• 제목/요약/Keyword: Stress severity

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우울, 불안, 불면 환자에 대한 심리척도의 유용성과 상관성에 대한 임상연구 (The Correlation of Psychological Scale Measurements in Depression, Anxiety, and Insomnia Patients and its Value)

  • 박대명;이상룡;정인철
    • 동의신경정신과학회지
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    • 제23권3호
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    • pp.63-76
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    • 2012
  • Objectives : The aim of this study was to investigate the value and efficacy of BDI, STAI, STAXI, ISI, and SCL-90-R in correlation with depression, anxiety, and insomnia patients. Methods : A total of 39 patients, who were diagnosed with depression, anxiety, and insomnia were evaluated using BDI, STAI, STAXI, ISI, and SCL-90-R. They were then statistically analyzed. Results : 1. BDI scores of depression patients were significantly different from other patients. 2. BDI scores of depression patients had strong positive correlation with STAI-S, and STAI-T scores. 3. STAI-S scores of anxiety patients had positive correlation with BDI, and ISI scores. 4. SCL-90-R depression subscale scores of depression patients had strong positive correlation with somatization, obsessive compulsive, interpersonal sensitivity, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, global severity index, and positive symptom total subscale scores. 5. SCL-90-R anxiety subscale scores of anxiety patients had strong positive correlation with somatization, obsessive compulsive, depression, phobic anxiety, and global severity index subscale scores. Phobic anxiety subscale scores had strong positive correlation with anxiety, global severity index, and positive symptom total subscale scores. Conclusions : The result findings are expected to serve as a useful resource in future stress-related depression, anxiety, and insomnia case reports and clinical research in oriental neuropsychiatry.

두드러기에 대한 임상 연구 및 평가 지침 (A Clinical Study of Urticaria and an Assessment Guideline)

  • 이길영;김혜정
    • 대한한의학회지
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    • 제26권2호
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    • pp.25-31
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    • 2005
  • Objectives: This study was designed to assess traditional Korean medical therapy for urticaria and establish a clinical assessment guideline. Methods: Duration of symptoms, personal and family history of allergic diseases, serum IgE level, suspected causes and Provocation factors were investigated in 56 patients. Frequency of wheals, duration of wheals, number of wheals, itch severity and antihistamine counts on a 6-point (0-5) scale were assessed in 34 patients. The change of total scores and each criterion between baseline and follow up were analyzed using paired t-test (p<0.05). Results: 1. Acute urticaria within 6 weeks was $26.8\%$ and chronic urticaria over 6 weeks was $73.2\%$. The mean duration of symptoms was $19.2\pm38.8$ months. 2. $57.1\%$ of patients had a personal history of allergic diseases and $50\%$had a family history. $29.1\%$ had over 200 IU/mL serum IgE level. 3. The suspected causes were none $(39.3\%)$, foods $(32.1\%)$, drugs $(12.5\%)$, contact $(5.4\%)$ and maternity$(5.4\%)$. 4. The suspected provocation factors were foods $(41.1\%)$, none $(26.8\%)$, fatigue $(12.5\%)$, heat and sweating $(12.5\%)$, pressure $(10,7\%)$ and stress $(7.1\%)$. 5. The total scores between baseline and follow up of 34 patients were lowered from $15.38^{\circ}\;{\ae}3.75\;to\;8.82^{\circ}\;{\ae}5.21$, which was significant statistically (p=0.000). 6. Itch severity, frequency of wheals and number of wheals were the most significantly lowered of all criteria. Conclusions: Traditional Korean medical therapy was proven to be effective for urticaria, while itch severity, frequency of wheals and number of wheals should be assessed clinically with greater priority.

