• 제목/요약/키워드: ST depression

검색결과 314건 처리시간 0.029초

Junctional rhythm with severe hypotension following infiltration of lidocaine containing epinephrine during dental surgery

  • Jeon, Younghoon;Shim, Jihye;Kim, Hyunjee
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제20권2호
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    • pp.89-93
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    • 2020
  • We experienced an unusual case of accelerated junctional rhythm with severe hypotension after infiltration of lidocaine containing epinephrine during dental surgery under general anesthesia. The patient's electrocardiogram exhibited retrograde P-waves following the QRS complex, which could be misinterpreted as ST-segment depression. As a temporary measure, administration of ephedrine restored the patient's blood pressure to normal levels. The importance of this case lies in its demonstration of an unexpected and serious side effect of commonly used epinephrine infiltration. This case also highlights the need for accurate interpretation of the electrocardiogram and comprehensive understanding of best practices for patient management.

피부과 질환에 영향을 미치는 심리적 요인 (Psychological Factors Affecting Medical Conditions: Dermatologic Conditions)

  • 한진희
    • 정신신체의학
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    • 제6권2호
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    • pp.228-234
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    • 1998
  • The importance of psychological factors in dermatologic disorders has been recognized for several decades. However, there have been few reports on the management of psychodermatologic disorders. Psychodermatologic conditions can be divided into three broad subgroup in the dermatologic point of view ; first, psychiatric disorders manifesting as dermatological symptom, second, dermatoses mainly caused by emotional factors, i.e., stress, or determined by complex psychophysiological mechanism, and third, psychological symptoms secondary to dermatological conditions, i.e., anxiety or depression. This article describes first two major categories of psychodermatologic disorders and attempts to provide brief guideline for each psychodermatologic condition in view of the clinical interface between dermatology and psychiatry.

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키덜트(Kidult)족의 의복행동 (Clothing Behavior of Kidult Group)

  • 김지선;김용숙
    • 한국가정과학회지
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    • 제9권1호
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    • pp.63-70
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    • 2006
  • This study is a review of the clothing behavior of kidult group that is a new minority group in 21st century. Kidult is the compound word of kid and adult and refers the persons who have become adults but with the inclination to focus on childlike culture and consumption. As the background of the appearance of the kidult group these days, the prevalence of throwback fashions, high valuation of appearance, the phenomenon to prefer light things caused by economic depression, the individualism that does not care about others and the ageless phenomenon that the consumptions are mind age oriented, may be pointed out. The most prominent cloth behavioral characters of the kidult group are that they enjoy bounding color combinations such as candy color and. that cute t-shirts, crop pants and volume skirts of girlish look are easily found. Also, they enjoy toy-like ornaments and illustrated clothes or accessories and the school uniform fashion implying nostalgia for girl-hood and lovely make-up indicate the kidult inclination.

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응급실에서 자살 시도자의 치료 (The management of patient attempting suicide in the emergency room)

  • 노현정;강영준
    • Journal of Medicine and Life Science
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    • 제16권3호
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    • pp.60-63
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    • 2019
  • The rate of suicide is the 5th leading cause of death in Korea. Moreover, suicide is the 1st cause of death in from 2nd to 4th decade. In order to treat suicide attempters who have visited the emergency room and to prevent retries, it is necessary to understand the nature of the suicide and to take the right approach. Suicide is more than doubled in women, and retry rates are high among patients with a history of suicide. Suicidal means are throat, fall, gas poisoning, poisoning and drowning. All suicide attempters should suspect and treat cervical spine injury and airway management, and rapid hyperbaric oxygen therapy is recommended for carbon monoxide addicts. Interviewing a suicide attempter requires a sympathetic attitude and examines the underlying depression or adaptation disorders. Interdisciplinary care with mental health departments is necessary, and interventions in emergency roombased suicide attempt management work can be helpful to connect with the community.

표면거칠기의 변화에 따른 a-C 박막의 나노마멸 거동 (Nano Wear Behavior of a-C Films with Variation of Surface Roughness)

  • 채영훈;장영준;나종주;김석삼
    • Tribology and Lubricants
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    • 제20권3호
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    • pp.125-131
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    • 2004
  • Nano-wear behavior of amorphous carbon films was studied by Atomic Force Microscopy. The a-C films are deposited on Si(100) substrate by DC magnetron sputtering method. The influences of different surface roughness on the nano-wear are investigated. Nano-wear tests were carried out using a very sharp diamond coated tip. Its spring constant was 1.6 N/m and radius of curvature was 110 nm. Normal force used in the wear tests ranged 0 to 400 nN. It was found that surface depression occurred during scratching because of plastic deformation and abrasive wear (cutting St ploughing). Wear depth increased linearly with normal force. Changing the surface roughness variables according to the bias pulse control, the less surface roughness decreased the wear depth. The thickness did not affect the wear resistance.

