• 제목/요약/키워드: Life events

검색결과 1,040건 처리시간 0.037초

A Feasibility Study of Acupuncture for Chronic Pain in Patients with Osteoporotic Thoracolumbar Compression Fracture: A Prospective Case Series

  • Bae, Ji min;Choi, Ji won;Kim, Dae hun;Yang, Gi Young;Kim, Kun hyung
    • Journal of Acupuncture Research
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    • 제35권2호
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    • pp.75-80
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    • 2018
  • Background: The aim of this study was to assess the feasibility of conducting a clinical study of using acupuncture for chronic pain in patients with osteoporotic thoracolumbar vertebral compression fractures (VCFs) in the outpatient setting. Methods: A prospective case-series attempting to recruit 20 participants was performed from February 11, 2016, to December 31, 2016. We provided Manual and electrical acupuncture was provided one 1 to three 3 times a week, for 6 weeks, up to 18 sessions. The primary clinical outcome was the average pain intensity as measured by the visual analog scale (VAS) at 6 weeks. Secondary outcomes included back-specific dysfunction (Oswestry disability index), quality of life (quality of life questionnaire-26), patient-reported improvement, use of other healthcare resources, and adverse events at 6 weeks. Use of healthcare resources and adverse events were additionally followed-up at 12 weeks by telephone. Results: Of 33 patients screened, a total of 7 were enrolled in the study. Manual and electrical acupuncture was provided 1 to 3 times a week, for 6 weeks, up to 18 sessions. We observed reduced pain intensity at 6 weeks in all participants. The change in the quality of life and back-specific dysfunction was inconsistent among participants. Mild, temporary adverse events were observed in three patients. Conclusion: In our clinical setting, it was not feasible to recruit sufficient participants and to assess the efficacy of acupuncture for chronic pain after osteoporotic thoracolumbar VCFs under a year. Strategies to improve recruitment and to identify barriers to participation are required for future clinical trials.

우울증을 매개로 한 청소년의 자살구상에 관한 가족 및 학교환경의 경로분석 모델 (Path Model for the Family and School Environment Affecting Adolescent Suicidal Ideation Mediated by Depression)

  • 전영주
    • 대한가정학회지
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    • 제39권1호
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    • pp.151-167
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    • 2001
  • This study tests the path model which examines how the variables of past and present family dynamics, school adjustment, filed life events affect the adolescents'depression which in tum influencing their suicidal ideation. In the path model, the exogenous varialbes were negative parenting experience in childhood, maladjustment history of the family (e.g., alcohol, divorce), present parent-adolesecent communication, school adjustment, filed life events were used, whereas the adolescent depression was used as the mediated variable. The endogenous variable was the adolescent suicidal ideation. The respondents of the survey were 635 adolescent who were 1st and 2nd grade of high school located in Seoul and Busan. Using SPSS for Windows, the path analysis was done for male and female adolescents separately, since female adolescents were found to report significantly higher degree of depression and suicidal ideation then were male adolescents. The results of the path analysis were as followings. First, for both the male and female adolescents, depression was the strongest predictor of their suicidal ideation. Also, school adjustment strongly affected the adolescents'depression as well as their suicidal ideation. Meanwhile, filed life events indirectly influenced the suicidal ideation only through the depression. Second, for the male adolescents, negative parenting experience in childhood affected both the depression and suicidal ideation, while the parent-adolescent communication directly affected the suicidal ideation. Third, for the female adolescents, maladjustment family history and negative parenting experience did not affect their depression, but the suicidal ideation. Meanwhile, parent-adolescent communication was a significant predictor of female adolescents'suicidal ideation as well as their depression. In conclusion, discussion on different path of male and female adolescents'suicidal ideation was provided.

