• 제목/요약/키워드: Sleep management

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The Usefulness of Nasal Packing with Vaseline Gauze and Airway Silicone Splint after Closed Reduction of Nasal Bone Fracture

  • Kim, Hyo Young;Kim, Sin Rak;Park, Jin Hyung;Han, Yea Sik
    • Archives of Plastic Surgery
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    • 제39권6호
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    • pp.612-617
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    • 2012
  • Background Packing after closed reduction of a nasal bone fracture causes inconvenient nasal obstruction in patients. We packed the superior meatus with Vaseline gauze to support the nasal bone, and packed the middle nasal meatus with a Doyle Combo Splint consisting of an airway tube, a silastic sheet, and an expandable sponge to reduce the inconvenience. In addition, we aimed to objectively identify whether this method not only enables nasal respiration but also sufficiently supports the reduced nasal bone. Methods Nasal ventilation was measured via spirometry 1 day before surgery and compared to 1 day after surgery. To compare support of the reduced nasal bone by the 2 methods, 2 plastic surgeons assessed the displacementon X-rays taken after the surgery and after removing the packing. The extent of nasal obstruction, dry mouth, sleep disturbance, headache, and swallowing difficulty were compared with visual analog scales (VAS) on a pre-discharge survey. Results In the experimental group, the nasal respiration volume 1 day after surgery remained at $71.3%{\pm}6.84%$ on average compared to 1 day prior to surgery. Support of the reduced bone in the experimental group ($2.80{\pm}0.4$) was not significantly different from the control group ($2.88{\pm}0.33$). The VAS scores for all survey items were lower in the experimental group than in the control group, where a lower score indicated a lower level of inconvenience. Conclusions The nasal cavity packing described here maintained objective measures of nasal respiration and supported the reduced bone similar to conventional methods. Maintaining nasal respiration reduced the inconvenience to patients, which demonstrates that this packing method is useful.

대학병원 간호사의 직무 스트레스 정도와 건강증진행위와의 관계 (A Study on the Relationship between Job Stress and Health Promoting Behavior among University Hospital Nurses)

  • 김미선
    • 한국직업건강간호학회지
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    • 제10권2호
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    • pp.153-163
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    • 2001
  • Purpose of the study was to identify the relationship between job stress and health promoting behavior(HPB) among nurses. Samples were 426 nurses working in some university hospitals which were chosen by convenient sampling. Data was collected by using constructed questionnaires from March 28th to April 7th 2001. The instruments used for in the study were 'The Health Promotion Behavior' which was developed by Park(1995) and 'The Job Stress' modified by Kim(1998). The data was analyzed by mean, standard deviation, t-test, ANOVA, Duncan test and Pearson's correlation coefficient in the SPSS program. The results were as follows : 1. The mean score of job stress was 3.51 which is meant to be 'more than moderate' level of stress. 2. The total mean score of health promoting behavior was 2.44; 'Management of Sanitary life' 3.12, 'Harmonious relation-ships' 2.95, 'Emotional support' 2.71, 'Diet control' 2.59, 'Self-achievement' 2.57, 'Self-control' 2.31, 'Healthy diet' 2.29, 'Rest and sleep' 2.26, 'Exercise and activity' 2.12, 'Regular diet' 1.91 and 'Professional health maintenance' 1.61 were shown in each HPB category. 3. There were not any statistical differences between job stress and general characteristics of nurses. 4. The health promoting behavior was significantly influenced by factors of age, marital status, education level, religion, position, career and family income of nurses. 5. There was not any correlations between job stress and health promoting behavior.