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중년기 안구건조증 환자의 안구건조 증상정도와 안구피로가 시력관련 삶의 질에 미치는 영향 (Effects of dry eye syndrome symptoms and asthenopia on vision-related quality of life in middle-aged patients with dry eye syndrome)

  • 윤혜숙;김현경
    • 가정∙방문간호학회지
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    • 제29권3호
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    • pp.310-318
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    • 2022
  • Purpose: This is a cross-sectional study aimed to investigate the effects of dry eye syndrome symptoms and eye fatigue on the vision-related quality of life (QOL) of middle-aged patients with dry eye syndrome. Methods: The participants of this study were 94 ophthalmology clinic outpatients aged 40-59 years who were diagnosed with dry eye syndrome at A and S Ophthalmology Clinics in D City, South Korea, and were exhibiting dry eye syndrome symptoms. Data were collected from July 5, 2021 to July 22, 2021, and analyzed using independent t-test, analysis of variance, Scheffe test, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 25.0 program. Results: The severity of dry eye syndrome symptoms and asthenopia (r=.73, p<.001) in the participants were positively correlated, whereas the severity of dry eye syndrome symptoms and vision-related quality of life (r=-.76, p<.001) were negatively correlated. Additionally, there was a negative relationship between eye fatigue and vision-related QOL (r=-.55, p<.001). It was found that the final factors affecting the vision-related QOL of middle-aged patients with dry eye syndrome were the severity of dry eye syndrome symptoms (β=-0.76, p<.001) and dry eye stress (β=-0.14, p=.048). The explanatory power of vision-related QOL in the participants was 56.0%. Conclusion: To develop indices that can objectively measure patients' subjective symptoms for improving their vision-related QOL is necessary.

Spatio-temporal pattern of ecological droughts by using the Standardized Water Supply Demand Index in the Hwang River.

  • Sadiqi, Sayed Shajahan;Hong, Eun-Mi;Nam, Won-Ho
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2022년도 학술발표회
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    • pp.158-158
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    • 2022
  • Ecological drought consequences have received a lot of attention in recent years. Thus, ecological drought was proposed as a new drought category to characterize the impact of drought on ecosystems. The current study used a unique drought index, the standardized supply-demand water index (SSDI), and a run theory to detect ecological drought occurrences and characteristics such as drought-affected area, drought severity, drought duration, drought frequency, and drought orientation in the Hwang River, an environmentally valuable region. Hence, to assess drought-prone areas, the bivariate probability and return period will be calculated using a two-dimensional joint copula. The core results show that (a) the Spatio-temporal characteristics of ecological drought were successfully recognized using the spatial and temporal identification approach; (b) in comparison to the SPEI meteorological drought index, the SSDI is more credible and can more readily and effectively capture the entire properties of ecological drought information; (c) the Hwang river had seen the most severe drought occurrences between the late 1990s and the mid-2020s, with 48.3 percent occurring before the twenty-first century; (d) Severe ecological drought occurrences occurred more frequently in most areas of the Hwang River (e) Only the drought duration and severity in the Hwang area were more responsive to temperature when temperatures rise around 1.1℃, the average drought duration and severity rise around 16 % and 26 %, respectively. This suggested that the Hwang River has been exposed to more severe heat stress in the twenty-first century. Thereupon droughts in the twenty-first century occurred with bigger affected regions, longer durations, higher frequency, and more intensity.

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가중함수법에 의한 기계적 체결부에 존재하는 타원형 모서리균열의 혼합모드 응력확대계수 (Mixed-Mode Stress intensity Factors for Elliptical Corner Cracks in Mechanical Joints by Weight Function Method)

  • 허성필;양원호;김철
    • 대한기계학회논문집A
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    • 제25권4호
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    • pp.703-713
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    • 2001
  • Mechanical joints such as bolted or riveted joints are widely used in structural components and the reliable determination of the stress intensity factors for corner cracks in mechanical joints is needed to evaluate the safety and fatigue life. This paper analyzes the mixed-mode stress intensity factors of surface and deepest points for quarter elliptical corner cracks in mechanical joints by weight function method and the coefficients included in weight function are determined by finite element analyses for reference loadings. The extended form of the weight function method for two-dimensional mixed-mode to three-dimensional is presented and the number of terms in weight function is determined by comparing the results for the different number of terms. The amount of clearance is an important factor in evaluating the severity of elliptical corner cracks in mechanical joints and even horizontal crack normal to the applied load is under mixed-mode in the case that clearance exists.