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Correlation of Occupational Stress Index with 24-hour Urine Cortisol and Serum DHEA Sulfate among City Bus Drivers: A Cross-sectional Study

  • Du, Chung-Li;Lin, Mia Chihya;Lu, Luo;Tai, John Jen
    • Safety and Health at Work
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    • 제2권2호
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    • pp.169-175
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    • 2011
  • Objectives: The questionnaire of occupational stress index (OSI) has been popular in the workplace, and it has been tailored for bus drivers in Taiwan. Nevertheless, its outcomes for participants are based on self-evaluations, thus validation by their physiological stress biomarker is warranted and this is the main goal of this study. Methods: A cross-sectional study of sixty-three city bus drivers and fifty-four supporting staffs for comparison was conducted. Questionnaire surveys, 24-hour urine cortisol testing, and blood draws for dehydroepiandrosterone-sulfate (DHEA-S) testing were performed. The measured concentrations of these biological measures were logarithmically transformed before the statistical analysis where various scores of stressor factors, moderators, and stress effects of each OSI domain were analyzed by applying multiple linear regression models. Results: For drivers, the elevated 24-hour urine cortisol level was associated with a worker's relationship with their supervisor and any life change events in the most recent 3 months. The DHEA-S level was higher in drivers of younger age as well as drivers with more concerns relating to their salary and bonuses. Non-drivers showed no association between any stressor or satisfaction and urine cortisol and blood DHEA-S levels. Conclusion: Measurements of biomarkers may offer additional stress evaluations with OSI questionnaires for bus drivers. Increased DHEA-S and cortisol levels may result from stressors like income security. Prevention efforts towards occupational stress and life events and health promotional efforts for aged driver were important anti-stress remedies.

SPI와 EDI 가뭄지수의 방글라데시 기상가뭄 평가 적용성 비교 (Comparative Evaluation of Standardized Precipitation Index (SPI) and Effective Drought Index (EDI) for Meteorological Drought Detection over Bangladesh)

  • 모하마드 캄루자먼;조재필;장민원;황세운
    • 한국농공학회논문집
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    • 제61권1호
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    • pp.145-159
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    • 2019
  • A good number of drought indices have been introduced and applied in different regions for monitoring drought conditions, but some of those are region-specific and have limitations for use under other climatic conditions because of the inherently complex characteristics of drought phenomenon. Standardized Precipitation Index (SPI) indices are widely used all over the world, including Bangladesh. Although newly developed, studies have demonstrated The Effective Drought Index (EDI) to perform better compared to SPIs in some areas. This research examined the performance of EDI to the SPI for detecting drought events throughout 35 years (1981 to 2015) in Bangladesh. Rainfall data from 27 meteorological stations across Bangladesh were used to calculate the EDI and SPI values. Results suggest that the EDI can detect historical records of actual events better than SPIs. Moreover, EDI is more efficient in assessing both short and long-term droughts than SPIs. Results also indicate that SPI3 and the EDI indices have a better capability of detecting drought events in Bangladesh compared to other SPIs; however, SPI1 produced erroneous estimates. Therefore, EDI is found to be more responsive to drought conditions and can capture the real essence of the drought situation in Bangladesh. Outcomes from this study bear policy implications on mitigation measures to minimize the loss of agricultural production in drought-prone areas. Information on severity level and persistence of drought conditions will be instrumental for resource managers to allocate scarce resources optimally.

공간 예측 모델을 이용한 산사태 재해의 인명 위험평가 (Life Risk Assessment of Landslide Disaster Using Spatial Prediction Model)

