• 제목/요약/키워드: Sleep health

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성별에 따른 습관성 코골이와 대사증후군 요소의 관련성 (Sex Differences in the Association of Habitual Snoring with Metabolic Syndrome)

  • 김성준
    • 한국콘텐츠학회논문지
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    • 제14권1호
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    • pp.326-336
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    • 2014
  • 본 연구는 한국인 성인을 대상으로 습관성 코골이와 대사증후군 구성 요소들과의 관련성에 대해 알아보고 또한 성별에 따른 차이점을 알아보고자 연구를 시행하였다. 2012년 3월부터 2012년 12월까지 일개 대학병원에 내원한 40세 이상 69세 이하까지 성인들 중 연구에 참여하기로 동의한 2,007명(남자 434명, 여자 1,573명)을 대상으로 하였다. 연구 대상자들에 대하여 구조화된 설문지를 작성하였고 신체 계측, 생활 습관 및 임상검사결과를 비교분석하였다. 연구 조사대상자들의 대사증후군의 유병률은 17.4% (남성 20.7%, 여성 16.5%)였으며, 연령이 증가할수록 대사증후군의 유병률도 같이 증가하였다. 연구 대상자에 대해 연령, 흡연, 음주, 수면시간, 규칙적 운동 변수를 보정한 후 다변량 로지스틱 회귀분석 결과 습관성 코골이에 의한 대사증후군의 위험이 여전히 유의하게 높았다(교차비: 1.96, 95% CI=1.45-2.66). 성별에 따라 연령, 음주, 흡연 요인을 보정한 후 다변량 로지스틱 회귀분석을 한 결과 여자에서 고밀도지질단백콜레스테롤, 혈당, 허리둘레의 발생 위험이 유의하게 높았으며(p<0.05), 대사증후군의 발생 위험도 유의하게 높았으나(교차비: 2.36, 95% CI= 1.64-3.40), 남자에서는 대사증후군 구성 요소 및 대사증후군 발생 위험이 높아지지 않았다.

가미귀비탕(加味歸脾湯)의 우울증 투약지침 개발을 위한 기초연구 - 우울증 변증 설문지의 신뢰도 타당도 평가 - (The Basic Study for Building the Depression Prescription Guideline of Gamiguibi-Tang - The Evaluation of Reliability and Validity of the Depression Pattern-Identification Questionnaire -)

  • 구병수;이상재;한창호;김호준;박세환
    • 동의신경정신과학회지
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    • 제20권4호
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    • pp.1-13
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    • 2009
  • Objectives : As depression falls into the category of Wuljeung, Gamiguibi-Tang(Jiaweiguipitang) is the standard prescription to cure Wuljeung. This study develops a questionnaire for building the guidelines to administer Gamiguibi-Tang to depression and evaluates reliability and validity of questionnaire. Methods : With extracting the text related to depression and Gamiguibi-Tang through total 9 Korean medicine books and consulting the experts, the study selected 80 items and converted them into a questionnaire. It surveyed the neuropsychiatry professors and the medical specialists three times by Delphi method, and lastly selected 21 final items of a questionnaire. On the basis of the questionnaire, it collected total 216 samples and tested their reliability and validity. Results : 21 items all didn't reduce total Cronbach alpha coefficient and satisfied test-retest reliability. As a result of factor analysis, totally 5 factors were extracted such as mental state, sleep, accompaniment, fatigue and weakness. Finally, in comparing a depression group with a normal control group, two groups all showed meaningful difference in each 21 items' point, the sum of factor 1 to 5 items' points, and the sum of 21 items' points. Conclusions : The questionnaire on the updated depression prescription guideline of Gamiguibi-Tang satisfied both of reliability and validity. Later it can help objectifying to apply Gamiguibi-Tang to depression cure.

