• 제목/요약/키워드: High frequency symptom

검색결과 114건 처리시간 0.026초

Pyrethroid 중독에 대한 고찰 - 2005년도 농약 중독 실태조사를 기반으로 (The Study of Pyrethroid Intoxication: The basis of Agrichemical Intoxication Survey in 2005)

  • 김아진;김경환;박준석;어은경;오범진;이미진;이성우;서주현;노형근
    • 대한임상독성학회지
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    • 제5권2호
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    • pp.99-105
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    • 2007
  • Purpose: Pyrethroid is an insecticide that produces moderate intoxication in mammals, with neither exposure to skin nor inhalation resulting in severe systemic manifestations. In 2005 we made a nationwide survey of agrichemical human intoxication. The object of this study is to analyze pyrethroid intoxications based on the 2005 survey. Methods: We prospectively collected data from 1 August 2005 to 31 July 2006 by a standard investigation protocol. We analyzed demographic data, exposure data (cause, amount, ingredients), clinical features, and courses. Results: A total of 125 cases of pyrethroid intoxication were surveyed. The mean patient age was $56.78{\pm}16.158$ years old, and the mean amount ingested was $121.85{\pm}110.732ml$. Patients were classified into four severity groups according to symptoms and mental status: the asymptomatic group (27 patients, 21.6%), the mild symptom group (48, 38.4%), the moderate symptom group (21, 16.8%), and the severe symptom group (7, 5.6%). There were statistically significant differences in mental status, severity, and mean ICU days between two groups. Admission days by severity grade for the asymptomatic, mild, moderate, and severe symptom groups were $5.49{\pm}16.051,\;3.65{\pm}4.143,\;4.59{\pm}3.335,\;and\;8.14{\pm}7.199days$, respectively (p=0.047). Conclusion: Nationwide surveillance was extremely telling in uncovering a high frequency of agrichemical intoxication in Korea. In pyrethroid intoxication, severity grading can be a useful prognostic tool.

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심인성(心因性) 두통(頭痛)의 심박변이도(HRV) 분석에 의한 자율신경기능 평가 (Assessment of Autonomic Function in Functional Headache by Heart Rate Variability)

  • 김경옥;송지형;김근우;구병수;심상민
    • 동의신경정신과학회지
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    • 제13권1호
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    • pp.19-37
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    • 2002
  • Objectives : This study sought to define autonomic functional difference on heart rate variability between headache patients and normal subjects Methods : We determined, heart rate variability of 52 headache patients and 30 normal subjects by means of three time domain measures: Mean PR(mean pulse rate), SDNN(standard deviation of all normal R-R intervals), RMSSD(the square root of the mean of sum of the squares of differences between adjacent normal R-R intervals), and five frequency domain measures: TP(total power), VLF(very low frequency), LF(low frequency), HF(high frequency). Results : 1) RMSSD, TP, HF, HF Norm of HRV decreased with aging and LF Norm, LF/HF increased with aging in headache patients. 2) There was no significant differences between migraine and tention headache in any standard index of HRV, whereas, HRV of total headache patients were smaller than those of normal subjects. 3) In the gender comparison, SDNN, RMSSD, HF of tention headache patients were the smallest and then migraine patients, normal subjects in order with man, whereas, LF Norm, LF/HF of normal subjects were the smallest with man. RMSSD of migraine patients were the smallest and then tention headache patients, normal subjects in order with women. 4) In the term of history of headache patients, SDNN, RMSSD were getting lower as long term. 5) There was no significant differences of HRV in physical symptom of headache patients. Conclusions : All of these results show that standard index of HRV of headache patients were significantly different with normal subjects.

