치료가 교통사고 환자의 스트레스 및 심박변이도 변화에 미치는 영향)

  • Kim, Jin Youp;Jo, Hee Jin;Nam, Sang Soo;Kim, Young Suk
    • Journal of Acupuncture Research
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    • v.31 no.2
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    • pp.31-38
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    • 2014
  • Objectives : The purpose of this study is to find the effectiveness of Korean medical treatment on stress caused by traffic accidents. HRV analysis and IES-R K research were used to evaluate it. Methods : We selected patients who entered the KangNam KyungHee Hospital between 28 Sep 2013 and 14 Apr 2014 and met inclusion/exclusion criteria. Before taking treatment, we took HRV and IES-R-K first to know the exact mental conditions of patients. For a week, we had taken acupuncture treatment, herb medicine treatment and physical therapy. After that, we compared patients' changes between before-treatment and after-treatment with the same examination. Results : In a period of one week, Korean medical treatment makes LF(Norm) stay within the normal range and HF(Norm) increase. But, we could not find statistical significance between two. The normal range of LF/HF ratio increased, and there was statistical significance. After treatment, the IES-R-K score tended to decrease. Statistically, korean medical treatment is useful to alleviate subjective stress by traffic accidents. Conclusions : Korean medical treatment makes the sympathetic system relax and parasympathetic system rise so it balances an autonomic nervous system. But, there is not statistical significance. Also, it gives positive effect on car accident patients' treatment in terms of easing their subjective stress. Prospective and Larger study will be necessary.

The Cross Sectional Study of Autonomic Nerve Balance And Stress In Patient Who Visted Dept. of Oriental Medical Dermatology (HRV 검사를 통한 피부과 내원환자의 자율신경 균형 및 스트레스 단면 연구)

  • Kim, Kyu-Seok;Nam, Hae-Jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.21 no.2
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    • pp.142-153
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    • 2008
  • Objective : Etiologically, stress is a important factor to immune system and skin disease. Human body is controled to keep his homeostasis from stress by autonomic nerve system. So we investigated autonomic nerve balance and stress level of patients with skin disease by heart rate variability(HRV) test. Research Methods and Procedures : Fifty two patient(from 15 years old to 35 years old) who visited Dept. of Oriental medical Dermatology, Kyunghee university at first and had an examination by HRV test, were selected as the subject of our study. We checked items of HRV test(such as SDNN, RMSSD, VLF, LF, HF, TP, norm-LF, norm-HF, LF/HF ratio, LnHF and LnHF), and analyzed time and frequency domain by sex, age, onset, color on end of patient's tongue, sweating and sleep condition. Results and Conclusion : Men showed significant higher SDNN, RMSSD, LF, norm-LF, norm-HF, LF/HF ratio, LnLF and LnHF than women(p <0.05). Patients who were attacked by skin disease within 6 months, showed significant higher TP and VLF than over 6 months(p <0.05). Patients with normal color on the end of their tongue showed significant higher TP and VLF than with flare color. We analyzed correlation to color on the end of tongue and RMSSD. Prevalence risk(RMSSD <20ms) in the case of normal color on the end of tongue was 5 times as high as in the case of flare color(p <0.1). And we analyzed correlation to age and LF/HF ratio. Prevalence risk(LF/HF ratio <1) of patients from 15 years old to 25 years old was 1.467 times as high as from 26 years old to 35 years old(p <0.1).

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Multiple Roles and Health among Korean Women (여성의 다중역할에 따른 건강 차이)

  • Cho, Su-Jin;Jang, Soong-Nang;Cho, Sung-Il
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.5
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    • pp.355-363
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    • 2008
  • Objectives : Most studies about multiple roles and women's health suggested that combining with paid job, being married and having children was more likely to improve health status than in case of single or traditional roles. We investigated whether there was better health outcome in multiple roles among Korean women coinciding with previous studies of other nations. Methods : Data were from the 2005 Korea National Health & Nutritional Examination Survey, a subsample of women aged 25-59 years (N=2,943). Health status was assessed for self-rated poor health, perceived stress and depression, respectively based on one questionnaire item. The age-standardized prevalence of all health outcomes were calculated by role categories and socioeconomic status. Multiple logistic regression was used to assess the association of self rated health, perceived stress, and depression with multiple roles adjusted for age, education, household income, number of children and age of children. Results : Having multiple roles with working role was not associated with better health and psychological wellbeing. Compared to those with traditional roles, employed women more frequently experienced perceived stress, with marital and/or parental roles. Non-working single mothers suffered depression more often than women with traditional roles or other role occupancy. Socioeconomic status indicators were potent independent correlates of self-rated health and perceived stress. Conclusions : Employment of women with other roles did not confer additional health benefit to traditional family responsibility. Juggling of work and family responsibility appeared more stressful than traditional unemployed parental and marital role in Korean women.

A Clinical Study on the Anti-Stress Effects by Lyu's Soyosan(柳氏逍遙散) and Lyu`s Kwipithang(柳氏歸脾湯) (유씨소요산(柳氏逍遙散)과 유씨귀비탕(柳氏歸脾湯)의 항(抗)스트레스 효과(效果)에 관(關)한 임상적(臨床的) 연구(硏究))

  • Lee Sek-Jun;Lyu Heui-Yeong
    • Journal of Oriental Neuropsychiatry
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    • v.5 no.1
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    • pp.41-60
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    • 1994
  • The objective of this paper is to verify clinical effects of Lyu's Soyosan(柳氏逍遙散) and Lyu's Kwipithang(柳氏歸脾湯). They were prescribed to the enperimental student group suffering from mental stress and annoyed by psychological instability. From the biochemical examination before and after medication, we measure the amount of hormonal variation in thyroid hormone(TSH, $T_4$) and adrenocortical hormone(ACTH, cortisol) The results are as follows. 1. The average of self-rating anxiety scale(SAS) in test group is $41.00\;{\pm}\;7.84$. This value is statistical significant and higher than one of normal person(age 20-39). The average of a global assesment of recent stress(GARS) scale is $28.62\;{\pm}9.00$. There is statistical correlation coefficient between SAS and GARS (p < 0.001). 2. Both Lyu's Soyosan(柳氏逍遙散) and Lyu.s Kwipithang (柳氏歸脾湯) groups show statistically significant reduction of total cholesterol and triglyceride level in serum lipid after ten day medication. 3. It is observed that Lyu's Soyisan(柳氏逍遙散) and Luy's Kwipithang (柳氏歸脾湯) groups have increasing tendency of TSH. The statistically significant reduction of $T_4$ was found in two groups after ten day medicaton. 4. It is observed that Lyu's Soyosan(柳氏逍遙散) and Lyu's kwipithang (柳氏歸脾湯) group have statistically significant reduction of serum cortisol level after ten day medication, Both groups have statistically significant reduction of plasma ACTH level after twenty day medication. From these results, it is verified that both Lyu's Soyosan(柳氏逍遙散) and Lyu's Kwipithang (柳氏歸脾湯) have anti-stress effects against psychological instability and mental stress. The Lyu's Soyosn(柳氏逍遙散) shows special effectiveness in depression of liver-energy(肝氣鬱結) and the Lyu's Kwipitang (柳氏歸脾湯) is also effective in deficiency heart-blood(心血不足).

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