• 대한한방내과학회지
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• 제43권3호
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• pp.436-443
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• 2022

Objectives: This study examined the case of a 69-year-old man with a history of stroke and Alzheimer's disease who had been diagnosed with probable-rapid eye movement sleep behavior disorder (probable-RBD). Methods: The patient was treated with herbal medicine (Ukgan-san, Ukgansangayonggolmoryeo-tang, and powdered Gamisoyo-san extract), Western medicine (clonazepam, antiplatelet, psychotropic agents, antihypertensive drugs, and others), and acupuncture. Their effects were evaluated by the frequency and severity of sleep-related behavioral symptoms. Results: After treatment, the observed frequency and severity of sleep-related behavior decreased. Conclusion: The results suggest that using traditional Korean medicine with clonazepam can be effective in the treatment of patients with probable-RBD.

• 기본간호학회지
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• 제17권1호
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• pp.26-34
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• 2010

Purpose: The purpose of this study was to compare long-term hospital and general hospital for delirium prevalence and precipitating factors in elderly patients. Method: The participants were 184 patients aged 65 or older from one general hospital and 4 long-term facilities. Delirium was assessed using the Confusion Assessment Method and precipitating factors for delirium were classified as demographic, physical condition, disease and drug factors associated with delirium found in a literature analysis. Results: Delirium prevalence was 5.4% and there was no significant difference according to hospital type. Most of the patients with delirium were male, dependent and dehydrated and had sleep disturbances, diseases and drugs associated with delirium and, had multi-drugs prescriptions. Non-delirious patients also had two or more delirious symptoms and several precipitating factors. Delirious patients were more dependent, urinary incontinent and had sleep-disturbances compared to the non-delirious group. The participants in the long-term hospitals were found to have frequently previous delirium history. Conclusion: Even though the prevalence rate of delirium was not high, most elderly patients, regardless of delirium, are a very high risk group and dependent ADL, sleep disturbances, and/or urinary incontinence could be used predictive factors for delirium.

• 대한정형도수물리치료학회지
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• 제20권1호
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• pp.47-52
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• 2014

Background: This case study is to describe the manual therapy for the patient with posttraumatic stress (PTSD), sleep disturbance, and pain such as chronic low back pain (CLBP). Methods: The patient who participated in this study was a 60 year-old male PTSD patient with CLBP. His CLBP is not from any genetic or family history but a sequelae of torture that he had gone through about 30 years ago. Prior to the intervention, it was assessed that the PDS-K score was 16, PQSI-K was 12, SLR-90-R was low, VAS score was 10, and KODI socre was 25. The intervention was conducted through manual therapy (myofascial release, muscle energy technique, lumbar stabilization) twice a week for eight weeks in total. Results: After eight week-intervention, the PDS-K, SLR-90-R, VAS, and KODI score were improved whereas PQSI-K was not sufficiently fast improved. Conclusions: The manual therapy is substantially effective in dealing with PTSD and CLBP.

• 한국의사학회지
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• 제18권1호
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• pp.3-14
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• 2005

Among modern people's life-style, the lack of exercise and sleep is related to infertility. Underexercise accumulates damp-sputum, resulting in the insufficiency of essence. It also obstructs the creation of essence, leading to insufficient essence. Activities at night without sleep cannot create the condition to help the process of yin, causing the insufficiency of essence. Fast food is made from the cattle which are fed the feed containing growth hormone and antibiotics in large quantities. Growth hormone causes the process of yang excessively in human body, while antibiotic suppresses the process of yin, leading to excessive damp-heat and hyperactive ministerial fire. Antiseptic included in instant food hampers the process of fermentation, or yin, and inhibits the digestion mechanism, obstructing damp-heat and bringing about hyperactive ministerial fire. Intake of excessive flesh and meat gives rise to incomplete combustion and hinders the creation of essence, causing hyperactive ministerial fire due to the lack of yin. Milk suits the calf that has a rapid growth cycle. Milk intake by humans leads to the rapid process of yang and eventually hyperactivity of ministerial fire. The imbalance between yin and yang, with essence insufficent and ministerial fire hyperactive, causes infertility in three aspects. First, the lack of essence itself makes conception difficult. Secondly, damp-sputum resulting from ministerial fire obstructs the circulation of qi and blood. It also hampers the normal supply of qi and blood to the uterus. Thirdly, the excessive process of yang may result in infertility. Generally speaking, pregnancy starts with implantation. If the excessive process of yang is in progress in body, static condition needed for implantation cannot be maintained, leading to infertility.