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노인의 요통과 우울과의 관련성 (Relationship Between Low Back Pain and Depression Among Some Elderly)

  • 윤성우;오경애
    • 한국산학기술학회논문지
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    • 제15권3호
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    • pp.1599-1605
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    • 2014
  • 본 연구는 지역노인을 대상으로 요통과 우울과의 관련성을 살펴보고자 시행되었다. 2008년 지역사회건강조사 자료에서 65세 이상 노인 3,649명 중 응답이 불충분한 2명을 제외한 3647명을 최종 대상으로 선정하여, 자료는 SPSS Win(ver.19.0)을 이용하여 가중치를 적용하여 복합표본 분석방법 중 Rao-Scott ${\chi}^2$-test, 로지스틱회귀분석을 실시하였다. 통계적으로 유의성은 p<0.05로 하여 분석하였다. 노인의 우울에 대한 관련요인으로 요통, 주관적 건강수준, 평균수면시간이 관련이 있는 것으로 나타났고, 요통이 없는 군에 비해 있는 군에서 우울이 1.38배 높게 나타났다. 요통이 있는 노인의 우울을 감소시키기 위해서는 일상생활의 불편함을 감소시키는 프로그램이 필요할 것으로 판단되며, 요통이 있는 노인의 우울과 관련하여 본 연구보다 더욱 다양한 변수를 적용한 연구가 필요할 것으로 사료된다.

충북지역 일부 고등학생의 스트레스 상태와 청소년 영양지수를 이용한 영양상태와의 관련성 (Association between Stress and Nutritional status of High School Students in Chungbuk using Nutrition Quotient for Korean Adolescents)

  • 김인영;최미경
    • 대한지역사회영양학회지
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    • 제25권5호
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    • pp.361-373
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    • 2020
  • Objectives: The purpose of this study was to investigate the relationship between stress levels and eating habits in adolescents. Methods: A total of 453 male and female high school students were surveyed to ascertain their stress levels, Nutrition Quotients for Korean Adolescents (NQ-A), and stress-related eating behavior. Results: The average age of the subjects was 18 and they were mostly from nuclear families. Their average daily conversation time with their parents was between 10 to 30 minutes. The average sleep time for female students was observed to be less than that of male students. The satisfaction level of academic achievement of female students was significantly lower than that of the male students (P < 0.001). The average stress level score for female students was 2.7 out of 5, which was significantly higher than the male student's score of 2.4 (P < 0.001). The eating speed of male students was related to stress levels. Both male and female students ate more and craved spicy food when under stress. All male and female students had significantly ascending NQ-A scores rising in the order of stress from 'low level' to 'medium level', to 'high level' (P < 0.001). There was a significant negative correlation between the stress score and the NQ-A score adjusted for general characteristics (r = -0.29, P < 0.001). Conclusions: Since stress and NQ-A were negatively correlated in high school students, higher stress levels can be associated with irregular eating habits and negative eating behavior. Therefore, stress management and nutrition education focusing on stress status are needed for adolescents.

유아어머니의 구강보건교육 경험에 따른 유아구강관리실태 - 대구광역시 일부 어린이집을 대상으로 (A child oral care state according to mother's oral health education experience - selected preschool in Daegu metropolitan city)

  • 정명희;전성희
    • 한국치위생학회지
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    • 제10권6호
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    • pp.965-972
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    • 2010
  • Objectives : This study was conducted to improve oral heath behaviour of child by analyzing child's mother oral health behaviour. Methods : A total of 361(95.0%) 3-year-old-child's mothers who sent their child to child care institution in Daegu were analyzed from October 1, 2009 to October 31, 2009. Results : 1. In relation to general nature and experience on oral health education of child's mother, mother with higher monthly income, over than graduation from university and professional job had high oral health education experience, which was statistically related(p<0.01)(p<0.001). 2. In the case of mother with oral health education experience, this mother had higher dental clinic visit for 1 year, higher experience on scaling, higher good food preference for teeth health and higher use of floss, which was statistically related(p<0.05)(p<0.01). 3. Regarding child's oral management behaviour by mother's oral health importance, in the case that oral health was important, flouride toothpaste use, restriction on cavity inducting food and toothbrushing before sleep were higher only, which was statistically related(p<0.05)(p<0.001). Conclusion : In case of mother with oral health education experience, this mother had experience on dental clinic visit for prevention of cavity, dental clinic visit for treatment and restriction on food in which their child's oral health behaviour were satisfactory, which was statistically related.

