• Title/Summary/Keyword: Stress symptoms

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Predicting Factors of Self-esteem in Patients with Hemodialysis (혈액투석환자의 자아존중감 예측요인)

  • Yoon, Mi-Young
    • Journal of Digital Convergence
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    • v.16 no.8
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    • pp.253-261
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    • 2018
  • The purpose of this study was to examine the predictive relationships between the predictors and self-esteem among hemodialysis(HD) patients. Predictive correlational design, participants 154 HD patients in the Seoul. SPSS for Window 22.0 used to perform descriptive statistics, Pearson's Correlation Coefficient and Stepwise Regression analysis. The strongest predictor was uncertainty (${\beta}=-.33$, p<.001), economy (${\beta}=.18$, p<.05), occupation (${\beta}=.17$, p<.05) and health status (${\beta}=.16$, p<.05) were followed. A total explained variance was 30.0% of self-esteem (Adjust $R^2=.30$). Managing or preventing uncertainty, providing vocational education in consideration of the dialysis environment, providing employment, increasing economic level, and maintaining good health status are factors that enhance self-esteem. Conducted to investigate the self-esteem of HD patients considering the machine-dependent characteristics, future, provide the data of the study to improve the self-esteem of HD patients. Also, nursing intervention should be developed based on the findings.

Is Transradial Cerebral Angiography Feasible and Safe? A Single Center's Experience

  • Jo, Kwang-Wook;Park, Sung-Man;Kim, Sang-Don;Kim, Seong-Rim;Baik, Min-Woo;Kim, Young-Woo
    • Journal of Korean Neurosurgical Society
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    • v.47 no.5
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    • pp.332-337
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    • 2010
  • Objective : Although a transradial angiography is accepted as the gold standard for cardiovascular procedures, cerebral angiography has been performed via transfemoral approach in most institutions. The purpose of this study is to present our experience concerning the feasibility, efficacy, and safety of a transradial approach to cerebral angiography as an alternative to a transfemoral approach. Methods : Between February 2007 and October 2009, a total of 1,240 cerebral angiographies were performed via a transradial approach in a single center. The right radial approach was used as an initial access route. The procedure continued only after the ulnar artery was proven to provide satisfactory collateral perfusion according to two tests (a modified Allen's test and forearm angiography). Results : The procedural success rate was 94.8% with a mean duration of 28 minutes. All supra-aortic vessels were successfully catheterized with a success rate of 100%. The success rates of selective catheterization to the right vertebral artery, right internal carotid artery, left internal carotid artery, and left vertebral artery were 96.1%, 98.6%, 82.6% and 52.2%, respectively. The procedure was performed more than twice in 73 patients (5.9%), including up to 4 times in 2 patients. The radial artery occlusion was found in 4 patients (5.4%) on follow-up cerebral angiography, but no ischemic symptoms were observed in any of the cases. Conclusion : This study suggests that cerebral angiography using a transradial approach can be performed with minimal risk of morbidity. In particular, this procedure might be useful for follow-up angiographies and place less stress on patients.

Development of Questionnaires for Pathogenesis Analysis of Bojungikgitang Symptom (보중익기탕증(補中益氣湯證)의 병인논(病因論)적 분석을 위한 설문문항(說問問項) 개발(開發))

  • Yoon, Tae-Deug;Park, Young-Jae;Park, Young-Bae;Lee, Sang-Chul;Oh, Hwan-Sup
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.11 no.1
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    • pp.61-71
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    • 2007
  • Background: Bojungikgitang is one of the most common herbs in oriental medicine. Principally, this medicine heals illness from overwork and stress. Therefore, it is frequently used in the ancient community. Because of insufficiency in data, objective judgements are difficult in remedial effects by Bojungikgitang. In order to make objectivity diagnose data, this research is developed. Purpose: The aim of the research is to make questionnaire for the medicine and the objective is to sell to the public from the local clinic. Methods: The questionnaire which includes symptoms and signs for diagnose of Bojungikgitang is studied by the Delphi method and average value. Results: By the Delphi method and average value, 25 Items of questionnaires are choosen for the research. Conclusions: Further research is necessary for modification of questionnaire by statistics and certification by clinical trial. The statistics and verification by clinical trial is necessary with modification for further research.

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A Case Report ; Conversion Disorder, Wei Symptom Patient (전환장애 위증 환자 1례에 대한 증례보고)

  • Jeon, Jae-Cheon;Hwang, Hee-Sang;Cha, Jung-Ho;Jung, Ki-Hoon;Lee, Tae-Ho;Roh, Jeong-Du;Lee, Eun-Yong
    • Journal of Acupuncture Research
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    • v.26 no.1
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    • pp.197-206
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    • 2009
  • Objectives : This is a clinical report about the Conversion Disorder, Wei symptom patient. Methods : The patient was treated by acupuncture, herb medication, moxibustion, physical therapy and bio feedback. The improvement of the patient was judged by lower limb elevation test and gait condition test. Results : During the 1st duration, lower limb elevation angle of the patient had improved. And the patient's gait condition had improved. But he received stress so that same symptom appeared again. Then, after the second treatment, He could walk alone again. Conclusions : Oriental medicine treatment including Acupuncture, Herb medication was very effctive to improve the Conversion disorder patient's symptoms. It is necessary to have more observation and many cases of patients with Conversion disorder.

