• 생물정신의학
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• 제20권2호
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• pp.45-53
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• 2013

Objectives Non-major depression with fewer symptoms than required for a Diagnostic and Statistical Manual of Mental Disorders-4th edition diagnosis of major depressive disorder (MDD) has consistently been found to be associated with functional impairment. In this study, we aim to estimate the cognitive impairment and the quality of life in elderly patients with subsyndromal depression (SSD) compared with non-depressive elderly (NDE). Methods The Korean version of Mini International Neuropsychiatric Interview was administered to 194 outpatients with depression and 108 normal controls. SSD is defined as having five or more current depressive symptoms with core depressive symptoms (depressive mood or loss of interest or pleasure) during more than half a day and more than seven days over two weeks. Depression was evaluated by the Korean form of Geriatric Depression Scale of a 15-item short version. Global cognition was assessed by Mini-Mental State Examination in the Korean version of CERAD assessment packet (MMSE-KC). Subjective cognitive impairment was assessed by the Subjective Memory Complaint Questionnaire. Quality of life was evaluated by the Korean Version of Short-Form 36-Item Health Survey. Results The mean score of the MMSE-KC in the SSD group was lower than that in the NDE group with adjustment for age, gender, and education [F = 4.270, p = 0.04, analysis of covariance (ANCOVA)]. If we defined those having Z-score of MMSE-KC < -1.5 as a high risk group of cognitive impairment, the odds ratio for the high risk group of cognitive impairment was 1.86 [95% confidence intervals (CI) 1.04-3.34] in SSD and 7.57 (95% CI 3.50-16.40) in MDD compared to NDE. The scores of physical component summary (F = 9.274, p = 0.003, ANCOVA) and mental component summary (F = 53.166, p < 0.001, ANCOVA) in the SSD group were lower than those in the NDE group with adjustment for age, gender, and education. Conclusions The subjects with SSD, as well as those with MDD, showed impairment of global cognition and also experienced low quality of life in both physical and mental aspects, compared to the NDE group.

• 한국학교보건학회지
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• 제10권2호
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• pp.169-178
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• 1997

In order to investigate the complaint rates of subjective fatigue symptoms and study the relationship between them and body type, health awareness in middle school students, we carried out a survey of 1,209 students (654 boy students and 555 girl students) at a middle school in Taejon City by a self-recorded questionnaire. The survey was conducted in June, 1997. The results obtained were as follows: 1. Among complaints of fatigue, "feel like lying down" was the highest, followed by "feel anxious about things", "feel drowsy", "yawning a lot", "eye strain" and "whole body feels tired" in descending order. 2. In the average weighted score of fatigue complaint, dullness and sleepiness (I) was the highest, followed by a difficulty in concentration (II) and bodily projection of fatigue (III) in descending order. Fatigue seems to create mental stress rather than physical burdens. 3. In the classification of body type based on the $R\ddot{o}hrer$ index, the obesity type (145 and above) was 11.0%, standard type (110~144) was 64.7% and leptosomic type (l09 and below) was 24.3%. Comparison between both sexes revealed that the rate of obesity and leptosomic types were significantly higher in boy students than in girl students. 4. In terms body type awareness, the statistics are the following: those who consider themselves to be standard type, 44.3%, slightly obese 24.5%, leptosomic, 23.5% and obese 7.8%. However, the level of obesity awareness was significantly higher in girl students than in boy students. 5. As for health awareness, 36.5% considered themselves healthy, 5.4% generally healthy and 10.1% a little unhealthy, but the level of unhealthy awareness was higher in girl students than in boy students. 6. In the relationship between body type and health awareness, most students thought that they were obese in spite of their standard body type. Also, many students who were obese and leptosomic tended to consider themselves to be a little unhealthy. 7. The more the students were obese or felt unhealthy, the more the average weighted score of fatigue complaints was high.