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아파트공사 기능직 종사자와 단순노무 근로자의 직무스트레스와 작업능력에 관한 연구 (A Study on Job Stress and Work Ability of Technical Workers and Simple Labor Workers in Apartment Construction)

  • 이종빈;장성록
    • 한국안전학회지
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    • 제29권5호
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    • pp.129-135
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    • 2014
  • In recent studies, construction industry workers with higher job stress and lower work ability were more likely to experience accidents at their workplace. Likewise, fatal accidents rate was higher among simple labor workers compared to technical workers. Therefore the evaluation of a worker's job stress and work ability seems to be important in preventing the occurrence of fatal accidents. To search for ways to reduce job stress and to improve work ability, the current study conducted a job stress analysis based on age, years of service, skill level, hobbies, sleep patterns, and monthly income. For this, the Korean occupational stress questionnaire short form and the Work Ability Index (WAI) developed by the Finnish Institute of Occupational Health (FIOH) were used. In this study, SPSS 12.0K statistics program was used for statistical analysis and significance was verified by the Kruskal-Wallis test and non-parametric tests. The results of this study can be summarized as follows : (1) Simple labor workers had higher job stress and less work ability than technical workers. (2) The more experienced workers had lower job stress and higher work ability. (3) In the case of workers who slept a lot, work ability was higher and job stress was less. (4) Monthly income influenced on the job stress and work ability. (5) Job stress and work ability in accordance with the age difference was not significant.

만성피로증후군의 증상관리를 위한 추나요법의 유용성: 체계적인 문헌고찰과 메타분석 (Benefit of chuna for managing symptoms in chronic fatigue syndrome patients: A systematic review and meta-analysis)

  • 송정윤;김준열;남동현
    • 대한한의학회지
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    • 제41권3호
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    • pp.205-220
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    • 2020
  • Objectives: The aim of this review is to assess the clinical benefit of chuna for managing symptoms in chronic fatigue syndrome (CFS) Methods: We searched eligible studies from the following 11 databases with no language restriction: Pubmed, CENTRAL, Embase, CNKI, CQVIP, Wanfang, CiNii, OASIS, RISS and Koreamed. We selected randomized controlled trial (RCT), quasi-randomized controlled trial (Quasi-RCT) and controlled clinical trial (CCT) in which patients with chronic fatigue syndrome were treated with chuna. The results of the included studies were synthesized through meta-analysis, and their risk of bias were also assessed. Results: We searched 914 potentially relevant studies, and only 20 studies were selected for this systematic review. Meta-analysis showed that chuna was more effective in improving general symptoms (n=291, RR 0.19 [95% CI 0.11 to 0.32], Z=6.08, p<0.00001, I2=0%), fatigue (n=487, SMD -0.95 [95% CI -1.19 to -0.71], Z=7.76, p<0.00001, I2=37%) and sleep disorder (n=139, SMD -0.58 [95% CI -0.92 to -0.24], Z=3.36, p=0.0008, I2=0%) compared to health supplements or usual care. When chuna was used as an added intervention, it was more effective in improving general symptoms(n=729, RR 0.25 [95% CI 0.15 to 0.42], Z=5.19, p<0.00001, I2=0%) and fatigue severity alone(n=217, SMD -1.21 [95% CI -1.53 to -0.89], Z=7.45, p<0.00001, I2=15%) compared to control. Conclusion: We found that chuna was beneficial for improving severity of general symptoms and fatigue at post treatment in CFS patients.

일 지역 고등학생의 성문제 행동 (Sexual Problem Behaviors in High School Students)

  • 김현옥;박광숙;전미숙
    • 한국간호교육학회지
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    • 제13권2호
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    • pp.257-265
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    • 2007
  • Purpose: This study was done to investigate sexual problem behaviors of high school students in one province, North Cholla. Method: The participants in this research were 951 high school students, grades 1, 2 and 3, chosen at random in big cities, small towns and rural areas of North Cholla Province. Result: The routes for sexual knowledge acquisition were through a peer group or an older member(35.8%), internet(29.8%), classes and the teacher at school(18.8%), multimedia(8.4%) and parents (7.2%). The percentages for domains of sexual problem behaviors were masturbation 36.7%, sexual impulse 35.6%, voyeurism 12.6%, sexual violence 9.6%, transvestism 4.1%, prostitution 3.5%, exhibitionism 3.1%, and pregnancy of a female student 0.6%. Sexual problem behaviors experienced by 30% or more of the students were reported as the experience of the desire to embrace, the desire to kiss, the desire to touch a friend's body of the opposite sex, masturbation and the desire to sleep with a friend of the opposite sex. The biggest sexual problem behaviors for the students were sexual impulses toward friends of the opposite sex and masturbation. These experience rates were higher for boys than for girls(p<.05), higher vocationally than academicly(p<.05), and higher in the largest cities than smaller cities and rural area(p<.05). Conclusion: These findings suggest that systematic programs that focus on a problem solution method should be developed for sexual problem behavior prevention.

