• Title/Summary/Keyword: Physical Cause

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Veiled Paraquat Poisoning - A Focus on Clinical Characteristics (베일에 가린 파라쿼트 중독 - 임상적 특징을 중심으로)

  • Song, Ye-Wan;Choi, Sang-Cheon;You, Young-Yeol;Shin, Yeoun-Ho;Park, Eun-Jung;Ahn, Jung-Hwan;Min, Young-Gi;Jung, Yoon-Seok
    • Journal of The Korean Society of Clinical Toxicology
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    • v.9 no.1
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    • pp.14-19
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    • 2011
  • Purpose: Most paraquat poisonings are easily diagnosed by history taking on physical examination, however, some are failed to be diagnosed initially if the poisoning was veiled. The purpose of this study was to explore the clinical characteristics of veiled paraquat poisoning. Methods: We retrospectively reviewed the medical records of patients whose discharge diagnosis was paraquat poisoning in one university teaching hospital between 1 Jan, 2001 and 31 Dec, 2010. Veiled paraquat poisoning was determined when there was a positive urine paraquat kit in patients who did not mention paraquat poisoning in an initial physical examination or had unknown cause of pulmonary fibrosis, acute renal failure, or multi-organ failure. Results: Of the 117 patients with paraquat poisoning during the study period, 6 patients (5.1%) had veiled paraquat poisoning. The clinical characteristics were 1) proteinuria - 6 (100%), 2) increased creatinine - 4 (66.7%), 3) green skin stains - 2 (33.3%), 4) mucosal ulcer - 3 (50%). Blood chemistry results were variable. Conclusion: We should suspect veiled paraquat poisoning for patients who have proteinuria, increased creatinine, green skin stain, mucosal ulcer and vomiting, or if they have rapidly progressing acute renal failure or multi-organ failure with unknown cause, even if patients didn't mention about paraquat poisoning upon the initial physical examination. In cases with the above clinical conditions, a thorough repeated physical examination including history taking and use of urine paraquat kits should be performed.

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Biopsychosocial Factors and Perceived Disability in Saleswomen with Concurrent Low Back Pain

  • Pensri, Praneet;Janwantanakul, Prawit;Worakul, Puangsoi;Sinsongsook, Thanes
    • Safety and Health at Work
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    • v.1 no.2
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    • pp.149-157
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    • 2010
  • Objectives: To quantify disability level in salespeople with concurrent low back pain (LBP) and to determine the relative associations between demographic, occupational, psychosocial and clinical factors and back disability. LBP is the most common cause of work-related disability in people under 45 years of age and the most expensive cause of work-related disability, in terms of workers' compensation and medical expenses. Evidence suggests high prevalence of LBP in salespeople. Methods: A cross-sectional survey was conducted in which 184 saleswomen with a current episode of self-reported LBP working in a large up-scale department store filled out a battery of 6 self-administered questionnaires and received a standardised physical examination. Results: Saleswomen with concurrent LBP had low disability levels. Factors significantly associated with disability were pain intensity, measured by a visual analogue scale, in the past week (p < 0.001), physical and mental health status (p < 0.001, p = 0.003, respectively), fear avoidance scores for both work and physical activities (p = 0.031, p = 0.014, respectively), past history of LBP (p = 0.019), and self-reported frequency of pushing or pulling objects placed in high positions during work (p = 0.047). A significant level (45%) of the variance in disability status was explained by these variables. Conclusion: In clinical management of LBP workers who required prolonged standing, such as salespeople, clinicians should look for modifiable risk factors associated with disability. Specific measures need to be taken to prevent disability due to LBP among salespeople.