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합곡자(合谷刺)와 전침(電鍼)으로 치료한 간질성 방광염 4례 증례보고 (The clinical observations of 4 case of Interstitial cystitis patient treated with Hapgokja(合谷刺) and Electroacupuncture)

  • 최우식;송인광;박준성;이승덕;김갑성
    • Journal of Acupuncture Research
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    • 제19권6호
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    • pp.193-204
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    • 2002
  • Interstital cystitis(IC) is a disease of the bladder that is characterized by inveterate irritation due to non-specific chronic inflammation. The symptoms of IC are chronic pain, frequency, urgency and sleep deprivation These symptom's are contained to the Lunbing(淋病) in oriental medicine. We observed 4 cases of patient with Interstitial cystitis, the results are as follows. Methods & Results : All patients were treated by the same method. Treatment was performed by means of Hapgokja(合谷刺, The needle arrived to the bladder wall) with electroacupuncture(electric stimulation was 5mA mixed pulse, low frequency 2Hz and high frequency 30Hz, intensity was adjusted to inside the scope where the patients perseveres.) The electrodes were placed CV2 to CV3, both K11, K12. Conclusions : 1. As the result, uses the Hapgokja(合谷刺), with the electroacupuncture, symptoms are remarkably improved and got the satisfactory effect in the treatment. 2. In Hunner's ulcer type, the first treatment was not satisfactory, and second time, after 15 times treatment, there were maintain urgency, 8 times nocturia, 70 percents bladder pain. 3. 3 patients of nonulcer type were treated for 44.8 times(average) and improved started after 5 times treatment. After 2 month's treatment, there were no frequency, no urgency, and remain 1 or 2 nocturia, 30 percents bladder pain.

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데이터 마이닝을 이용한 서울시교직원의 피로요인 탐색연구 (An Exploratory Study of Fatigue Related Factors among School Personnelin Seoul by Data mining)

  • 이희우;신선미
    • 한국학교보건학회지
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    • 제19권1호
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    • pp.79-88
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    • 2006
  • Purpose : To identify general characteristics of school personnel with recent fatigue which was the most frequent symptom among subjective symptoms and to explore fatigue-related factors by evaluating physical and perceived health status, life style, and symptoms through data mining techniques. Methods : We collected a data of the 1,147(male 545, female 602) who were elementary, middle, or high school personnel, answered a questionnaire, and received physical examination in Seoul School Health Center from September to November in 2000. And we investigated the differences between fatigue group and non-fatigue group for demographic characteristics, physical health status, perceived health status, symptoms, and laboratory values by frequency, chi-square test, t-test, or simple logistic regression analysis by SAS package 8.1, and then selected significant variables as input variables of a decision tree analysis of CART model by SAS E-miner. Results : In general characteristics, the fatigue consisted of 41.1%(male 35.2%, female 46.4%) among 1,147 school personnel. In classical statistics, factors related with fatigue were female, lower means of systolic and diastolic pressure, young age, personnel in middle school, irregular eating habit, no exercise a week or less than 30minutes exercise a day, perception of unhealthy status, and subjective symptoms including short of breath at exercise. In simple logistic regression to examine the relationship between selected independent variables and fatigue as a dependent variable, the odds ratio of gender (female vs male) was 1.58 times, and young age ( 20s vs 60s) 20.67 times, and middle vs high school personnel 1.86 times. However, we mined combined several characteristics by SAS-E miner. In CART model, if health perception was healthy, and age was >= 37.5 years, the proportion of the fatigue was only 19.3%. but if health perception was not healthy and symptom was severe 'short of breath' during exercise and age was < 53.5 years, and BMI was >= 22.69, the proportion of the fatigue was up to 84.8%. Conclusions : The fatigue consisted of 41.1%(male 35.2%, female 46.4%). In classical statistics, fatigue-related factors among school personnel were young age, female gender, perceived unhealthy status, subjective physical symptoms, poor life-style, and lower blood pressure rather than only physical health status. However, in data mining, if health perception was healthy and age was >= 37.5 years, the proportion of the fatigue was only 19.3%. but if health perception was not healthy and symptom was severe 'short of breath' during exercise and age was < 53.5 years, and BMI was >= 22.69, the proportion of the fatigue was up to 84.8%.

