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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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Effect of the Brain Korea 21 Plus Project on Graduate's Performance and Satisfaction: Empirical data analysis for a social science department (BK21플러스 사업참여가 대학원생 역량과 만족도에 미치는 효과: 단일 사회과학 사업단의 경험적 자료 분석)

  • Kim, Bo-Ra;Kim, Yu-Jin;Jung, Ye-Seul;Jeong, So-Hui;Kim, Hak-Rae;Chung, Kyong-Mee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.45-60
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    • 2020
  • The Brain Korea 21 (i.e., BK21) is a state-led higher education funding project that started in 2013. Previous literature investigating the effectiveness of the project mainly focused on massive quantitative outcomes of funded teams, and many studies reporting only self-reported data of graduate students who participated in the project. Therefore, there were not many BK21 studies that thoroughly examined the graduate students' performance, ability, satisfaction, etc. This study aims to determine the effect of the BK21 project participation on graduate students' academic performance, using objective (the number of published papers), self-rating (graduates' satisfaction), and other-rating (advisor's performance evaluation) data, which were sampled from 2013 to 2019 from a single funded team on a one-departmental-unit. The results showed that the participating graduate students had more published papers, and had higher performance evaluation scores in research, and overall abilities, than the non-participating graduate students. Further, participating students were largely satisfied with BK21 supports. This study has significance in that it demonstrates the positive influence of the BK21 project on graduate students' academic performance and satisfaction by the thorough investigation of a single social science funded team.

Development of a Software to Evaluate the CPES(Cable Penetration Fire Stop) System in Nuclear Power Plane I (원자력발전소 케이블관통부 충전시스템 평가용 소프트웨어 개발 I)

  • 윤종필;권성필;조재규;윤인섭
    • Fire Science and Engineering
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    • v.18 no.1
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    • pp.24-30
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    • 2004
  • In this work the dynamic heat transfer occurring in a cable penetration fire stop system built in the firewall of nuclear power plants is three-dimensionally investigated to develop a test-simulator that can be used to verify effectiveness of the sealants. Here was carried out an experiment to observe the heat transfer in the cable penetration fire stop system made of DOW CORNING products. The dynamic heat transfer occurring in the fire stop system is formulated in a parabolic partial differential equation subjected to a set of initial and boundary conditions. And it was modeled, simulated, and analyzed. The simulation results were illustrated in three-dimensional graphics and were compared with experimental data. Through the simulations, it was shown clearly that the temperature distribution was influenced very much by the number, position, and temperature of the cable streams. It also was found that the dynamic heat transfer through the cable streams was one of the most dominant factors, and the feature of heat conduction could be understood as an unsteady-state process. It is certain that these numerical results are useful for making a performance-based design for the cable penetration fire stop system.

Psychiatric Factors Associated with Farmers' Syndrome (농부중의 정신적 원인에 대한 연구)

  • Park, Tae-Jin;Lee, Ka-Young
    • Journal of agricultural medicine and community health
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    • v.22 no.1
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    • pp.49-59
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    • 1997
  • Backgrounds : There has been many studies investigating the causes of farmers' syndrome. In some studies, psychologic stress is related to farmer's syndrome. And the diagnostic criteria of farmer's syndrome is similar to those of generalized anxiety disorder. So we carried out this study to investigate the psychiatric causes of farmers' syndrome. Methods : This study was done in some rural and urban areas of Kyoungsangnam Province, July, August, October and November of 1996. Those who came to free medical service and completed interview, medical examination and laboratory examination and 20-59 years old were 150 persons. And those who came to health center for health examination and completed only interview and 20-59 years old were 94 persons. The questionnaire was composed of sociodemographic factors, health risk factors, farmer's syndrome, work load, BEPSI(inventory to measure stress), Spielberger's state-trait anxiety inventory, self-rating depression scale. To examine statistical significance, we used X2-test, Mantel-Haenszel test for linear association, t-test, ANCOVA, correlation, multiple regression, logistic regression. Results : The prevalence of farmer's syndrome, adjusted for age and sex with population of Kyungsangnam Province of 1993 was 208 per 1,000(90 per 1,000 in men and 329 per 1,000 in women). In bivariate analysis, farmer's syndrome was significantly related to age, sex, job, income, smoking, alcohol drinking, work load, BEPSI, state anxiety, trait anxiety, depression, body mass index, Hwa-Byung, hypertension, anemia. However, when age and sex were adjusted, job was not significantly related to farmer's syndrome. The score of farmer's syndrome was significantly related to age, sex, work load, BEPSI, trait anxiety by multiple regression. Farmer's syndrome was significantly related to increasing age(odd ratio 1.079, 95% C.I. 1.060 - 1.099), sex(odds ratio of male 0.434, 95% C.I. 0.349 - 0.540), and BEPSI(odds ratio 1.231, 95% C.I. 1.148 - 1.320) by logistic regression. Results of logistic regression analysis of the component symptoms of farmer's syndrome were as follows. Shoulder stiffness was significantly related to increasing age, female sex and BEPSI. Lumbago was significantly related to increasing age, female sex and trait anxiety. Numb limbs and nocturia was significantly related to increasing age and female sex. Breathlessness was significantly related to work load, sleeplessness was significantly related to depression, dizziness was significantly related to job and state anxiety, and abdominal fullness was significantly related to female sex. Conclusion : Farmers' syndrome was related to work load, but was more related to psychiatric factors such as BEPSI and trait anxiety. And the occupation was not risk factor of farmers' syndrome in this study, so further study is needed to investigate the cause of farmers' syndrome.