Update on Health-related Quality of Life in Colorectal Cancer Patients

  • Young-Seok Cho
    • Journal of Digestive Cancer Research
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    • 제3권2호
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    • pp.70-75
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    • 2015
  • Along with the recent trend of improved survival in patients with colorectal cancer (CRC), health-related quality of life (HRQoL) has become a significant outcome measure and its improvement is an important goal. The most widely adopted CRC specific HRQoL questionnaires are the European Organization for Research and Treatment of Cancer Qualityof-Life Questionnaire (EORTC QLQ-CR38) and the Functional Assessment of Cancer Therapy (FACT-C). CRC survivors without serious comorbidity or recurrence experience only minor deficits of overall HRQoL when compared to the general population. However, disease recurrence, progression, and more specific limitations, including weight loss, reduction in energy, and psychosocial problems like psychological distress and depression, could result in lower HRQoL. To improve HRQoL, further research is required to develop appropriate health education regarding lifestyle changes and personalized intervention strategies for CRC survivors.

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우울 경향과 복모혈(腹募穴), 배유혈(背兪穴)압통과의 관계 비교 연구 (Comparative Study of Relationship between the Depressive Tendency and Tenderness of Alarm Points and Transport Points)

  • 서민정;김송이;박영재;정원모;차수진;이향숙;이혜정;박히준
    • Korean Journal of Acupuncture
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    • 제27권4호
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    • pp.97-109
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    • 2010
  • Objective : To examine whether any correlation between tendency towards depression and tenderness at special acupuncture points exists, thus to explore the potential diagnostic property of acupuncture points. Methods : A total 31 subjects were included in this study. They filled out questionnaires about their mental [Beck Depression Inventory (BDI), Stress Response Inventory (SRI), Profile of Mood States (POMS)] and physical (fatigue due to overexertion, and food accumulation) symptoms. Identical weight around Alarm points (CV17, CV12, ST25, CV5, CV4, and LR13) and transport points (BL14, BL20, BL21, BL22, BL25, and BL27) was given using an algometer and the subjects rated their pain on an 11-point numerical rating scale. Heart rate variability (HRV) was also measured. Results : The subjects were divided into two groups, normal and depressive tendency groups with a cut-off point of nine on BDI. The depressive tendency group reported significantly higher values in SRI, POMS, and questionnaire for fatigue due to overexertion. In the pressure pain measurement, depressive tendency group had more pressure pain at CV12, left side of BL20, BL14, BL22 and both sides of BL21, BL25, BL27, significantly (each p<0.05). The data of HRV did not show significant differences between groups. Conclusions : People with a tendency towards depression may be prone to stress, negative mood, and fatigue due to overexertion. In addition, they may be more likely to develop tenderness at alarm points and transport points compared with healthy people. Further research is needed to confirm this finding.

어머니가 지각한 부부갈등 변화 양상에 따른 우울 및 자녀의 학교준비도, 자아존중감, 행복감 차이 (Trajectories of Mothers' Perceived Marital Conflict and its Relationship to Depression and Children' School Readiness, Self-esteem, and Happiness)

  • 연은모;최효식
    • 한국산학기술학회논문지
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    • 제21권5호
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    • pp.344-352
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    • 2020
  • 본 연구는 자녀 출생 후 5년 동안의 어머니가 지각한 부부갈등의 변화 양상에 존재할 수 있는 잠재계층을 확인하고, 잠재계층에 따라 어머니 우울의 변화 패턴, 취학 전 유아의 학교준비도, 초등학교 저학년 시기의 자아존중감, 행복감에 차이가 있는지 확인하는 것이다. 이를 위해 한국아동패널의 1차년도(2008년)부터 5차년도(2012년), 7차년도(2014년)부터 10차년도(2017년)의 1,243명의 자료를 성장혼합모형분석, 다집단 성장 모형분석, 일원분산분석 방법을 사용하여 분석하였다. 분석 결과 첫째, 어머니가 지각한 부부갈등 변화 양상은 저수준 저변화, 중수준 상향, 상수준 무변화의 3개 잠재계층으로 존재하는 것으로 확인되었다. 둘째, 잠재계층에 따라 어머니 우울의 변화 패턴을 확인한 결과, 상수준무변화 집단의 어머니는 5년 동안 우울 수준이 증가하는 패턴이 있는 것으로 확인되었다. 셋째, 잠재계층에 따라 취학 전 유아 시기의 학교준비도 4개 하위 요인 모두에서 차이가 있었으며, 4개 하위 요인 모두 저수준 저변화 집단의 점수가 높은 것으로 확인되었다. 넷째, 초등학교 저학년 시기의 자아존중감, 행복감은 대체로 저수준 저변화 집단의 점수가 높은 것으로 확인되었다. 본 연구는 어머니가 지각한 부부갈등의 변화 양상이 어머니 자신뿐 아니라 취학 전 유아 시기, 초등학교 저학년 시기의 자녀의 특성에 영향을 미칠 수 있음을 보여주며, 부부갈등 해결을 위한 교육 및 상담 지원이 필요함을 시사한다.