대퇴골두 부위에 발생한 양성 골 종양에 대한 경피적 고주파치료 (증례보고) (Percutaneous Radiofrequency Therapy of Benign Bone Tumors in the Femoral Head)

  • 서재곤;김응수
    • 대한골관절종양학회지
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    • 제9권1호
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    • pp.84-92
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    • 2003
  • 서론: 대퇴골 근위부에 발생하는 종양은 양성일지라도 수술적 병변의 제거시 관절내 도달이 필요하거나 대퇴골 경부에 손상을 줄 수 있는 등 주위 고관절의 구조 및 기능을 위협할 수 있어 그 예후가 좋지 않을 수 있고 치료에 어려움이 있으나 고관절부의 동통을 유발하는 양성 골종양의 치료는 비관혈적 수술이 현재로는 거의 불가능하다. 최근 CT등을 이용한 경피적 절제술, 경피적 고주파 열치료등 비교적 덜 침습적인 치료법에 대한 관심과 연구가 증가하고 있으나, 아직까지는 대퇴골 근위부 종양중 비교적 흔한 유골골종(osteoid osteoma)에 국한된 연구가 대부분이다. 이에 저자는 대퇴골두내 발생한 내연골종 및 피질골내 연골종을 경피적 고주파 열치료를 통해 치료한 후 이를 보고하는 바이다. 증례: -증례1 - 31세 여자환자로 1년 전부터 시작된 우측 둔부 및 서혜부 외측의 통증을 주소로 내원하였다. 사무직 여성으로 과거력 및 가족력 상 특이 소견 없었으며 통증의 양상은 간헐적으로 야간에 심해지는 양상으로 통증 발현 시에는 체중 부하하기 힘든 정도였다. 통증에 대해 수개월간 대증적 치료를 시행하였으나 수일에서 수주 후 재발되는 양상이었으며 비스테로이드성 소염 진통제에 비교적 효과가 있었으나 내원 시에는 증상이 점차 심해지며 지속적인 양상으로 소염진통제가 계속적으로 필요하였다. 이학적 소견상 우측 고관절의 운동제한은 없었으나 Patrick 검사 양성이었으며 내회전시 불쾌감을 호소하였다. 단순 방사선 검사상 우측 대퇴 골두 부위에 주변으로 경화상을 보이는 방사선 투과성 병변이 관찰되었으며, MRI상 T1WI와 T2WI에서 낮은 신호강도를 보이면서 1.5${\times}$1cm 크기로 경계가 비교적 분명하였고 주변에 반응성 부종이 관찰되어. 유골골종의 가능성이 큰 것으로 보아 고주파열치료를 시행하기로 하였으며 전신마취하에서 먼저 CT시행 하에 세침 생검을 실시한 후 Radionics$^{(R)}$ 고주파침을 삽입하여 병변 중앙에 위치시킨 후 $80^{\circ}C$ 평균모드으로 6분간 고주파 열 치료 시행하였으며 시행 중 다른 합병증은 발생하지 않았다. 환자는 마취에서 의식이 돌아온 직후와 술 후 14시간 후에 통증 전혀 호소하지 않았으며 술후 1일째 체중 부하시 통증 없는 것 확인 후 퇴원 조치 하였으며 술 후 3주 뒤 MRI로 병변 부위 관찰하였으며, 이때 병변부위 소실된 것 확인할 수 있었다. 술 후 15개월째 환자는 일상 생활에 지장없었으며 통증 호소하지 않았다. 조직 검사결과는 피질골내 연골종으로 확인되었다. -증례 2- 56세 여자환자로 3개월 전부터 시작된 좌측 둔부 및 대퇴부 외측의 통증을 주소로 내원하였다. 통증은 주로 밤에 악화되었으며 1달 전부터 통증 심해지고 지속되는 양상으로 타 병원에서 아스피린으로 통증 조절되었고 유골 골종 의심 하에 본원으로 전원되었다. 과거력이나 가족력상 특이사항 없었으며 이학적 검사상 고관절 운동 범위 제한은 없었으나 외전과 내회전시 좌측 서혜부에 통증을 호소하였다. 단순 방사선 소견상 좌측 대퇴골두 하방 내측으로 석회화를 동반하고 주변 경화상을 보이는 방사선 투과성 병변이 관찰되었으며 MRI상 T1WI와 T2WI에서 비교적 낮은 신호강도를 보이는 양상으로, 유골골종의 가능성이 높은 것으로 보아 고주파 열치료를 시행하기로 하였으며 전신 마취 후 CT시행 하에 먼저 세침 조직 검사를 실시한 후 Radionics$^{(R)}$ 고주파침 삽입 후에 평균 모드 $80^{\circ}C$로 6분간 열 치료 시행하였고 환자는 마취에서 회복 후 즉시 통증 감소 보였으며 시술 후 1일째 이학적 검사 및 체중 부하 시행하였을 때 통증이 없는 것을 확인한 후 퇴원 조치 할 수 있었으며 술 후 1달째 MRI검사를 통해 병변이 사라지고 성공적으로 시술을 시행하였음을 확인할 수 있었으며 이후 시술 3개월째로 통증호소없었고 이학적소견상 정상이었다. 조직검사결과는 내연골종으로 확인되었다. 결론: 저자들은 수술적으로 치료가 비교적 어려운 대퇴 골두 부위에 발생한 피질골내 연골종과 내연골종에 대해 경피적 고주파열치료를 시행한 후 이를 보고하는 바이며 동통을 유발하는 유골 골종 이외의 다른 양성골 종양에 대해 치료 계획시 그 도달이 어렵거나 술 후 주위 구조물과 관절의 불안정성등의 합병증이 유발될 수 있는 경우 그 적응증의 확대를 신중히 고려해야 할 것이다.

