• Title/Summary/Keyword: Sleep management

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Continuous wound infiltration of ropivacaine for reducing of postoperative pain after anterior lumbar fusion surgery: a clinical retrospective comparative study

  • Lee, Sang-Min;Yun, Dong-Ju;Lee, Sang-Ho;Lee, Hyung-Chang;Joeng, Kyung Ho
    • The Korean Journal of Pain
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    • v.34 no.2
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    • pp.193-200
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    • 2021
  • Background: Local anesthetic infiltration at the site of a surgical wound is commonly used to control postoperative pain. In this study, we examined the effectiveness of continuous local infiltration at an abdominal surgical site in patients undergoing anterior lumbar interbody fusion (ALIF) surgery. Methods: Sixty-one patients who underwent ALIF surgery were enrolled. For thirtyone of them, a continuous local anesthetics infiltration system was used at the abdominal site. We collected data regarding the patients' sleep quality; satisfaction with pain control after surgery; abilities to perform physical tasks and the additional application of opioids in the postoperative 48 hours. Results: The On-Q system group showed reduced visual analogue scale scores for pain at the surgical site during rest and movement at 0, 12, 24, and 48 hours; and more was satisfied with pain control management at the first postoperative day (7.0 ± 1.2 vs. 6.0 ± 1.4; P = 0.003) and week (8.1 ± 1.6 vs. 7.0 ± 1.8; P = 0.010) than the control group. The number of additional patient-controlled analgesia (PCA) bolus and pethidine injections was lower in the On-Q group (PCA: 3.67 ± 1.35 vs. 4.60 ± 1.88; P = 0.049 and pethidine: 2.09 ± 1.07 vs. 2.73 ± 1.38; P = 0.032). Patients who used the On-Q system performed more diverse activity and achieved earlier ambulation than those in the control group. Conclusions: Continuous wound infiltration with ropivacaine using an On-Q system may be effective for controlling postoperative pain after ALIF surgery.

Prevalence of pre-obesity and above and its associated factors in adult women: an analysis of the 2020 Korea National Health and Nutrition Examination Survey

  • Hyunju Chae
    • Women's Health Nursing
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    • v.30 no.2
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    • pp.117-127
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    • 2024
  • Purpose: This study was conducted to determine the prevalence of pre-obesity (overweight) and above in adult women and to identify associated factors. Methods: Data were obtained from the eighth Korea National Health and Nutrition Examination Survey (KNHANES VIII-2), conducted in 2020. The sample comprised 2,288 women aged 19-64 years who participated in the KNHANES VIII-2. Data were analyzed using complex sample design analysis with SPSS version 20.1. Results: The prevalence of pre-obesity and above among adult women was 46.5%, with 18.6% classified as having pre-obesity and 27.9% as having obesity. A higher prevalence of pre-obesity and above was observed in women aged 50-59 years (odds ratio [OR]=1.67, p=.019) or 60-64 years (OR=1.80, p=.029); women whose highest educational attainment was high school (OR=1.28, p=.018) or middle school or less (OR=1.60, p=.017); those in middle-income households (OR=1.55, p=.005); those engaging in muscle-strengthening activities less than 2 days per week (OR=1.37, p=.019); and those sleeping less than 6 hours per night during the week (OR=1.37, p=.025). Conclusion: As nearly half of all adult women have either pre-obesity or obesity, prevention and management strategies must target both groups. Interventions should be prioritized for women in their 50s and older, as well as those with low education or income levels. Additionally, receiving adequate sleep of 7 hours or more and engaging in muscle-strengthening activities at least 2 days per week are important components of obesity management.

Effects of Forest Therapy Program on Stress levels and Mood State in Fire Fighters (산림치유프로그램이 소방공무원의 외상 후 스트레스 및 기분상태 변화에 미치는 효과)

  • Park, Choong-Hee;Kang, Jaewoo;An, Miyoung;Park, SuJin
    • Fire Science and Engineering
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    • v.33 no.6
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    • pp.132-141
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    • 2019
  • This study was conducted to investigate the effects of a forest therapy program on post-traumatic stress disorder (PTSD) and mood states of fire fighters. A total of 293 participants completed two psychological questionnaires before and after the program was conducted: the Post Traumatic Stress Disorder Checklist (PCL) and the Profile of Mood States (POMS). Data were analyzed with paired t-test and ANCOVA using SPSS 24.0. The PTSD results showed a significant decrease from 11.38 ± 12.58 points before the program to 6.91 ± 10.50 points after the program. Results of the POMS questionnaire revealed an increase in positive factors and a decrease in negative factors, with a significant overall decrease in POMS results from 8.58 ± 18.47 points before the program to -0.63 ± 15.83 points after the program. As a result of analyzing the differences in stress reduction effects according to the amount of sleep participants had, PTSD showed improvement at 6-8 hours of sleep. These results are expected to be utilized as a basis for stress management and relief in fire fighters.