• 한국융합학회논문지
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• 제12권9호
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• pp.351-360
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• 2021

본 연구의 목적은 우리나라 청년의 비만, 중등도비만, 고도비만의 유병률을 분석하고 관련 요인을 파악하는 것이다. 2019년 지역사회건강조사 자료 중 20-39세 총 50,095명을 분석에 활용하였다. 카이제곱검정과 다중로지스틱 회귀분석을 실시하였다. 연구 결과 청년 인구의 비만은 23.60%, 중등도비만은 5.86%, 고도비만은 1.31%였다. 대상자의 일반적 특성 중 20대, 남성, 저소득, 낮은 교육수준, 기혼이 모든 비만 단계와 관련있었다. 현재흡연, 고위험음주, 신체활동, 건강생활실천, 주관적 건강감, 삶의 질, 스트레스, 우울감, 만성질환 유병여부가 청년 비만을 증가시켰다. 건강검진, 주관적 건강감, 삶의 질, 스트레스, 우울감, 만성질환 유병여부가 청년 고도비만을 증가시켰다. 본 연구 결과를 바탕으로 청년 비만에 관심을 기울이고 비만 단계별 특성을 고려한 중재 프로그램이 개발 및 제공되어야 할 것이다.

• 대한치위생과학회지
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• 제2권1호
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• pp.19-30
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• 2019

To prevent the musculoskeletal diseases from repeated dental treatment, the health status and subjective symptom according to the working environment of dental hygienists were examined in 185 Gyeongnam dental hygienists from October 01, 2017 to October 30. The health status of the study subjects (χ²=40.21, p<.001), the physical burden of work (χ²=47.68, p<.001) and the mental fatigue of work (χ²=66.98, p<.001) were significantly different according to working experience. The level of mental fatigue depended on the number of dental hygienists in the clinics (p=0.032). 94.1% of the subjects knew musculoskeletal diseases and there were significant differences according to working experience (χ²=77.85, p<.001), the numbers of patients in a day (χ²=41.08, p<.001) and daily standing time (χ²=6.96, p=.008). Currently, 73.0% of the dental hygienists have musculoskeletal diseases. There was a significant difference according to the number of patients (χ²=51.01, p<.001) and daily standing time (χ²=25.15, p<.001). The presence of injured parts due to musculoskeletal disorders showed a significant difference according to the numbers of patients (χ²=18.98, p<.001) and daily standing hours (χ²=33.20, p<.001). The musculoskeletal diseases examination of dental hygienists is needed based on subjective symptoms of musculoskeletal diseases and prevention and management of measures musculoskeletal diseases are required.

• 여성건강간호학회지
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• 제4권2호
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• pp.217-230
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• 1998