Combined Impacts of Physical Activity and Exercise on Depression in Elderly People (규칙적인 신체활동과 운동중재가 노인의 우울증에 미치는 영향분석)

  • Jeong-Yoon Oh;Jeong-Ok Yang;Yi-Sub Kwak
    • Journal of Life Science
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    • v.34 no.3
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    • pp.208-213
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    • 2024
  • Depression is one of the greatest health concerns in the world. Symptoms include emotion disorders, loss of appetite, reduction in interest, and insomnia. The prevalence of depression is increasing rapidly around the world and in South Korea. Elderly people are vulnerable to depression, resulting in serious socioeconomic problems. Depression in the elderly can cause sleep disorders, cognitive impairment, memory impairment, and many other diseases. Additionally, depression can cause frailty, which is associated with increased falls, chronic diseases, and mortality. Therefore, this study empirically analyzed sleep disorders in relation to depression, the link between exercise and the hippocampus in mitigating depression, and physical activity and exercise in the management of depression for successful aging.

A Keyword Network Analysis on Obesity Research Trends in Korea: Focusing on keywords co-occured of 'Obesity' and 'Physical Education'

  • Kim, Woo-Kyung
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.1
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    • pp.151-158
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    • 2019
  • This study aimed to analyze the research trend related on obesity in physical education in Korea through the keyword network analysis and to establish a basic database for effective design of prospective studies. To achieve it the study crawled co-occured keywords with 'obesity' and 'physical education' from RISS and analyzed the list from 1990 to 2018. They include 25 journal papers and 38 dissertations. The results are as follows. First, recent 30 years 63 papers published in Korea with 'Obesity' and 'Physical Education', and there were 144 related keywords. Second, analyzing journals which have 'Obesity' and 'Physical Education', co-occured keywords in 4 centrality were 24 keywords(student, Korea, prevention, effect, level, body, activation, actual condition, lesson, child, investigation, participation, book, cause, activity, normal, degree, nutrition, physical strength, weight, elementary, light, inquiry, health), and 37 keyword occurred in top 30. Lastly, by CONCOR analysis the result could be divided into 2 clusters. One consists of the object of obesity and its invervention, and the other consists of negative keywords of obesity and its preliminery dimenstion. Through the result, this study showed the research trend which involves the concept of obesity in physical education in Korea. Through the result, prospective obesity research in physical education in Korea would be promoted.

Formant Frequency as a Measure of Physical Fatigue

  • Ha, Wook Hyun;Kim, Hong Tae;Park, Sung Ha
    • Journal of the Ergonomics Society of Korea
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    • v.32 no.1
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    • pp.139-144
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    • 2013
  • Objective: The current study investigated a non-obtrusive measure for detecting physical fatigue based on the analysis of formant frequencies of human voice. Background: Fatigue has been considered as a main cause in industrial and traffic accidents. Therefore, it is critical to detect worker's fatigue for accident prevention. Method: After running exercises on a treadmill, participants were instructed to read a sentence and their voices were recorded under four different physical fatigue levels. Korean vowels of "아", "어", "오", "우", and "이" from the voice recorded were then used to collect formant 1 frequencies. Results: Results of separate ANOVAs showed a significant main effect of physical fatigue on formant 1 frequency of "아", "어", and "이". Furthermore, post-hoc comparisons revealed that formant 1 frequency of "아" was most sensitive to physical fatigue level employed in this experiment. Conclusion: Formant 1 frequencies of some vowels significantly decrease as the physical fatigue level increases. Application: Potential application of this study includes the development of a measure of physical fatigue state that is free from sensor attachment and requires little preparation.

Physical knowledge in children: Children's developing understanding of object motion (아동의 물리지식: 물체의 운동에 대한 아동의 이해와 발달)