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A Structural Model for Premenstrual Coping in University Students: Based on Biopsychosocial Model (생물심리사회모델에 근거한 여대생의 월경전증후군 대처 예측모형)

  • Chae, Myung-Ock;Jeon, Hae Ok;Kim, Ahrin
    • Journal of Korean Academy of Nursing
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    • v.47 no.2
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    • pp.257-266
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    • 2017
  • Purpose: The aims of this study were to construct a hypothetical structural model which explains premenstrual coping in university students and to test the fitness with collected data. Methods: Participants were 206 unmarried women university students from 3 universities in A and B cities. Data were collected from March 29 until April 30, 2016 using self-report structured questionnaires and were analyzed using IBM SPSS 23.0 and AMOS 18.0. Results: Physiological factor was identified as a significant predictor of premenstrual syndrome (t=6.45, p<.001). This model explained 22.1% of the variance in premenstrual syndrome. Psychological factors (t=-2.49, p=.013) and premenstrual syndrome (t=8.17, p<.001) were identified as significant predictors of premenstrual coping. Also this model explained 30.9% of the variance in premenstrual coping in university students. A physiological factors directly influenced premenstrual syndrome (${\beta}=.41$, p=.012). Premenstrual syndrome (${\beta}=.55$, p=.005) and physiological factor (${\beta}=.23$, p=.015) had significant total effects on premenstrual coping. Physiological factor did not have a direct influence on premenstrual coping, but indirectly affected it (${\beta}=.22$, p=.007). Psychological factors did not have an indirect or total effect on premenstrual coping, but directly affected it (${\beta}=-.17$, p=.036). Conclusion: These findings suggest that strategies to control physiological factors such as menstrual pain should be helpful to improve premenstrual syndrome symptoms. When developing a program to improve premenstrual coping ability and quality of menstrual related health, it is important to consider psychological factors including perceived stress and menstrual attitude and premenstrual syndrome.

Health Effect Assessment on Cleanup Workers of an Oil Spill in Yeosu (여수 유류유출사고 방제작업자의 건강영향평가)

  • Kim, Geunbae;Kang, Tack Shin;Yoon, Mira;Jo, Hyejung;Joo, Youngkyung;Yu, Seung Do;Lee, Bo Eun
    • Journal of Environmental Health Sciences
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    • v.42 no.6
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    • pp.385-395
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    • 2016
  • Objectives: The aim of this study was to assess exposure to VOCs and PAHs and the health effects on volunteers who participated in an oil spill cleanup in Yeosu. Methods: Atmospheric VOCs were evaluated in the vicinity of the accident site and questionnaire surveys were conducted to identify personal characteristics and acute health symptoms of clean-up workers seven days after the accident. The levels of metabolites of VOCs (t,t-MA, HA, PGA, MA, MHA) and PAHs (2-NAP, 1-OHP, 2-HF, 1-HPH), oxidative stress markers (TABARS, 8-OHdG) in the urine of workers were analyzed. Their correlation was determined by multiple regression analysis with SAS ver. 9.4. Results: Although the concentration of atmospheric VOCs in the residential areas were low at the time of survey, the levels of VOCs and PAHs metabolites in clean-up workers were higher than those in the control group after clean-up activities. The levels of urinary VOC and PAH metabolites were significantly increased after clean-up compared to those measured before participation. The thiobarbituric acid reactive substance (TBARS) concentrations were also increased and showed significant correlations with those of metabolites of benzene. Conclusion: This study shows that oil spill clean-up activities affect exposure to VOCs and PAHs and the health of clean-up workers. The results suggest the need for check-ups of participants in oil spill cleaning work.

A Literature Review about Application of an Auricular Acupuncture Therapy for Independent Oriental Medical Nursing Intervention Development (한방간호중재개발을 위한 이침요법(耳鍼療法)적용에 대한 문헌연구)

  • Moon, Hee-Ja;Kim, Kwuy-Bun;Sok, So-Hyune;Hong, Kyung-Hwa
    • Journal of East-West Nursing Research
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    • v.4 no.1
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    • pp.66-76
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    • 1999
  • The auricular acupuncture therapy is stimulus treat method that acupuncts or moxibusts at the reaction blood vessel point of various diseases in the upper portion of ear. And this effects from the reaction blood vessel point of an ear to the meridian of whole body system through blood stream. The auricular acupuncture has cured and cared signs and symptoms of many diseases and pathologic problems. And this treatment heels abnormal reactions, nursing focuses so it was examined through literature review that nurses use many portions of the auricular acupuncture in their clinical cares of oriental medicine. This study was proved that the Mae-Chim acupuncture method among various methods of the auricular acupuncture is easy and simple so this method can be used by nurses. And the ear acupuncture site which controls diarrhea, insomnia, migraine, stress vomiting, dyspepsia, high fever, insufficient lactation, bowel dysfunction, menoxenia, anxiety, pruritus and can be found easily and is few the number of acupuncture so the oriental medicine nurses can apply easily to their clients. Therefore the independent oriental medicine nursing intervention can be developed by application of the auricular acupuncture therapy on the oriental medicine clinical nursing and home care in our community.