아토피피부염 환자(患者)의 사상체질별(四象體質別) 신상특징(腎床特徵)에 관한 연구(硏究) (A Study on the Clinical Characteristics of Atopic Dermatitis According to Sasang Constitutions)

  • 임진희;이의주;고병희
    • 사상체질의학회지
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    • 제20권1호
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    • pp.67-88
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    • 2008
  • 1. Objectives The aim of this study was to find out clinical characteristics of atopic dermatitis according to Sasang Constitutions and to help on Sasang Constitutional management and treatment of atopic dermatitis 2. Methods 108patients with atopic dermatitis were involved in the study. The patients had visited C Oriental Clinic from January 2007 to September 2007 and had taken oriental herbal medicine for over one month. They were divided into four groups by Sasang Constitutions and were evaluated the clinical features of atopic dermatitis according to Sasang Constitutions. 3. Results and Conclusions The clinical characteristics for 108 patients with atopic dermatitis was surveyed 1. Soyangin with atopic dermatitis had significantly more Allergic conjunctivitis than other Constitutions, and Taeumin with atopic dermatitis had significantly less Allergic conjunctivitis than other Constitutions. 2. Soyangin with atopic dermatitis had significantly more 'Sleep loss' than other Constitutions. 3. Emotion was significantly more aggravating factor of atopic dermatitis in Soyangin than in other Constitutions. 4. Soeumin with atopic dermatitis had significantly more 'Orbital darkening' than other Constitution. 5. 'Tuna' was significantly more aggravating factor of atopic dermatitis in Soeumin than in other Constitution. The treatment progress for 57 patients with atopic dermatitis was surveyed 6. Soyangin with atopic dermatitis had significantly more improvement than other Constitution and Soeumin with atopic dermatitis had significantly less improvement than other Constitution in Sasang Constitutional Medicine treatment.

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간호대학생의 임상실습 스트레스, 건강증진행위, 삶의 질과 영향요인에 관한 연구 (Study of Stress, Health Promotion Behavior, and Quality of Life of Nursing Students in Clinical Practice and Factors associated with Their Quality of Life)

  • 이명숙;김금순;조미경;안정원;김순오
    • 근관절건강학회지
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    • 제21권2호
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    • pp.125-134
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    • 2014
  • Purpose: The purpose of this study was to identify factors associated with quality of life of nursing students during clinical practice. Methods: A convenience sample of 332 nursing students completed the questionnaire from July to September, 2013. A self-reported questionnaire was used to obtain data on quality of life, stress related to clinical practice, and health promotion behavior. Data was analyzed with independent t-test, one way ANOVA and Scheff${\acute{e}}$'s post hoc test, Pearson correlation coefficients, and hierarchical multiple regression by using SPSS version 20.0. Results: There were significant differences in quality of life scores by age, economic status, interpersonal relationships, daytime somnolence, number of visits in pharmacy and/or healthcare center, health status, and stress management. Quality of life had positive correlation with health promotion behavior but had negative correlation with the level of stress related to clinical practice. Models including these variables explained 34.3% (F=9.77, p<.001) of the variance for quality of life. Age, economic status, sleep amount, numbers of pharmacy/hospital visits, health status, stress during clinical practice, and health promotion behavior were significantly associated with quality of life in nursing students. Conclusion: There is a need to develop and implement new strategies that will result in improvement in nursing students' quality of life.