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The Effects of Total Sleep Deprivation on Anxiety, Mood, Sleepiness and Fatigue (전수면박탈이 정상인의 불안, 기분, 졸리움 및 피로도에 미치는 영향)

  • Lee, Heon-Jeong;Kim, Leen;Joe, Sook-Haeng;Suh, Kwang-Yoon
    • Sleep Medicine and Psychophysiology
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    • v.6 no.1
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    • pp.76-84
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    • 1999
  • Objectives: A number of studies have shown that sleep deprivation results in reduced vigilance and increased negative affects such as tension, depression and anger. However there are few studies about effects of sleep deprivation on anxiety. The purpose of this study was to investigate the effects of 40 hour sleep deprivation on state anxiety, affects, sleepiness and fatigue. The authors also intended to study the effect of trait-anxiety on these psychological variables after sleep deprivation. Methods: Twenty nine subjects(22 men, 7 women, $24.59{\pm}1.35$ years of age) participated in this study. Subjects had no past history of psychiatric disorders and physical illnesses, and had normal sleep-waking cycle without current sleep disturbances. All of the subjects completed sleep dairy for two weeks to exclude some who suffered from chronic sleep deprivation or sleep disturbances. Subjects were instructed to get a normal sleep as usual at night before the study. After awakening, subjects remained awake for 40 hours under continuous surveillance. They completed State-Trait Anxiety Inventory, Index of General Affect, Stanford Sleepiness Scale and Fatigue Questionnaire every three hours, therefore they completed the scales 14 times totally. Subjects were dictated not to take caffeine, alcohol, or any medications on the day of the study. Heavy exercises and naps were restricted too. Results: Sleep deprivation resulted in increased state anxiety, negative general affects, and increased sleepiness and fatigue(p<.001). Dividing into high trait-anxiety group and low trait-anxiety group, there was significant sleep deprivation x traitanxiety interaction effect on general affect(p<.05). But, there was no significant sleep deprivation x trait-anxiety interaction effect on state-anxiety, sleepiness and fatigue. During sleep deprivation, the highest ratings of scales on anxiety, negative affect, sleepiness and fatigue occurred between 4 : 00AM and 7 : 00AM. Conclusions: These results show that sleep deprivation results in increased anxiety, mood state disturbance and increment of sleepiness and fatigue. These findings also suggest that trait-anxiety is a factor that influences the degree of worsening in general affect caused by sleep deprivation. During sleep deprivation, the rating curves of anxiety, affect, sleepiness and fatigue show rhythmicity that may be related to circadian rhythm.