Neuropsychiatric Symptoms in Patients with Mild Cognitive Impairment and Dementia of Alzheimer's Type (경도인지장애 및 알쯔하이머형 치매 환자에서의 신경정신증상)

  • HwangBo, Ram;Kim, Hyun;Lee, Kang Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.2
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    • pp.105-111
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    • 2012
  • Objectives : We investigated the prevalence and composite score of the neuropsychiatric symptoms in patients with mild cognitive impairment(MCI), and dementia of Alzheimer's type(AD). The aim of this study is to analyze the correlation between the result of Korean Neuropsychiatric Inventory(K-NPI) and cognitive function. Methods : A total of 163 patients diagnosed with MCI or AD was divided into three groups(55 MCI patients, 56 dementia patients with mild stage, and 52 dementia patients with moderate, severe stage). We examined neuro-psychiatric symptoms by K-NPI and compared the prevalence and composite score of each subdomain in K-NPI among three groups. Results : The most common symptoms in the MCI group were depression/dysphoria, sleep/night-time behavior, anxiety, and irritability/lability. In mild AD group, the most frequent disturbance was agitation/aggression, depression/dysphoria, anxiety, apathy/indifference, and sleep/night-time behavior. In moderate to severe AD group, the most frequent disturbance was apathy/indifference, depression/dysphoria, agitation/aggression, and delusion. The frequencies of delusion, hallucination, agitation/aggression, apathy/indifference, aberrant motor behavior, appetite/eating change were statistically significant. The total NPI score showed a negative correlation with MMSE-KC and a positive correlation with GDS. Conclusions : Neuropsychiatric symptoms are common features of MCI and AD. These symptoms observed in MCI are similar to those of mild AD. Psychosis is most common in moderate to severe AD, leading to a faster rate of cognitive decline. Therefore, proper management according to the neuropsychiatric symptoms of MCI and three stages of dementia is needed.

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A Preliminary Study on the Stress Perception and Ways to Cope with Stress for Seafarers (선원들의 스트레스 인지와 그 대처방법에 관한 기초 연구)

  • Seo Young-Seung;Kim Jae-Ho
    • Journal of Navigation and Port Research
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    • v.29 no.1 s.97
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    • pp.35-42
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    • 2005
  • This study aims at analyzing the extent of seafarers' perception on their stress and ways to cope with the stress and providing fundamental data for establishing on the stress management of seafarers. In this paper 428 seafarers, who were in the fire-fighting and survival technique training course in Korea Institute of Maritime and fisheries Technology, were sampled and asked to fill out two kinds of questionnaire. One is a questionnaire on seafarers' stress perception and the other is that on the measure of their coping with stress. The collected data were analyzed by using descriptive statistics, t-test and ANOVA by SPSS 10.1 package. The results of this study are as follow. 1) There were significant differences of stress perception in navigation area, marital status, amount of smoking, frequency of drinking, exercise, sleep pattern, sleeping hours, leisure time, and job satisfaction 2) There were significant differences of method coping with stress in current position, navigation area, age, ship career, level of education, marital status, yearly income, frequency of drinking, amount of drinking, exercise, sleep pattern, and job satisfaction 3) The relation between stress perception and ways of coping with stress showed that the group with higher stress perception tended to use emotion-focused coping style and desirable thinking.

Prevalence of allergic diseases and its related factors in Korean adolescents-Using data from the 2013 Korea youth risk behavior web-based survey (청소년 알레르기 질환 유병률과 관련 요인 -2013년 청소년 건강행태 온라인조사 활용)

  • Han, Ji-Young;Park, Hyeon-Sook
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.1
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    • pp.155-168
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    • 2016
  • The purpose of this study was to investigate the prevalence of allergic diseases and its related factorsin Korean adolescents. The subjects were 72,435 middle and high school students. The data were analyzed by ${\chi}^2$ test and multiple logistic regression analysis. The prevalence of asthma, allergic rhinitis, and atopic dermatitis was 9.3%, 30.6%, and 23.4%, respectively. According to multiple logistic regression analysis, asthma was associated with gender, age, economic state, obesity, stress, sleep satisfaction, secondhand smoking, drug use, other allergic diseases and physical activity. Allergic rhinitis was associated with age, economic state, residential area, type of residence, obesity, stress, sleep satisfaction, smoking experience, secondhand smoking, alcohol drinking, other allergic diseases and physical activity. Finally, atopic dermatitis was associated with gender, age, economic state, residential area, obesity, stress, other allergic diseases and physical activity. Conclusion: These results will provide database for prevention and management of allergic diseases.