심탄도를 이용한 연속적인 심박수 모니터링 및 당뇨 예측 가능성 연구(파일럿연구) (Heart rate monitoring and predictability of diabetes using ballistocardiogram(pilot study))

  • 최상기;이거룡
    • 디지털융복합연구
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    • 제18권8호
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    • pp.231-242
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    • 2020
  • 연구의 목적은 가정에서 안정 시 인체의 생리적 활력 정보를 센서와 ICT 정보 기술을 통해 연속적으로 수집하는 시스템과 수집된 정보를 이용하여 당뇨병증 유무를 예측하는 인공신경망 기계학습 방법과 필수적인 기본 변수 값을 제시하였다. 연구 방법은 정상인(DM-) 20명과 당뇨병(DM+) 15명을 대상으로 BCG와 ECG 센서의 심박수 측정값의 상관 관계를 분석하였으며 상관 계수는 R2=0.959이다. Artificial Neural Network(ANN) 기계학습 프로그램을 이용하여 당뇨병증 예측 가능성을 확인하였고 입력 변수는 심박변이도의 시계열정보와 심박수, 심박변이도, 호흡율, 박동량 정보, 최저혈압, 최고혈압, 년령, 성별이며 ANN 기계학습 예측 정확도는 99.53%이다. 그리고 향후 ANN 기계학습 방법을 활용하여 BMI 정보를 이용한 당뇨예측 모델, 심장 기능 장애 예측 모델, 수면장애 분석 모델 등의 계속적인 연구가 필요하다.

Case studies on prophylactic ayurvedic therapy in migraine patients

  • Prakash, Vaidya Balendu;Chandurkar, Nitin;Sanghavi, Tejashri
    • 셀메드
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    • 제2권2호
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    • pp.17.1-17.5
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    • 2012
  • Ayurveda is a nearly 3000 years old traditional medical system of India. Most of the time, people turn to ayurvedic physicians in desperate conditions. Here clinical practices of Ayurveda were initially found effective in the management of migraine among few patients. Later, it was developed as an ayurvedic treatment protocol (ATP) which consists of four herbo-mineral formulations (HMF), three meals and three snacks in a day with eight hours sleep at night. ATP brought significant relief in reducing the frequency, intensity of pain and associated symptoms in the migraine patients. IHS diagnostic criteria was followed to establish the diagnosis of migraine and uniform ATP was prescribed to each patient who were primarily treated by the ayurvedic physicians at their respective clinics. Such observations were presented at appropriate international forums. In an effort to validate the above, the present study carries the details of nine migraine patients who were first diagnosed and treated for migraine by a leading headache expert at Mumbai in India and were then referred to receive ATP. A total number of nine subjects volunteered to this program. Out of those, seven subjects completed 120 days of ATP. Five subjects reported significant improvement in overall symptoms of migraine. All subjects were followed up periodically for four years. No Grade II side effects were observed in any treated case. HMF has also been proved to be safe in experimental studies. Further pharmacological and randomized controlled clinical studies are in progress at the respective departments of a premier medical institute in India.

Occurrence of Cognitive and Neurological Symptoms in Norwegian Dentists

  • Hilt, Bjorn;Svendsen, Kristin;Syversen, Tore;Aas, Oddfrid;Qvenild, Torgunn
    • Safety and Health at Work
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    • 제2권2호
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    • pp.176-182
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    • 2011
  • Objectives: Previous investigations have presented some evidence of late cognitive effects in dental personnel exposed to metallic mercury. We wanted to examine if Norwegian dentists have an increased prevalence of symptoms consistent with neurological and/or cognitive malfunction. Methods: The study group consisted of 406 dentists from central Norway and 217 controls from the general population, all under the age of 70. They had responded to a standardised postal questionnaire (Euroquest) inquiring about seven symptoms in regard to neurology, psychosomatics, memory, concentration, mood, sleep disturbances, and fatigue. A score was calculated for each symptom based on 4 to 15 single questions scored on a scale from 1 (seldom or never) to 4 (very often). Results: The dentists and controls had a participation rate of 57.2 % and 42.9 % respectively. The dentists reported no more cognitive symptoms than the controls, with low average symptom scores from 1.16 for neurological symptoms in males to 1.73 for fatigue in females. Corresponding figures for the controls were 1.22 and 1.77. There were a total of 1.2 % of the dentists and 1.8 % of the controls who reported having three or more of the seven symptoms "often" or more frequently. Conclusion: Norwegian dentists do not report more cognitive and neurological symptoms than controls from the general population.