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성상신경절차단술로 제어되지 않은 대상포진후 신경통환자 치험 1예 (A Case Report of Post-herpetic neuralgia uncontroled after Stellate Ganglion Block)

  • 이정은;배한호;한영주;임도희;채은영;조철준;박양춘
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.669-676
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    • 2004
  • Post-herpetic neuralgia(PHN) is a chronic pain syndrome associated with the reactivation of a primary infection with varicella zoster virus(chinken pox), which leads to a chronic infection of dorsal root ganglia. The most common risk factor for shingles and its potential sequela, PHN, is advanced age. For a significant number of patients, the pain following healing of shingles can persist for months to years. If this pain, classified as PHN, persists longer than one month. PHN often leads to depression, disrupted sleep, decreased productivity, and utilization of health care. We treated a 60 year-old female patient who suffered pain and headache after Stellate Ganglion Blocks(SGB). In identifying points for differentiation of syndrom(辨證), this subject was diagnosed as Yangmyeong Merdian wind-heat syndrom(陽明經風熱證) and was administered Seungmagalgeuntanggamibang(revised Shengmagalgen-tang, 升麻葛根湯加味方). To ease pain, Western medication was administered as well. After fourteen days of treatment, pain and other symptoms improved.

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전라남도 장수지역 및 서울 일부 지역 거주 80대 노인의 맛 선호도, 식품섭취빈도, 영양 섭취 상태 비교 (A Comparative Study of Taste Preference, Food Consumption Frequency, and Nutrition Intake between the Elderly in Their 80's Living in Long Life Regions in Jeollanam-do and a Part of Seoul)

  • 전순실;윤은주
    • 한국식품영양학회지
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    • 제29권1호
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    • pp.115-127
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    • 2016
  • In this study, we compared diet related attributes such as food taste preference, food consumption frequency and nutrition intake between elderly residents in their 80's of areas in Jeollanam-do that are well known for longevity and those of a part of Seoul. Structured in-depth interviews were conducted by trained interviewers on 125 consented subjects (67 Jeonnam and 58 Seoul). Differences of groups were tested using Chi-square tests for nominal or ordinal data and t-tests and ANOVA tests for ratio data. The elderly from Jeonnam tended to sleep longer, express emotion more freely, and interact with others more often than those from Seoul. The elderly tended to prefer sweet or salty tastes, which might be highly related to serious health problems. The most frequently consumed foods were napa cabbage kimchi (2.19 times/day) and multigrain rice (1.99 times/day). Elderly from Jeonnam tended to consume garlic, milk, beans and roasted barley/corn teas less often; whereas, they consumed porridge, dried radish greens, potato, fermented fish, dried fish, pork rib, pork belly, soybean paste soup, soybean paste/Ssamjang, other kimchis, pickled vegetables, snacks, cookies, and green/black teas more often than elderly residents from Seoul. Differences in nutrition intake between the regions were greater than differences between the perceived levels of household economic status. NAR and INQ for folate were lower among elderly from Jeonnam than those from Seoul, while those for protein, vitamin C, niacin, vitamin $B_6$ were higher. The study results indicated that elderly from Jeonnam engaged in a more diverse diet than the elderly from Seoul.

알코올이 선박운항능력에 미치는 영향 (Effects of Alcohol Exposure on Ship Operational Ability)