• 한국정보통신학회논문지
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• 제13권4호
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• pp.785-796
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• 2009

본 논문에서는 이동로봇의 슬립 감소를 위한 이동경로계획 및 슬립으로 인해 발생하는 기록센서 오차를 보상하는 방식을 제안하였다. 제안하는 로봇의 이동경로계획은 로봇의 슬립을 고려하여 퍼텐셜 필드 방식에서 장애물에 대한 퍼텐셜 장벽을 평탄 화함으로써 로봇의 슬립을 감소하였다. 또한 슬립으로 인해 발생하는 기록센서의 오차를 퍼지 논리 시스템을 이용하여 보상하였다. 제안한 방식의 유용성을 시뮬레이션 및 제작한 이동로봇을 이용하여 실험을 통하여 확인하였다.

• 수면정신생리
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• 제8권2호
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• pp.90-97
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• 2001

The reason for exploring dreams is to understand the of patient's conflicts and unconscious motivation. Even if the therapeutic value of dreams is considerably faded these days, I can not deny that dreams are still very useful. From the beginning of human history, dreams have been an appealing subject for many people. In the past, dreams chiefly had the value of prophetic meaning, and in our tradition attention was paid to dreams in terms of good and bad dichotomy. Freud's discovery of the Unconscious and technical development of its exploration is reinforced by dream interpretation. In contemporary terms, although dreams are not the royal road to the Unconscious, they surely present a short-cut. I suggest that dreams as a treasure island of the Unconscious have a useful therapeutic value, and that stressing the importance of dreams is by no means anachronistic. I believe that practical sessions without dreams are like a river without bridges.

• 수면정신생리
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• 제11권2호
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• pp.84-88
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• 2004

목 적：폐쇄성 수면 무호흡증은 병력청취, 이학적 검사, 방사선학적 검사, 수면다원검사로 진단할 수 있는데 이를 임상적으로 검사할 때에는 편도의 비대와 좁아진 구인두의 관찰에 초점을 두어야 한다. 이 연구에서는 폐쇄성 수면무호흡증의 심한 정도를 예측하는데 있어 변형 Mallampati 지수(MMG)와 편도지수(TG)의 유용성을 알아보고자 하였다. 방 법：MMG와 TG는 심한정도에 따라 각각 4군 및 5군으로 나뉜다. 2002년 3월부터 2004년 4월까지 계명대학교 동산의료원에서 코골이와 수면무호흡증으로 수면다원검사와 이비인후과적 검진을 받은 94례를 대상으로 이들의 의무기록을 후향적으로 분석하였다. 환자들은 무호흡-저호흡지수(AHI)에 따라 비교군(n=24)과 수면무호흡군(n=70)으로 나누었다. 결 과：변형 Mallampati 지수(MMG)와 편도지수(TG)가 높을수록 높은 AHI 값을 가지며 TG와 MMG 모두 AHI와 통계적으로 유의한 연관성을 보였다. 결 론：MMG와 TG는 수면무호흡증을 진단하는데 신뢰할만한 예측인자이며 치료방법을 결정하는데 유용한 척도가 될 수 있다.