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A Review of Studies on the Health-adverse effects in using Digital Textbooks (디지털교과서 활용에 따른 건강역기능 고찰)

  • SeoMun, Gyeong-Ae;Kim, Eun-Young;Noh, Won-Jung
    • Journal of Digital Convergence
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    • v.10 no.1
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    • pp.165-175
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    • 2012
  • The government, Ministry of Education, Science and Technology(MEST) presented a new policy that standardizes digital textbooks as a method to accept the change of education paradigm in 2006. Since 2007, MEST has begun to provide digital textbooks for some elementary schools. MEST proposes to change digital textbooks as a standard in elementary, middle, and high schools in the future. However, the use of digital textbooks has led to concern about the health of students. The purpose of this study was to identify health-adverse effects of the use of digital textbooks on the health of students. Literature reviews regarding digital textbooks including national and international literature were conducted. The literature reviews found the key physical and psychological factors to be considered in using digital textbooks. The physical factors were symptoms and signs associated with eye, musculoskeletal system, general health, and skin. The mental factors were 'burn out of study' and 'stress due to study'.

Personality Assessment Inventory Profiles of Patients with Mild and Severe Traumatic Brain Injury (경증 및 중증 외상성 뇌손상 환자의 성격평가 질문지 프로파일)

  • Kweon, Seok-Joon;Rho, Seung-Ho
    • Korean Journal of Biological Psychiatry
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    • v.12 no.1
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    • pp.20-31
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    • 2005
  • Objectives:This study was designed to investigate the characteristics of personality changes and emotional distress using the Personality Assessment Inventory (PAI) in patients with traumatic brain injury(TBI), divided into mild (MTBI) and severe (STBI) groups according to the severity of injury. Methods:The subjects were consisted of 25 patients with MTBI, 25 patients with STBI, and 25 normal controls. They were interviewed with the PAI. The data were analyzed by ${\chi}^2$ test, analysis of variance and Tukey test. Results:The results were the followings. First, Negative Impression in validity scales was elevated above cutoff point(T score 70) in both MTBI and STBI groups. Second, the clinical scales of which scores elevated above the cutoff point were Somatic Complaints, Anxiety, Anxiety-Related Disorders, Depression, and Schizophrenia in the MTBI, and Somatic Complaints and Depression in the STBI. Third, the clinical subscales above the cutoff point were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Traumatic Stress, Cognitive Depression, Affective Depression, Physiological Depression, Thought Disorder, and Affective Instability in the MTBI, and Health Concerns, Cognitive Depression, Affective Depression, and Physiological Depression in the STBI. Fourth, Suicide Ideation in treatment scales was the only scale above the cutoff point in the MTBI and the others of the treatment and interpersonal scales in the MTBI and all of these scales of the STBI were not elevated above the cutoff point. Fifth, the scales of which scores showed significant difference between the MTBI and the STBI were Somatic Complaints, Anxiety, Depression, and Suicide Ideation, the subscales were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Physiological Depression, and Psychotic Experiences. Conclusion:These results suggest that the patients with MTBI had more somatic and anxiety symptoms, depressed mood, and suicidal ideation than the patients with STBI. These characteristics are generally consistent with clinical observation and findings from previous studies of the patients with TBI, and the PAI seems to be a beneficial adjunctive assessment tool for the evaluation of patients with traumatic brain injury.

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Factors related to Depression in Korean Middle School Adolescents (우리나라 중학교 청소년의 우울과 관련요인)

  • Park, Hyung-Su;Noh, Ji-Sook;Bae, Sang-Yeol;Choi, Moon-Sil;Ko, Dae-Sik;Park, Jong
    • Journal of the Korean Society of School Health
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    • v.23 no.1
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    • pp.19-28
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    • 2010
  • Purpose: This study was aimed to identify factors related with depression among boys and girls in Korean middle school adolescents. Methods: This study used the data from the 2007 annual survey of youth health behaviors conducted by the Korea Centers for Disease Control and Prevention between the period of 2007/9/1 and 2007/9/22 (with the extension of 2007/10/1 and 2007/11/3). The target number of this study was 21,047 male and 18,424 female students all in the age group of middle school 1st grade and 3rd grade. Results: Depression of middle school adolescents was 33.4% for male students, 43.8% for female students, 38.3% in overall. With regard to the relationship between the demographic characteristics and the health behavior, both male and female students felt more depressed when they had more stress, followed by the cases with stimulant intakes and chronic diseases. For male students, higher level of physical activity was associated with greater level of the depression. For female students, living with only one parent or other person seem to cause more depression. Conclusion: Depression of middle school adolescents requires a special attention from the family, the school and society in general to find out and eliminate the root of these symptoms.