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중·고등학생들의 인구사회경제적 특성, 건강관련행위 및 주관적 건강인지가 학업성취도에 미치는 영향 (Influencing factors to Academic Achievement according to Demographic and Socio-economic Characteristics, Health Behaviors and Health Status in Korean Adolescents)

  • 윤병준
    • 한국학교ㆍ지역보건교육학회지
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    • 제20권3호
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    • pp.1-13
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    • 2019
  • Objectives: The purpose of this study was to examine whether demographic and socio-economic characteristics, health behaviors and health status are related to academic achievement in Korean adolescents. Methods: Data from the 14th Korea Youth Risk Behaviors web-based Survey(KYRBWS) administered in 2018 were analyzed; 60,040 students in middle and high school participated in the survey. It was conducted frequency analysis, Rao-Scott chi-square test and multiple logistic regression analysis after adjusted for variables such as age, school grade. Results: The significant influencing factors on academic achievement were family economic status, living with parents, subjective health status, smoking experience, alcohol use experience, eating breakfast, sleeping, internet use during weekdays, depressive symptom(p<.001). The odds ratio for achieving higher academic achievement compared with those who never smoked was 1.50(p<.001). Conclusion: I found that students' undesirable health behaviors affect their academic performance. To improve academic achievement, I recommend intervention programmes such as school health promotion that reduce undesirable health related behaviors.

노인의료복지시설 생활지도원의 직무스트레스와 근골격계 증상 (Job Stress and Musculoskeletal Symptoms of Care Workers at Medical Welfare Facilities for Elders)

  • 이영미
    • 지역사회간호학회지
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    • 제18권3호
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    • pp.410-419
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    • 2007
  • Purpose: This study is a descriptive survey to find out musculoskeletal symptoms in care workers working at medical welfare facilities for elders and factors affecting such symptoms. Methods: Data were collected from 115 care workers selected through convenient sampling from 6 medical welfare facilities in Seoul and Gyeonggi-do during the period from May 15th to May 19th. 2006. The Korean version of Job Content Questionnaire (JCQ) were used. Result: Of the subjects, 81.7% complained of musculoskeletal symptoms in two or more parts of their body. The frequency of body parts with musculoskeletal symptoms was high in order of shoulder, leg/foot, waist, neck/hand/wrist/finger and arm/elbow. The average job insecurity instability in the age group of 50-59 was 9.19, the average degree of regular exercise was 59.68. and the average job demand in those diagnosed with musculoskeletal diseases was 47.06, and the average job demand in those wounded during exercise or by an accident was 47.78, and all these were statistically significant. The heavier physical load in their work was, the higher their complaint of musculoskeletal symptoms was. In the lower social support group, the degree of complaint on musculoskeletal symptoms was remarkably high. Conclusion: The physical load of their duty and social support worked as the factors affecting musculoskeletal symptoms in care workers.