Study on Corrosion Characteristics and Stress Corrosion Cracking of the Weldment for HT-60 Steel in Synthetic Seawater

  • Na, Eui-Gyun;Koh, Seung-Ki;Oh, Seok-Hyung
    • Journal of Mechanical Science and Technology
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    • 제14권2호
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    • pp.152-158
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    • 2000
  • The contents of this paper include the evaluation of corrosion characteristics and the behaviour of stress corrosion cracking (SCC) for the weldment and post weld heat treatment (PWHT) specimen and parent of HT -60 steel using a slow strain rate test (SSRT) in synthetic seawater. Corrosion characteristics were obtained from the polarization curves by potentiostat, and SCC phenomena were evaluated through the parameters such as reduction of area and time to failure by comparing the experimental results in corrosive environment with those obtained in air. Corrosion rate of the weldment was the fastest, followed by parent and PWHT specimen. SCC phenomena between the weldment of HT-60 steel and synthetic seawater were shown. Besides, SCC was dependent upon the pulling speed greatly. Maximum severity of SCC was obtained at a speed of $10^{-6}mm/min$, whereas SCC could not be seen almost at $10^{-4}mm/min$. The resistance to SCC for PWHT specimen was improved considerably compared that of the weldment at $10^{-6}mm/min$. In case of SCC failure, it was verified from SEM examination that brittle mode and lots of pits could be seen at the fractured region near the surface of the specimen.

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Effect of Stress, Impulsivity, Peer Attachment and Social Interest on Gambling Behavior

  • JI, Jaehyun;KIM, Minchang;KO, Seokhyun;JUNG, Minhyuk;HAN, Jaepil;SEO, Bo-Kyung
    • 식품보건융합연구
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    • 제7권2호
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    • pp.11-24
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    • 2021
  • This study identified the severity of youth gambling behavior and analyzed the impact of stress, impulsivity, peer attachment and social interest on youth gambling behavior. Based on the results of the study, the government sought to help understand teenagers who are addicted to gambling and to help them maintain psychological and social stability and healthy living. A total of 237 high school students were surveyed. According to the analysis, the prevalence rate was found to be 3.4 percent of the problem gambling group and 9.3 percent of the medium-risk gambling group, and a total of 12.7 percent was addiction. Low-risk gambling groups accounted for 16.9 percent and non-problem gambling groups accounted for 70.5 percent. By gender, male students have more serious gambling problems than female students. As a result of dividing the group that experienced gambling more than once and the group that did not experience gambling into gambling group and non-gambling group, the two groups showed significant differences in impulsiveness, avoidant attachment, and interest in others. Furthermore, a correlation analysis was conducted to examine the relationship between these factors and the level of gambling behavior, showing that only impulsivity was significant.

침구치료 및 체질처방으로 호전된 복압성 요실금 환자의 증례 (Case report of the stress urinary incontinence which is improved by Acupunture treatment and Sasang Constitutional Herbal medication.)

  • 정소영;김동일
    • 대한한방부인과학회지
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    • 제20권4호
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    • pp.210-216
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    • 2007
  • 복압성 요실금의 의학적 치료는 비수술적 치료와 수술적 치료로 이루어지지만 비수술적 치료의 완치율은 20-50%로 낮게 보고되고 있으며, 수술적 치료의 완치율이 높아 최근 수술적 치료가 급격 히 증가하고 있다. 복압성 요설금의 수술요법은 비용과 시간 변에서 점차 개선되고는 있으나 여전히 후유증과 함께 침습적이라는 단점을 가지고 있다. 따라서 복압성 요실금에 대한 비수술적 치료의 완치율을 높이는 노력이 필요하다고 생각되어진다. 본 증례는 복압성 요실금을 진단받고, 수술 권유 받았으나, 수술에 대한 두려움으로 비수술적 치료를 받으시다가 그 치료 효과가 약하며, 지속적이지 못하고 재발하여 한의원에 내원한 환자로 침치료와 태음인(太陰人) 갈근승기탕류(葛根承氣湯類)의 한약 처방을 통하여 임상증상의 호전의 결과를 보여 보고하였다.