  • 장동호
    • 환경영향평가
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    • 제15권6호
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    • pp.373-383
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    • 2006
  • The spatial mapping of risk is very useful data in planning for disaster preparedness. This research presents a methodology for making the landslide life risk map in the Boeun area which had considerable landslide damage following heavy rain in August, 1998. We have developed a three-stage procedure in spatial data analysis not only to estimate the probability of the occurrence of the natural hazardous events but also to evaluate the uncertainty of the estimators of that probability. The three-stage procedure consists of: (i)construction of a hazard prediction map of "future" hazardous events; (ii) validation of prediction results and estimation of the probability of occurrence for each predicted hazard level; and (iii) generation of risk maps with the introduction of human life factors representing assumed or established vulnerability levels by combining the prediction map in the first stage and the estimated probabilities in the second stage with human life data. The significance of the landslide susceptibility map was evaluated by computing a prediction rate curve. It is used that the Bayesian prediction model and the case study results (the landslide susceptibility map and prediction rate curve) can be prepared for prevention of future landslide life risk map. Data from the Bayesian model-based landslide susceptibility map and prediction ratio curves were used together with human rife data to draft future landslide life risk maps. Results reveal that individual pixels had low risks, but the total risk death toll was estimated at 3.14 people. In particular, the dangerous areas involving an estimated 1/100 people were shown to have the highest risk among all research-target areas. Three people were killed in this area when landslides occurred in 1998. Thus, this risk map can deliver factual damage situation prediction to policy decision-makers, and subsequently can be used as useful data in preventing disasters. In particular, drafting of maps on landslide risk in various steps will enable one to forecast the occurrence of disasters.

SRRS를 이용한 측두하악장애 재발환자의 생활 변화에 관한 연구 (Study on Life Changes of Recurred TMD Patients Through SRRS)

  • 노곤현;안용우;고명연
    • Journal of Oral Medicine and Pain
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    • 제32권1호
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    • pp.81-90
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    • 2007
  • 2005년 9월부터 2006년 8월까지 부산대학교병원 구강내과 구강안면통증 클리닉에 측두하악장애를 주소로 내원한 재발환자 33명과 초진환자 32명(대조군)을 대상으로 사회적 재적응 평정척도 설문지를 이용하여 생활변화를 조사 분석한 결과 다음과 같은 결론을 얻었다. 1. TMD 재발환자와 대조군의 생활변화량, 즉 LCU 총점은 $7{\sim}12$개월 이내에는 각각 평균 51.61점과 20.38점으로 재발군이 대조군에 비해 유의한 차이를 나타냈다(P<0.05). 2. TMD 재발환자군은 최근 1년간 생활상의 변화를 대조군에 비해 좀 더 많이 경험하는 경향을 보였다. 3. 연령 및 학령에 따른 TMD 재발군과 대조군의 차이와 고령층과 저령층간 생활변화의 차이는 인정할 수 없었다. 4. 미혼자군과 기혼자군간 생활상의 변화에 유의한 차이는 인정할 수 없었다.

전북지역 고교생의 사회인구학적, 심리 ${\cdot}$ 환경적 특성과 대처방법이 스트레스 받는 정도에 미치는 영향 (Effects of SES, Psychological Environments, Stress Coping Method on High School Student's Stress in Choen-buk)

  • 송순
    • 가정과삶의질연구
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    • 제18권3호통권47호
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    • pp.171-187
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    • 2000
  • The purpose of this study is to research high school students' stressful life events, to examine effects of SES, psychological environments, stress coping methods on stress. Data were collected by 965 high school students in Cheon-buk. Data were analyzed with the frequency, percentage, factor analysis, reliability, ANOVA test, Multiple Regression in use of SPSS WIN 7.5 Program. The main results are as follow: 1. High school students; stressful life events are ① comparingㆍinterferenceㆍscolding ② having a bad at their study. ③ educational environments ④ ability ⑤ apearance. Peoples stressed me are ① her(him)self ② friend and ③ teacher. Stress coping behaviors are it's ① speak ill a person. ② listen to the music. ③ sleep. ④ be patient. ⑤ keep still or take breath deeply. 2. SES, Psychological Environments, Stress Coping Methods are related to stress. Especially hopeless in future, parental not affections and parental interference are related to stress highly. Also the stress by sex discrimination are related to gender intimately. 3. Effects of SES, Psychological Environments, Stress Coping Method on high school students' stress are very different. So it must to be differentiated the support on the high school students' stress.