베이비붐 세대의 스트레스, 우울이 심리적 안녕감에 미치는 영향 : 사회적 지지의 조절효과 - 1차·2차 베이비 붐 세대의 비교연구 (Effects of Baby Boomers' Stress and Depression on Their Psychological Well-being : Moderation Effects of Social Supports - A Comparative Study of the 1st- and 2nd-Generation Baby Boomers -)

  • 이연실;서인균
    • 한국콘텐츠학회논문지
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    • 제16권8호
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    • pp.292-309
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    • 2016
  • 본 연구는 1차 베이비 붐 세대(1955년-1964년)와 2차 베이비 붐 세대(1968년-1974년)가 경험하는 스트레스, 우울이 심리적 안녕감에 미치는 영향과 사회적 지지의 조절효과를 살펴보자 하였다. 조사대상자는 수도권에 위치한 평생교육원 프로그램을 수강하는 학생들 중 1차 베이비붐 세대와 2차 베이비붐 세대에 해당하는 대상자를 편의모집(Convenient sampling)하여 369명에 대해 자기기입식 설문조사를 실시하였다. 연구방법으로는 빈도분석, t-test, ANOVA, 상관분석, 평균중심화(mean centering) 처리된 변수와 상호작용항을 투입한 위계적 회귀분석을 실시하여 사회적 지지의 조절효과를 확인하였다. 연구의 주요결과는 다음과 같다. 첫째, 1차 베이비 붐 세대와 2차 베이비 붐 세대의 스트레스와 우울은 심리적 안녕감에 부(-)의 영향을 미치는 것으로 나타났다. 둘째, 1차 베이비 붐 세대와 2차 베이비 붐 세대의 사회적 지지는 심리적 안녕감에 정(+)의 영향을 미치는 것으로 나타났다. 셋째, 1차 베이비 붐 세대와 2차 베이비 붐 세대의 사회적 지지의 조절효과와 사회적 지지의 조절효과에 차이가 있는 지를 확인한 결과 1차 베이비 붐 세대의 경우는 경제수준이 나쁠수록, 스트레스와 우울이 높을수록 심리적 안녕감이 낮아지고 사회적 지지는 심리적 안녕감을 높이게 하지만 우울과의 관계에서만 조절효과가 있는 것으로 나타났다. 반면 2차 베이비 붐 세대의 경우는 스트레스와 우울이 높을수록 심리적 안녕감이 낮아지고 사회적 지지는 심리적 안녕감을 높이기는 하지만 스트레스와 우울과의 관계에서 조절효과는 없는 것으로 나타났다. 이러한 연구결과를 바탕으로 베이비 붐 세대의 정신건강 증진을 위한 실천적 및 정책적 개입방안에 대해 논의 하였다.

사회심리적 특성과 근골격계 자각증상과의 관계 (The Relationship between Psychosocial Factors and Subjective Symptoms of Musculoskeletal Diseases)

  • 정혜선;이윤정;김숙인;이종은;이소영;양경미;김순례
    • 지역사회간호학회지
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    • 제19권3호
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    • pp.388-397
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    • 2008
  • Purpose: This study aimed to analyze the relationship between psychosocial factors and subjective symptoms of musculoskeletal diseases. Methods: This study analyzed the data of '2001 National Health and Nutrition Survey' conducted by the Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. Results: When examining the complaining rate of subjective symptoms of musculoskeletal diseases according to body region, the rate was highest (6.0%) in the knee region, which was followed by the finger lesion (3.4%), the wrist regions (2.3%) and the elbow region (2.1%). All the regions of elbow, wrist, finger and knee had a high complaining rate of subjective symptoms such as stress, sad or depressed mood, and attempted suicide. Conclusion: From the results of this study, it is identified that psychosocial factors such as stress, depression, and attempted suicide have significant influence on the complaining rate of subjective symptoms of musculoskeletal diseases. Consequently, in order to prevent and treat musculoskeletal diseases, we need to manage stress and to prevent feeling depression.

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