The purpose of this descriptive correlational study was to define the relationship between the experience of Sanhuujori, Korean traditional non-professional postpartal care after delivery and abortion and present health status of chronic arthritis female patient who visited to outpatient clinic of rheumatic internal medicine at a hospital located in Seoul, Korea. A convenience sample of 64 women who orally agreed to be a participant and data were collected form October 1996 to May, 1997 for sis months by way of interview with semistructured questionnaire. The data were analyzed by the SPSS pc program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; Mean age of participants was 53.2 years and mean number of children was 3.1. Mean frequency of abortion was 2.1 times per woman. Seventy four percentage of respondents did not have Sanhujori after abortion. The mean period of Sanhujori after delivery was 17.7, 15.2, 13.8 days from the first child to third child and shorter than that of general woman such as 20.0, 19.0, 17.3 days in the previous study. On the subjective evaluation of whether the women did Sanhujori well or not, the rate of 'did Sanhujori wrongly' was the highest rank in each child where as general woman 'did Sanhujori well' at the first child, 'moderate' at the second and third child and 'did Sanhujori wrongly' at the 4th and fifth child. The health status implies both subjective health status women perceived and the rate of complaints of physical symptom distress women are experiencing presently. The respondents of 82.5% perceived them as unhealthy or sick and 68.9% of women complained more than two symptoms. Mean number of physical symptom distress women complained was 2.33. The main sites of physical symptom distress were upper & lower extremities 69.1% including knee and hand, whole body 19.1%, neck 3.7%, waist & shoulders 2.7% respectively. The characteristics of the symptoms were mostly pain 60%, swelling 19.8%, rigidity & deformity 7.9% respectively, sensation of heat 6.8% and weakness 1.7%. Women perceived the etiology of the chronic arthritis as stress 25.8%, 'did Sanhujori wrongly' & overwork 23.4% respectively, genetic 12.9%, malnutrition, 4.8%, and aging process 3.2%. There were significant positive correlation between subjective health status and the period of Sanhujori after delivery of the second child(r=-0.22) and negative correlation with the number of child at the level of 5% of significance statistically(r=0.27). There were significant negative correlation between the rate of complaints of physical symptom distress and the subjective evaluation whether she did Sanhujori well or not at the level of 5% of significance statistically(r=-0.23). And the rate of complaints of physical symptom distress in the group of women who experienced abortion was significantly higher than that of women who did not experience it at the level of 5% significance statistically(t=2.00) In conclusion, this finding reconfirmed the possible relationship between health status of chronic arthritis female patient and the experience of Sanhujori after delivery & abortion. It provides a challenge to the professional care givers to research further on the effects of Sanhujori on the health status, health recovery after abortion or delivery from the various aspects through the crosssectional and longitudinal research for the refinement of the reality of not only as cultural phenomenon but as conceptual model for the appropriateness of intervention and quality of care for desirable health outcomes.

• 한국전문물리치료학회지
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• 제19권2호
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• pp.69-79
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• 2012

Importance of the work-related musculoskeletal disorders (WMSDs) has been increasing in the hospital industry such as health care industry and financial industry. This study investigated in order to identify the factors like general, occupational and ergonomically characteristics of the subjects related to musculoskeletal disorders (MSDs) of physical therapists (PTs). Ergonomic tools of rapid upper limb assessment (RULA) were used for evaluation workload of the tasks. Prevalence of MSDs were 13 PTs (26.0%) for neck, 31 PTs (62.0%) for shoulder, 9 PTs (18.0%) for arm/elbow, 27 PTs (54.0%) for hand/wrist, 28 PTs (56.0%) for back, 14 PTs (28.0%) for leg/foot. The analysis of the rate of the pain intensity showed that 53.5% subjects experience moderate pain and 14.0% subjects experience severe pain. Factors which were general characteristics, for example, height, ergonomically characteristics such as 'Posture Score A' were related musculoskeletal subjective symptoms in logistic analysis (p<.05). Among physical therapists, action level of RULA were action level 2 (6.0%), action level 3 (52.0%), action level 4 (42.0%). Physical therapists were estimated one of the highest risk factor in this study. This study suggested that the need of preventive education and program for PTs (physical therapists). Comprehensive and systematic management plans should be established to include both ergonomic and sociopsychological aspects.

• 대한정형도수물리치료학회지
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• 제27권3호
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• pp.99-105
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• 2021

Purpose: This study aims to report on the effect of providing customized visiting exercise, a musculoskeletal intervention method, to the elderly in the community. Methods: In this study, subjective pain was measured to evaluate pain and physical ability of the elderly, and timed up & go (TUG) test and psychological level test were performed for myofascial pain perception symptoms and gait function. Measurements were performed twice before and 4 weeks after treatment. Participants in the exercise group (n=108) performed the spine exercise, whereas those in the spine exercise group (n=108) performed the spine exercise using complex exercise program (3 times/week for 4 weeks). Results: The significant test of visual analogu scale (VAS), pain pressure threshold (PPT), TUG, psychosocial factor according to applying the exercise within groups used T-test. In the result following analysis, there was significance on VAS (p=.000), PPT (p=.000), TUG (p=.000), Psychosocial factor (Depresion; p=.000, Anxiety; p=.000) within group. Conclusion: Then, exercise has benefit on the VAS, PPT, TUG, psychosocial factor in patients with myofacial pain syndrome. So, it may suggest that exercise will be helpful of the pain, gait and psychosocial factor improvement the patients with spine pain.