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인후부 이물감 호소에 따른 위식도역류질환 환자의 임상적 특징 비교 (Comparison of the Clinical Characteristics of Patients with Gastroesophageal Reflux Disease According to Globus Sensation)

  • 백소영;황미니;고휘형;김동윤;이하늘;정해인;하나연;김진성
    • 대한한방내과학회지
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    • 제40권3호
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    • pp.287-294
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    • 2019
  • Objectives: This study aimed to investigate the clinical characteristics of patients with gastroesophageal reflux disease (GERD) according to globus sensation (GS). Methods: We reviewed the clinical records of 29 GERD patients who visited the Department of Digestive Diseases of Kyung Hee University Korean Medicine Hospital from March 1, 2018 to February 28, 2019. The subjects were classified according to the presence of globus sensation, and the two groups were compared in terms of heart rate variability (HRV) and the Ryodoraku results. Results: In comparing the GERD with GS group (GS group) and the GERD without GS group (non-GS group), a significant difference was found in the duration of symptom and several HRV parameters. The duration of the symptom in the GS group was significantly longer than that in the non-GS group. The non-GS group showed a significantly higher value of total power and high frequency than the GS group. Conclusions: The results suggest a significant difference in the stress level between patients with GERD with GS and those without GS. When approaching patients with GERD without GS, their stress status should be considered.

택배종사자의 근골격계질환 증상에 관한 연구 (Symptoms of the Musculoskeletal disorders in Delivery Workers )

  • 이세정;진상은;장성록
    • 한국안전학회지
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    • 제38권2호
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    • pp.52-59
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    • 2023
  • Due to the routine nature of social distancing in accordance with the COVID-19 pandemic, the logistics industry is under rapid development, given that offline demand is focused on online platforms. The number of warehouse workplaces and workers are steadily increasing per annum, and the industrial accident rate of transportation, warehouse, and telecommunication industries to which warehouse employees belong is higher than the total industrial accident rate in Korea. In previous studies, warehouse workers reported exposure to health hazards such as musculoskeletal disorders due to the handling of heavy objects and improper working postures. Accordingly, in this study, a survey was conducted to investigate symptoms of musculoskeletal disorders with focus on parcel delivery workers nationwide. The questionnaire included a musculoskeletal disorder symptom survey table to identify information such as worker occupational history, work type, and signs or symptoms of musculoskeletal disorders. Survey response data from 453 people were obtained to determine the influence of delivery business characteristics on occupational musculoskeletal disorders, and the influencing factors were analyzed. Based on the results, in the analysis of pain with respect to body part, the duration, degree, and frequency of pain were highest in the leg part, and as a result, the average value for the leg part exhibited a significant difference from those of other body parts. In addition, 52.32% of workers exhibited symptoms of musculoskeletal disorders, and a high number of patients with musculoskeletal disorders was observed in the work group with less than three years of service and with ages ranging from 30-39. The results of this study can serve as basic data for the derivation of a management plan that meets the characteristics of musculoskeletal disorders that impact logistics workers overburdened with work due to the rapid increase in parcel delivery volume in accordance with an increase in online consumption.

에이즈 상담간호사 자격제도 개발을 위한 직무 분석 - 포커스 그룹 연구방법과 데이컴 기법을 중심으로 - (Development of Job Description of HIV/AIDS Counselling Nurse in Korea)

  • 권영미;조경미;주혜주;김성재;전경자;박은희
    • 간호행정학회지
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    • 제15권1호
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    • pp.91-105
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    • 2009
  • Purpose: The aim of this study was to analyze the needs of HIV/AIDS care and to develop the job description of HIV/AIDS Counselling nurse in Korea. Methods: The needs assessment was done by focus group interview with HIV/AIDS care recipients who are 16 persons living with HIV/AIDS and four their family members, seven persons from HIV/AIDS high risk group, and five nurses working on HIV/AIDS clinics. Based on the result of needs assessment, job description was developed using the DACUM. Mail survey was done to identify the frequency, importance, and difficulty of duties, tasks, and task elements. Results: The job description was classified under 8 duties, 36 tasks, and 290 task elements. Duties were categorized as needs assessment, health promotion and quality of life, improvement of treatment compliance, symptom care, health education, resource network, administrative activity, and career development. The importance of all duties and tasks showed high score from the survey, but the frequency and the performance level were middle range. Conclusion: It is suggested that the special training program based on the job description needs to be developed. In the political aspects, the introduction of HIV/AIDS nurse specialist certification could be considered.

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