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A Study on the Clinical Usefulness of MMSE and BCRS for Cognitive Function Test in Patients with Non-Traumatic Subcortical Cerebrovascular Disease (비외상성 피질하 뇌혈관질환 환자에서 인지평가도구로서 정신상태소검사(MMSE)와 간이인지평가척도(BCRS)의 임상적 유용성에 대한 연구)

  • Choi, Hong;Lee, Young-Ho;Choi, Young-Hee;Ko, Dae-Kwan;Chung, Young-Cho;Park, Byoung-Kwan;Kim, Soo-Ji;Chung, Sook-Haui;Ko, Byoung-Hee;Song, Il-Byoung;Park, Kun-Woo;Lee, Dae-Hie
    • Sleep Medicine and Psychophysiology
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    • v.3 no.1
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    • pp.68-78
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    • 1996
  • Objective : The Mini-Mental State Examination(MMSE) and Brief Cognitive Rating Scale(BCRS) are frequently using screening tests fur evaluating the cognitive function in clinical practice and research. The authors tried to evaluate the clinical usefulness of these tests for the patients with non-traumatic subcortical cerebrovascular disease. Method : We administered the MMSE and BCRS to 85 patients and 195 normal control group. In order to compare the test results according to the lesion site, we divided patients into left sided lesion group(21 patients), right sided lesion group(31 patients) and both sided lesion group(13 patients). Their cognitive function was evaluated by the BNA and daily living functional activity was examined by the IADLs(Instrumental Activities of Daily Living Scale)and GERRI(Geriatric Evaluation by Relative's Rating Instrument). Results : The results are as follows : 1) In the BNA, the patients scored significantly lower than control group at all items(except Right-Left Orientation and Motor Impersistence), but there were no difference in the MMSE(total score and all 5 items), and only 2 items(recent memory and self-care) were significantly different between two groups in the BCRS. 2) In the comparison by lateralization, there were significant differences among three groups at 3 items(Left Tactile Form Perception, Left Finger Localization and Right Finger Localization) in the BNA. But, there were no difference in the MMSE and BCRS. 3) In the correlation between daily living functioning and the MMSE/BCRS, control group showed no relation(except item of cognitive functioning), but patient group was significantly correlated with 3 items(social functioning, instrumental activities of daily living and cognitive functioning). Conclusions : These findings suggest that MMSE and BCRS are not useful as the test for cognitive function and discrimination of lateralization in patients with non-traumatic subcortical cerebrovascular disease. However, scores of these tests may be related with the functional level(such as daily living function) of patients.

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Psychological and Physiological Responses to the Rustling Sounds of Korean Traditional Silk Fabrics

  • Cho, Soo-Min;Yi, Eun-Jou;Cho, Gil-Soo
    • Fibers and Polymers
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    • v.7 no.4
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    • pp.450-456
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    • 2006
  • The objectives of this study were to investigate physiological and psychological responses to the rustling sound of Korean traditional silk fabrics and to figure out objective measurements such as sound parameters and mechanical properties determining the human responses. Five different traditional silk fabrics were selected by cluster analysis and their sound characteristics were observed in terms of FFT spectra and some calculated sound parameters including level pressure of total sound (LPT), Zwicker's psychoacoustic parameters - loudness(Z), sharpness(Z), roughness(Z), and fluctuation strength(Z), and sound color factors such as ${\Delta}L\;and\;{\Delta}f$. As physiological signals, the ratio of low frequency to high frequency (LF/HF) from the power spectrum of heart rate variability, pulse volume (PV), heart rate (HR), and skin conductance level (SCL) evoked by the fabric sounds were measured from thirty participants. Also, seven aspects of psychological state including softness, loudness, sharpness, roughness, clearness, highness, and pleasantness were evaluated when each sound was presented. The traditional silk fabric sounds were likely to be felt as soft and pleasant rather than clear and high, which seemed to evoke less change of both LF/HF and SCL indicating a negative sensation than other fabrics previously reported. As fluctuation strength(Z) were higher and bending rigidity (B) values lower, the fabrics tended to be perceived as sounding softer, which resulted in increase of PV changes. The higher LPT was concerned with higher rating for subjective loudness so that HR was more increased. Also, compression linearity (LC) affected subjective pleasantness positively, which caused less changes of HR. Therefore, we concluded that such objective measurements as LPT, fluctuation strength(Z), bending rigidity (B), and compression linearity (LC) were significant factors affecting physiological and psychological responses to the sounds of Korean traditional silk fabrics.