• 한국안전학회지
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• 제21권6호
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• pp.106-115
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• 2006

The purpose of this study is to provide basic data for continuing study in order to accomplish preventive countermeasures for work-related musculoskeletal disorders(WMSD) and to examine related factors in connection with each other as: the working environment, the equipment used, working method, pain symptoms of dentists. The investigation period for this study was from November 1, 2004 to February 28, 2005, and we analyzed questionnaire survey of 190 dentists who were giving medical treatment in and around the metropolitan area and Daegu City. Also, we visited 20 dental hospitals personally and examined the work posture through check lists, interviews, and field investigations on work posture using photos and videotaping. This study showed the increasing physical burdens which were related to dentists work accomplishment and attitude, recognizing pain which were affecting work related WMSD. With the access of ergonomics and improving the education and training of awkward medical treatment methods and posture, and continuous public information about WMSD, the occurrence rate of WMSD could be decreased.

• 동의신경정신과학회지
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• 제3권1호
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• pp.91-106
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• 1992

The effectiveness, the safety and the usefulness of HPS-A(An Jung San with Chyag Yag Kam Cho Tang), herbal digestive, was examined on 32 patients complained digestive symptoms. This medicine was administered 1 package per 1 time 3 times per 1 day, during 2 weeks. From the examination of the improvemnt and the safety mainly by subjective symptoms, the usefulness was gained. The results were as follows ; 1. In the improvement rate of susbjective symptoms, high rate symptoms was gastric distension, anorexia, heart burn, gastric discomport, dyspepsia, acrid eructation, indigestion, nausea. 2. The improvment over moderate effective was 85.7% after 1 week 96.4% after 2 weeks. The 4 cases breaked medicine during experimental period were all over moderate offectiveness. 3. There weren't any cases complaind particular problem about safety except for 1 case complained mild pushing up of heat. There weren't also any side effect of medicine on common blood count, blood chemistry and urinalysis. 4. In the dicision of usefulness, 19cases(59.4%) were usefulnesss, 12cases(37.5%) were moderate usefulness, 1 case was uselessness(3.1%). So the cases over moderate usefulness were 31 and rate was 96.9%. 5. The usefulness rates according to physical features were all over 95.5% in sturdiness, middle feature and infirmity. So the rates were no relations with the features. 6. The usefulness rates over moderate usefulness according to total seriousness were all over 90% in high, middle, and mild cases. So the rates were no relations with the seriousness. Totally HPS-A was a medicine that was highly effective, safe and useful to patients complained various digestive symptomes.

• 혜화의학회지
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• 제12권1호
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• pp.139-146
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• 2003

Clinical studies were carried out 25 cases through administration of Chongmyungtang added Grape Juice(CMT+GJ) from December 1st 2002 to December 31th 2002. The results were summarized as follows; 1. There were significant decreases in physical symptoms of fatigue from $4.64{\pm}2.71$ to $2.52{\pm}1.78$ by administration of CMT+GJ. 2. There were significant decreases in mental symptoms of fatigue from $5.44{\pm}2.38$ to $3.88{\pm}2.03$ by administration of CMT+GJ. 3. There were significant decreases in neuro-sensory symptoms of fatigue from $3.84{\pm}2.03$ to $2.88{\pm}2.07$ by administration of CMT+GJ. 4. There were significant decreases in total subjective symptoms of fatigue from $13.92{\pm}5.42$ to $9.28{\pm}4.21$ by administration of CMT+GJ. 5. There were not significant changes in VAS of fatigue and attention ratio by administration of CMT+GJ. According to the results, we could suggest that CMT+GJ is able to be applied to the development of concentration.