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Comparison of Salivary Stress Hormone Levels between Periodontitis Patients and Healthy Subjects in Korea

  • Lee, Sol;Heo, Narae;Heo, Seok-Mo
    • 대한치과의사협회지
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    • 제54권11호
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    • pp.897-906
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    • 2016
  • Objectives: Periodontitis is multifactorial disease mainly caused by microbial community. Recently, some research has been conducted to find other possible risk factors including stress hormones related to periodontitis. Psychological stress can affect the periodontal health by a variety of biological mechanisms. This study compared the stress hormone levels in healthy subjects and patients with periodontal disease using saliva in order to investigate the association between periodontitis and stress. Methods: The human saliva was collected from 38 periodontally healthy individuals and 34 patients with chronic periodontitis under Institutional Review Board. Their age was 20-60 years ($40.3{\pm}10.45$). From these samples, determination of salivary levels of cortisol and Dehydroepiandrosterone (DHEA) performed by enzyme immunoassay kit (Salimetrics Europe, Suffolk, UK). The independent t-test and Mann-Whitney test for trend was applied using IBM SPSS statistics version 12.0 Program to analyze statistically significant differences. Results: Salivary cortisol levels of periodontitis patients were higher than those levels of healthy subjects (P < 0.001), while salivary DHEA levels of periodontitis patients were not significantly different (P = 0.431). Salivary cortisol/DHEA ratio of periodontitis patients was higher than those levels of healthy subjects (P < 0.001). Conclusions: Our study demonstrates the high levels of cortisol concentrations and cortisol/DHEA ratio in saliva of periodontitis patients than those of healthy subjects. Since cortisol levels and cortisol/DHEA ratio can be significant factors related to the severity of periodontal disease, our study would be helpful for early diagnosis and treatment of periodontal disease.

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일부 대학생의 코로나19에 대한 건강예방행위에 미치는 영향: 건강신념모델을 중심으로 (The Impact of COVID-19 on Health Prevention Behaviors in College Students: Focusing on the Health Belief Model)

  • 조한울;최은희
    • 한국학교보건학회지
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    • 제34권2호
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    • pp.115-122
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    • 2021
  • Purpose: The purpose of this descriptive research is to identify how stress from Covid-19, health beliefs, and social support of college students affect health prevention. Methods: The subjects of the study were 128 university students, excluding health major students, at one university in D City. The survey was conducted from August 1 to 31, 2020. The survey questionnaire consists of 8 items on stress from COVID-19, 12 items adapted from a health belief measurement tool, 12 items from a social support measurement tool, and 11 items adapted from a tool that measures health preventive behaviors. The collected data were analyzed using the hierarchical multiple regression analysis method with SPSS 26.0. Results: In model 1, stress from COVID-19 was statistically significant (β=-.403, p=.003). Model 2 added four health belief factors into Model 1. Stress (β=-.419, p<.001), perceived severity (β=-.193, p=.030), and perceived barriers (β=-.182, p=.009) were statistically significant. In model 3, stress (β=-.413, p<.001), perceived barriers (β=-.147, p=.034), and social support (β=.194, p=.011) were statistically significant. The regression equation was significant (F=15.395, p=<.001) and the model's explanatory power was 53.1%. Conclusion: The results show that when college students had a high degree of health beliefs about COVID-19, the degree of health preventive behaviors was proportionally high. To make them practice preventive health behaviors, it is necessary to develop infection control education programs to improve health beliefs.