A Clinical Trial of Light Therapy on Patients with Premenstrual Dysphoric Disorder (월경전 불쾌기분장애 환자의 광치료 임상 시도)

  • Joe, Sook-Haeng;Kim, Jin-Se;Kim, Seung-Hyun;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.6 no.1
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    • pp.46-51
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    • 1999
  • Objectives: Patients with premenstrual dysphoric disorder(or PMDD) have impairments of the social, occupational or academic function due to psychological or somatic symptoms, which have the characteristic pattern of symptom exacerbation in the week before menses begin and remission shortly after the onset of menses. In the chronobiological view, many researchers have assumed that the etiology of PMDD is the advanced circadian rhythm. It has been suggested that light has a therapeutic effect on PMDD, because evening light results in phase delay of circadian rhythm through the biochemical changes including melatonin. Methods: The authors investigated the therapeutic effect of light therapy on four patients with prospectively diagnosed PMDD by DSM-IV criteria using clinical psychiatric interview, Premenstrual Assessment Form(PAF) and Daily Rating Form(or DRF). In the evening(6:30pm-8:00pm), the 2,500 lux light administered for seven consecutive days during the symptomatic late luteal phase of menstrual cycle. Beck Depression Inventory(or BDI), Hamilton Rating Scale for Depression(or HAM-D), Spielberg State Anxiety Inventory(or SA), and DRF were evaluated before and after seven days of light therapy. Results: Premenstrual symptoms of PMDD could be effectively treated with the evening bright light therapy, especially in PMDD patients with atypical symptoms. In addition, the light therapy seemed to more effective on the psychologic symptoms than the somatic symptoms of PMDD. There was no significant side-effect of light therapy, except the transient and mild eye-strain in one case. Conclusions: In spite of the results of limited data from our clinical trial, the authors suggest that the potential use of light therapy as an alternative to the pharmacological management of patients with PMDD.

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A Study on Time Synchronization Protocol to Cover Efficient Power Management in Ubiquitous Sensor Network (유비쿼터스 센서 네트워크를 위한 효율적인 시간 동기화 프로토콜 연구)

  • Shin, Moon-Sun;Jeong, Kyeong-Ja;Lee, Myong-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.3
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    • pp.896-905
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    • 2010
  • The sensor networks can be used attractively for various application areas. Time synchronization is important for any Ubiquitous Sensor Networks (USN) systems. USN makes extensive use of synchronized time in many contexts for data fusion. However existing time synchronization protocols are available only for homogeneous sensor nodes of USN. It needs to be extended or redesigned in order to apply to the USN with heterogeneous sensor nodes. Because heterogeneous sensor nodes have different clock sources with the SinkNode of USN, it is impossible to be synchronized global time. In addition, energy efficiency is one of the most significant factors to influence the design of sensor networks, as sensor nodes are limited in power, computational capacity, and memory. In this paper, we propose specific time synchronization based on master-slave topology for the global time synchronization of USN with heterogeneous sensor nodes. The time synchronization master nodes are always able to be synchronized with the SinkNode. Then time synchronization master nodes enable time synchronization slave nodes to be synchronized sleep periods. The proposed master-slave time synchronization for heterogeneous sensor nodes of USN is also helpful for power saving by maintaining maximum sleep time.

Ringer's solution detector and transceiver design for efficient manage of patient (효율적인 환자관리를 위한 링거액 감지기 및 송수신기 설계)

  • Song, Je-Ho;Lee, In-Sang;Lee, You-Yub
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.45-50
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    • 2016
  • This paper reports a Ringer's solution detector and transceiver design for the efficient management of patients. The ringer's solution detection and transceiver consisted of the main control part, ringer's solution detection part, display and warning light part, wireless transceiver, and power supply part. The light receiving part of the ringer's solution detection part employed TSL260R-LF photodiode; light permeating part, Water-Clear type LED; and wireless transceiver part, the RF wireless data transceiver module, NR-FPCX. As a result of this Ringer's solution detector and transceiver design that can manage the patient efficiently, it was found that when the ringer's solution was detected by the double photodiode, the operating frequency was 11.95kHz; when it was not detected, the number was 9.6kHz. In the ringer's solution receiver, when the ringer's solution was detected, the number was 0. The corresponding unique RF code was displayed when not detected. The power used in the ringer's solution detection part was converted to the Sleep mode to operate under battery save mode. The ringer's solution transceiver can exchange wireless communication approximately within a 700m radius.

Analysis of Related Factors of Depression According to the Causes of Suicidal Ideation : A Secondary Analysis of Community Health Survey, 2021 (자살생각 원인에 따른 우울의 관련 요인 분석: 2021년 지역사회건강조사 자료 활용)

  • Kawoun Seo;Myoungjin Kwon
    • Journal of Industrial Convergence
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    • v.21 no.3
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    • pp.99-106
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    • 2023
  • The purpose of this study was to identify the factors affecting depression according to the causes of suicidal ideation. The data used the 2021 Community Health Survey data. The participants of the study were 5,328 adults between the ages of 20 and 60 who responded that they had suicidal thoughts in the past year. For the analysis of the data, a composite sample analysis was performed using the SPSS 25.0 program. The results of the study are as follows. 1) In the economic difficulties group, age, gender, education level, economic activity, job change due to COVID-19, life satisfaction, subjective health status, stress, sleep time, and annual unmet medical care were the main factors related to depression. 2) In the interpersonal problem group, age, gender, education level, economic activity, life satisfaction, subjective health status, smoking, drinking, stress, and sleeping time were the main factors associated with depression. 3) In the disease and disability group, age, marital status, education level, life satisfaction, smoking, stress, sleep time, and annual unmet medical care were the main influencing factors of depression. Therefore, in order to reduce the rate of suicide and prevent depression, it is necessary to establish various strategies according to the causes of suicidal ideation and the influencing factors of depression.