  • 김홍태;양찬수;이봉왕;양영훈;김선영
    • 해양환경안전학회:학술대회논문집
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    • 해양환경안전학회 2004년도 추계학술발표회
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    • pp.49-56
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    • 2004
  • 국내외 해양사고 통계에 의하면, 해양사고의 8U내외가 직접 또는 간접적으로 인적요인에 기인한 것으로 보고되고 있다. 이러한 인적요인 가운데, 해상승무원의 피로요인은 장시간 소요되는 선박의 운항과정에서 발생할 수 있는 사고의 주된 요인이다. 해상승무원의 피로를 유발하는 요인으로는 수면시간. 운항일정, 업무량, 휴식시간, 알코올 섭취, 건강상태, 근로 및 승선여건 및 각종 스트레스 둥이 포함된다. 본 연구에서는 이러한 피로유발 요인들 중에서 알코올의 영향이 선박운항능력에 미치는 영향을 알아보기 위해, 선박운항 시뮬레이터를 이용한 실험을 수행하였다. 실험결과를 분석한 결과, 알코을의 섭취가 선박운항능력을 상당히 저하시키는 것으로 나타났다. 이러한 분석결과는 앞으로 선박운항자의 피로에 의한 해양사고 발생을 근본적으로 줄이기 위한 기초자료로 활용할 수 있을 것이다.

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Effectiveness and Safety of Korean Medicine for Trigeminal Neuralgia: A Case Report

  • Bae, Ji Min;Kim, Dae Hun;Lee, Byung Ryul;Yang, Gi Young
    • Journal of Acupuncture Research
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    • 제34권1호
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    • pp.59-66
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    • 2017
  • Objectives : This study aims to report the effectiveness and safety of Korean medicine with thread embedding acupuncture in the treatment of trigeminal neuralgia (TN). Methods : A 73-year-old man who had suffered from severe facial pain for one year and who had had a healthy tooth extracted due to the pain is reported. He could not eat or sleep due to the severe pain. Acupuncture, thread embedding acupuncture, cupping, herbal steam, and herbal medicines were used for the treatment. Numeric Rating Scale (NRS) and adverse events were checked daily, and other outcomes (Baseline Evaluation, Visual Analogue Scale [VAS], Short Form Health Survey 36-Bodily Pain [SF-36 BP], and Patient Global Assessment [PGA]) were measured at hospital admission and discharge. During the follow-up examinations, his pain was evaluated roughly, without using any formal measurements, on the basis of a global assessment. Results : All measured parameters, including pain, quality of life, and patient satisfaction were noted to have improved at the time of discharge compared to admission: VAS from 10 to 1.5, NRS from 7-8 to 1-2, and SF-36 BP from 0 to 22.5, and the patient's global assessment was somewhat improved. He did not take any analgesics after discharge and noted only mild adverse events, like pain where the acupuncture and thread embedding acupuncture needles were inserted. His pain relief was maintained for 6 months. Conclusion : Korean medicine with thread embedding acupuncture might be a safe and effective treatment for TN. In the future, larger sample sizes and high quality randomized clinical trials are warranted to confirm its efficacy and safety.

직장인 남성의 스트레스와 식생활 태도에 관한 분석 (Analysis on Stress and Dietary Attitudes of Male Employees)

  • 이미애;이은주;소혜경;최봉순
    • 대한지역사회영양학회지
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    • 제16권3호
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    • pp.337-352
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    • 2011
  • This study was conducted to vitalize life through analysis on lifestyles, stress and dietary habits of male employees. For this study, questionnaire survey and physical measurements to examine BMI and waist circumference were performed with male employees in four companies located in Gyeongnam. Total 350 copies of the questionnaire were distributed and 327 ones were finally analyzed. The results of analysis on dietary liferelated problems and stress were as follows. First, according to BMI, 56.9% were overweight and waist circumference recorded less than 90 cm in 90.5%. For lifestyles, 54.1%, 79.2%, 60.9% and 52.3% smoked, drank alcohol, didn't exercise and didn't sleep sufficiently. Second, for the correlation with job stress, the subjects graduating junior college or lower academic institution, production employees and sleeping insufficiently showed higher compared to the others. Analysis on the correlation with life stress found that conjugal relation stress was higher in alcohol-drinkers, the males not taking dietary supplements, those with a normal weight or more compared to underweight ones. Stress from relation with a child was higher aged 35~49 years than in those aged 20~34 years, and stress from economic life was higher aged less than 50 years, in those graduating junior colleges compared to those graduating colleges, in those sleeping insufficiently. Health life stress was found to be higher in those without religion compared to those with it such as Protestant Christianity and Catholicism, in alcohol drinkers and in those sleeping insufficiently and having a disease. Based on this, in order to improve the lifestyles and dietary habits and release stress effectively, practical nutrition education program should be carried out.