• 한국산학기술학회논문지
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• 제15권10호
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• pp.6193-6203
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• 2014

본 연구는 50인 미만의 제조업 근로자들의 수면의 질을 평가하고, 이들의 인구사회학적 특성, 건강행태 및 직업관련 특성과 수면의 질과의 관련성을 규명하고자 대전광역시 D공단에 소재하고 있는 50인 미만의 소규모 제조업 사업장 남성 근로자 856명을 대상으로 2011년 4월 1일부터 6월 30일까지의 기간 동안에 자기기입식 설문조사를 실시하였다, 조사내용은 조사대상의 인구사회학적 특성, 건강관련행위 특성, 직업관련 특성 및 한국판 PSQI를 사용한 수면의 질 평가 등이었다. 연구 결과, PSQI에 의한 수면의 질 평가에서 전체 조사대상자의 32.0%는 수면의 질이 좋은 것으로, 68.0%는 수면의 질이 좋지 않은 것으로 평가되었다. 위계적 다중회귀분석 모델에 의한 조사대상자의 수면의 질(PSQI) 수준은 기혼군일수록, BMI가 낮을수록, 주관적인 건강상태가 좋지 않을수록, 비흡연군, 음주군, 규칙적인 운동을 하지 않는 군 및 커피를 음용하는 군, 생산직 근로자, 주당 근무시간이 길수록, 질병으로 인한 결근 경험이 있는 군일수록, 외래진료경험이 있는 군일수록 유의하게 낮았다. 위의 모델에서 보면 직업관련 특성이 추가됨으로 해서 13.1%의 설명력을 증가시켜 PSQI에 의한 수면의 질에 직업관련 특성이 높은 관련성이 있음을 시사하고 있다.

• 대한간호학회지
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• 제27권1호
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• pp.49-60
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• 1997

The purpose of this study was to determine the incidence of malnutrition among patients on admission to hospital, to monitor changes in their nutritional status during hospitalization, and to determine the factors which might affect changes in nutritional status. The subjects for the study were patients who were admitted to general medicine for more than one week. Patients suffering from cardiovascular. renal disease, or dehydration were excluded. Nutritional assessment of the patients was performed on admission and nutritional status was reassessed one week and two weeks after admission. The nutritional assessment tool consisted of subjective history taking and anthropometric measurements. Biochemical measurements were performed only on admission. For anthropometric assessment : patients' body weight, subcutaneous skinfolds thickness, % of body fat, body mass index, and lean body mass were measured using caliper or Bio impedance Analyzer. Factors which might influence current nutritional status, like dietary intake, anorexia, nausea, vomiting, diarrhea, sleep disturbance, and number of days of NPO for diagnostic examinations were analyzed. The results are as follows : 1. Of the 59 patients who were studied, 61% were male and 39% female. The nutritional status of all of the 59 subjects was reassessed one week after admission, but it was only done for 22 subjects at two weeks. 2. The anthropometric measurements. including weight body mass index, lean body mass, body fat. and skin fold thickness. were all significantly decreased at one week after admission compared to the values at admission. On the other hand, two weeks after admission, only body weight and abdominal skinfolds thickness were decreased. 3. The subjects reported anorexia for an average of two days, sleep disturbance for two days, and no food intake due to diagnostic test for one day. In the second week of hospitalization, almost none of the patients complained of gastrointestinal symptoms or sleep disturbance except anorexia. Food consumption which was measured based on rice intake was 60% of the food served during the first week of hospitalization, and 66% during the second week of hospitalization. 4. There was no correlation between the subjective nutritional assessment and anthropometric assessment. 5. There was no statistical significance in anthropometric measurements among the patients with various diseases whereas sleep disturbance and no food intake due to various diagnostic test was prominent in patients with gastrointestinal diseases.

• Korean Journal of Acupuncture
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• 제31권4호
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• pp.234-239
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• 2014

Objectives : The purpose of this study is to report that acupuncture of Damjeonggyeok(tonifying GB in Sa-Am acupucture) can be effective on chronic insomnia. Methods : The patients were treated with Sa-Am acupucture(Damjeonggyeok) added with HT8 and KI6, once a week. Treatments were performed for 20 minutes. The effectiveness was evaluated using total sleep hours and subjective sleep quality based on the Insomnia Severity Index. Result and Conclusions : In all patients, the sleep quality evaluated with the Insomnia Severity Index has shown amelioration and sleeping time was increased. Also, they quit the insomnia pills. Acupuncture at Damjeonggyeok added with HT8 and KI6 seems to be able to one of useful therapies for the sleep disorder in chronic insomnia.