  • Park Sunmi
    • Korean Journal of Cognitive Science
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    • v.15 no.4
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    • pp.31-47
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    • 2004
  • This study was carried out to examine the development of physical knowledge in children. Eighty children aged 3- to 11-year-old and 16 adults were participated in this study. Participants' knowledge about failing, sliding and sinking/floating objects was investigated to understand what kind of knowledge they had, whether their knowledge was organized as theory and what was the nature of the developmental change in physical knowledge. Results showed that, for falling object task children of all age had correct knowledge about object's falling phenomena. However, there were age differences in children's understanding of the cause of object's falling. As the children's age decreased, the frequency of explanation referring to the absence of supper rather than the gravity as the cause of falling phenomena increased. For the sliding object task, children of all age could predict the motion of sliding object correctly. But only a few 9- and 11-year-old children could understand the effect of object weight and relations between gravity, frictional force and their interactions. Children under age 7 showed no evidence of possessing these knowledge. For sinking or floating object task, children of all age and even adults showed difficulties in understanding the sinking or float phenomena per se. For the cause of these phenomena although a few 9- and 11-year-old children referred to buoyancy as the cause, they had no correct knowledge about the buoyancy. This was also true for the adults. As a conclusion, the results of this study suggested that, not 3, but as young as 5-year-old children's physical knowledge exited as a form of naive theory in terms of their use as a causal devise in explaining the cause of object motion. However, even the theory of 9- and 11-year-old children was lack of the abstractness and coherence, which were also important characteristics of a theory. Finally, developmental change in physical knowledge proceeded toward more frequent and consistent use of physical knowledge as causal device and more abstract and coherently organized theory.

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Clinical and Statistical Analysis in 452 Cases of Nasal Bone Fracture Patients (코뼈 골절 환자 452례에 대한 임상 통계학적 분석)

  • Kang, Jae-Hoon;Bang, Yoo-Hyun;Lee, Yong-Hae;Choi, Chang-Yong
    • Archives of Plastic Surgery
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    • v.38 no.6
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    • pp.775-782
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    • 2011
  • Purpose: Nasal bone fracture is most common facial bone fracture. The cause of fractures is mainly trauma such as fighting, automobile accident and fall down, and it commonly involves young males. Very frequently nasal bone fractures are associated with other facial injuries such as orbital bone fracture, maxillary bone fracture and nasal septal deformities. Because of various dynamic directions of power are involved, phenomenon of fractures are also various and treatment cannot be simple. Methods: We studied and analyzed retrospectively 452 cases nasal bone fractures from January 2008 to December 2010. Diagnosis were made with physical examination, Nasal bone X-rays, Facial bone CT and 3D facial bone CT. Four surgeons are involved in treatments of these patients and applied different procedure along patient's condition and deformity. We analyzed the cause of nasal bone fractures, deformities, associate injuries and applied surgical technique, and patient's satisfaction rate. In this study, old nasal bone fractures were excluded. Results: Young male group was most commonly sustained nasal bone fracture and physical violence was most common cause of injury. 64 of 452 patient was involved associate injuries of face. Closed reduction were applied 246 cases and C-arm quide reduction were 167 cases and in 20 cases lateral osteotomy were applied. Approximately, more than 80% of the Patients were satisfied with the outcomes. Conclusion: Diagnosis and treatment of nasal bone fractures are considered simple but because of various deformity and associate injuries, treatment is not always simple and universal. Time to time, we face unsatisfied patient after treatment of nasal bone fractures. For obtaining satisfactory result, cause of injury and state of deformities and associate injuries such as nasal septal deformity should be evaluated properly and proper treatment should be applied.

The Concepts of illness of Rural Korean Peoples (한국 일부지역 농촌인의 질병개념에 대한 탐색적 연구)