Development of Village Health Worker Training Program in Tuguegarao, Phillipines (필리핀 뚜게가라오 지역에서의 마을보건원 훈련 프로그램 개발 사례)

  • Kim, Jung-Min;Lee, Hye-Yeon;Pakr, Dae-Jin;Oak, Chul-Ho;Jeon, Man-Joong;Yu, Byeng-Chul;Koh, Kwang-Wook;Lee, Yong-Hwan
    • Journal of agricultural medicine and community health
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    • v.33 no.3
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    • pp.324-334
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    • 2008
  • Objectives: The purpose of this study was to develop and execute the village heath worker(VHW) training program which based on short term overseas medical volunteer and medical mission. Methods: Through case studies of previous VHW program and review articles about the state of medical volunteer and medical mission, we developed the VHW training program. Pilot test of the program was carried out in Tugeugarao city, Phillipines on July, 2008. The subject were 32 persons from 15 villages around Tuguegarao city. After training we surveyed regarding the satisfaction of training and the degree of getting knowledge and skills. Results: Through article review, we got the common subjects of previous VHW training program and the limitations of overseas medical volunteer and medical mission. We developed VHW training program aiming to community health promotion through community participation and community change. The main text was "Where There Is No Doctor" of Hesperian Foundation. The program executed through 1 day intensive lecture and practice. The satisfaction of the program was 8.95±1.70 on 10 point rating scale. Conclusions: We strongly expect VHW training program can be available as new model of short overseas medical volunteer as well as medical mission if we could systemize it with the confirming subject before training , management after training and continuous support through connection with the field.

Computer-Based Training Program to Facilitate Learning of the Relationship between Facial-Based and Situation-Based Emotions and Prosocial Behaviors

  • Takezawa, Tomohiro;Ogoshi, Sakiko;Ogoshi, Yasuhiro;Mitsuhashi, Yoshinori;Hiratani, Michio
    • Industrial Engineering and Management Systems
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    • v.11 no.2
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    • pp.142-147
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    • 2012
  • Individuals with autistic spectrum disorders (ASD) have difficulty inferring other people's feelings from their facial expressions and/or from situational cues, and therefore, they are less able to respond with prosocial behavior. We developed a computer-based training program to help teach the connection between facial-based or situation-based emotions and prosocial behavioral responses. An 8-year-old male school child with ASD participated in the study. In this program, he was trained to identify persons in need of help and appropriate prosocial responses using novel photo-based scenarios. When he misidentified emotions from photographs of another's face, the program highlighted those parts of the face which effectively communicate emotion. To increase the likelihood that he would learn a generalized repertoire of emotional understanding, multiple examples of emotional expressions and situations were provided. When he misidentified persons expressing a need for help, or failed to identify appropriate helping behaviors, role playing was used to help him appreciate the state of mind of a person in need of help. The results of the training indicated increases in prosocial behaviors during a laboratory task that required collaborative work. His homeroom teacher, using a behavioral rating scale, reported that he now understood another's emotion or situation better than before training. These findings indicate the effects of the training are not limited to the artificial experiment situation, but also carried over to his school life.

A Case Report of a Patient with a Left Middle Cerebral Artery Infarction and Delirium Treated with Korean Medicine (한방치료로 호전된 섬망을 동반한 좌측 중대뇌동맥경색 환자의 치험 1례)

  • Noh, Hyeon-seok;Ha, You-kyoung;Yi, Chan-sol;Hong, Seung-cheol;Park, Song-won;Choi, Dong-jun;Park, Bong-ki
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.138-145
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    • 2017
  • Objectives: The purpose of this case study is to describe the effect of Korean medicine on a patient with delirium caused by a left middle cerebral artery infarct. Methods: The patient was treated with Sopungbosimdodam-tang, acupuncture, and moxibustion. The Korean version of the Delirium Rating Scale (K-DRS), Neelon and Champagne (NEECHAM) Confusion Scale, and Korean Version of the Mini-Mental State Examination (MMSE-K) were used to evaluate the effect of the treatment. Results: After 50 days of treatment with Sopungbosimdodam-tang, the patient's K-DRS score decreased from 16 to 8. The NEECHAM Confusion Scale also improved from 17 to 23, and the MMSE-K score improved from 1 to 7. Conclusion: This clinical study suggested that Korean medicine could contribute greatly to the treatment of delirium caused by a left middle cerebral artery infarct.