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Dopamine-dependent synaptic plasticity in an amygdala inhibitory circuit controls fear memory expression

  • Lee, Joo Han;Kim, Joung-Hun
    • BMB Reports
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    • 제49권1호
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    • pp.1-2
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    • 2016
  • Of the numerous events that occur in daily life, we readily remember salient information, but do not retain most less-salient events for a prolonged period. Although some of the episodes contain putatively emotional aspects, the information with lower saliency is rarely stored in neural circuits via an unknown mechanism. We provided substantial evidence indicating that synaptic plasticity in the dorsal ITC of amygdala allows for selective storage of salient emotional experiences, while it deters less-salient experience from entering long-term memory. After activation of D4R or weak fear conditioning, STDP stimulation induces LTD in the LA-ITC synapses. This form of LTD is dependent upon presynaptic D4R, and is likely to result from enhancement of GABA release. Both optogenetic abrogation of LTD and ablation of D4R at the dorsal ITC in vivo lead to heightened and over-generalized fear responses. Finally, we demonstrated that LTD was impaired at the dorsal ITC of PTSD model mice, which suggests that maladaptation of GABAergic signaling and the resultant LTD impairment contribute to the endophenotypes of PTSD. [BMB Reports 2016; 49(1): 1-2]

Internalizing Symptoms as Mediators of Lifetime Incidence of Trauma and Quality of Life among Out-of-School Youths

  • Lee, Yeon Jung;Lee, So Hee;Han, Woori;Lee, Moon-Soo;Um, Dae Hyun;Chung, Eun Hee;Eom, Jeong Min
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제29권3호
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    • pp.137-143
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    • 2018
  • Objectives: The present study aimed to investigate the relationships among the lifetime incidence of trauma, internalizing symptoms, and quality of life (QoL) in out-of-school youths (OSYs). Methods: We recruited 50 OSYs in South Korea. Participants completed the following surveys: completed Lifetime Incidence of Traumatic Events for children, Youth Self Report, and The KIDSCREEN-27 QoL measure for children and adolescents. Mediation analysis was conducted to test the research hypotheses. Results: The mean lifetime incidence of traumatic events among OSYs was 3.27 (standard deviation, 2.41). Internalizing symptoms significantly mediated the lifetime incidence of trauma and QoL. OSYs with fewer internalizing symptoms exhibited a better QoL in the domain of psychological well-being, although their lifetime incidence of trauma was higher. Conclusion: The results of current study suggest that assessment and therapeutic intervention with regard to internalizing symptoms are needed to increase the QoL of OSYs.

Karyotype Analyses of a Rice Cultivar 'Nakdong' and its Four Genetically Modified Events by Conventional Staining and Fluorescence in situ Hybridization

  • Jeon, Eun Jin;Ryu, Kwang Bok;Kim, Hyun Hee
    • 한국육종학회지
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    • 제43권4호
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    • pp.252-259
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    • 2011
  • Conventional staining and fluorescence in situ hybridization (FISH) karyotypes of the non-genetically modified (GM) parental rice line, 'Nakdong' (Oryza sativa L. japonica), and its four GM rice lines, LS28 (event LS30-32-20-1), Cry1Ac1 (event C7-1-9-1), and LS28 ${\times}$ Cry1Ac1 (events L/C1-1-3-1 and L/C1-3-1-1) were analyzed using 5S and 45S rDNAs as probes. Both parental and transgenic lines were diploids (2n=24) with one satellite chromosome pair. The lengths of the prometaphase chromosomes ranged from 1.50 to $6.30{\mu}m$. Four submetacentric and eight metacentric pairs comprised the karyotype of 'Nakdong' and its four GM lines. One pair of 5S rDNA signals was detected near the centromeric region of chromosome g in both the parental and transgenic lines. The 45S rDNA signals were detected on the secondary constrictions of the satellite chromosome pair in both the parental and transgenic lines. There was no significant difference in chromosome size, length, and composition between 'Nakdong' and its four GM lines. This research was conducted as a preliminary study for chromosomal detection of transgenes in GM rice lines and would be useful for their breeding programs.