  • 김남선
    • Journal of Korean Academy of Nursing
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    • v.17 no.2
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    • pp.145-152
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    • 1987
  • The problem addressed by this study was to reveal what people of Korean rural villages think about the cause, treatment and prevention of illness. The purpose was to contribute to the building of a concept of health toward the development of Korean Nursing Theory. Subjects were residents of five districts among four counties in a farming area of Chonbuk province recommended by health workers as appropriate informants. They were interviewed in their homes, using ethnoscientific methods developed in anthropology. The research tool consisted of open questions developed through the literature and preliminary exploratory interviews. Data were analyzed by classifying each concepts of cause, treatment and prevention of illness or illness symptoms collated by frequency and percentage. The causes of illness are conceived as primarily concrete physical and natural, for examples, overeating, lack of energy, changes in the season and extreme temperatures. Compared to others studies, few supernatural causes related to traditional view of illness were identified. Concepts of the treatment of illness included formal treatments used by modern western or oriental physicians and traditional therapists. But folk medicine used by traditional healers or by the family in the home was most prevalent. The concept of illness prevention originated in the concept of the cause of illness, thus primarily physical and natural, for examples, nutritious food, limiting the amount of food, avoiding becoming cold. When the concept of illness of rural Korean is researched from a sociocultural aspect, the traditional views of an evil cause of ill health and treatment by supernatural methods is not found to be prevalent but folk medicine still occupies a large place in treatment which si often a complex mixture from many mysterious sources. The significance of this study lies in the fact that ethnonursing research can contribute basic data toward the development of Korean nursing theories. Modern western medical concepts have not been accepted unconditionally: traditional concepts are alive and dynamic in Korea and must be recognized in Korean nursing.

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The association between Coffee Consumption and All-cause Mortality According to Sleep-related Disorders (커피섭취와 수면과 관련된 사망위험도 연구)

  • Lee, Sunghee;Cho, Wookyoun;Cho, Namhan;Shin, Chol
    • Korean Journal of Community Nutrition
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    • v.20 no.4
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    • pp.301-309
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    • 2015
  • Objectives: While recent studies showed that coffee consumption reduced the risk of all-cause mortality, no study has examined the effect of coffee consumption on all-cause mortality related to sleep disorders. We aimed to examine whether sleep-related disorders would differently affect the association between coffee consumption and the risk of all-cause mortality among 8,075 adults aged 40 to 69 years. Methods: In a prospective cohort study, the study participants were biennially followed up for 12 years from 2001 to 2012. On each follow-up visit, the participants underwent comprehensive tests including anthropometric examinations, interviewer-administered questionnaires, and biochemical tests. Coffee consumption frequency and the amount were measured using a semi-quantitative food frequency questionnaire. Using death certificate data from Korean National Statistical Office, the vital status of each study participant was identified. Sleep-related disorders were examined with interviewer-administered questionnaires. We estimated Hazard ratios and the corresponding 95% confidence intervals from Cox Proportional Hazard models. Multivariable models were established after adjusting for center, total caloric intake, age, gender, body mass index, physical activity, education, smoking, drinking, hypertension, diabetes, total cholesterol, c-reactive protein, energy-adjusted food groups of refined grains, vegetables, fruits, meat, fish, and dairy. Results: Compared with those who had no coffee consumption, participants who had about three cups of coffee per day showed a reduced risk of all-cause mortality, after adjusting for covariates. Those who had a sleep-related disorder showed no significant effect of coffee consumption on the risk of all-cause mortality, whereas those who had no sleep-related disorders showed significantly reduced risk of all-cause mortality. Conclusions: Our findings suggested that approximately three cups of coffee per day would be beneficial to reduce the risk of all-cause mortality only among adults with no sleep-related disorders. Coffee consumption should be prudent for those with sleep-related symptoms.

Child abuse, can we find child abuse? - Role of the pediatrician (아동학대, 찾아낼 수 있는가 - 소아청소년과 의사의 역할)

  • Min, Ki Sik
    • Clinical and Experimental Pediatrics
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    • v.52 no.11
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    • pp.1194-1199
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    • 2009
  • Child abuse is defined by a recent act or failure to act that results in death, serious physical or emotional harm, sexual abuse or exploitation, or imminent risk of serious harm; involved a child; and is carried out by a parent or caregiver. This report provides guidance in the clinical approach to the evaluation of suspected physical abuse in children, and role of pediatrician. The medical assessment is outlined with obtaining a medical history, physical examination, and diagnostic testing. A minor form of child abuse which only involves skin injury is most frequently seen by a pediatrician. This kind of child abuse can be followed by more severe forms of child abuse, which have high mortality rates and cause serious physical and mental sequelae to the survivor. Therefore, a pediatrician's role in an early detection and prevention of child abuse is very important.