• Title/Summary/Keyword: Time to Sleep

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Post Discharge Nursing Needs of Patients with Open Heart Surgery (개심술 환자의 퇴원후 간호요구에 대한 조사연구)

  • 김명희
    • Journal of Korean Academy of Nursing
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    • v.23 no.4
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    • pp.664-677
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    • 1993
  • The purpose of this study was to provide basic data for the development of educational material in Korean for patient3 being discharge after open heart surgery. The subjects were 45 adult patients who were seen in the out -patient department of the thoracic surgery unit of P University hospital between February 1993 and May 1993. The data were collected through a chart review and interview. Nursing needs, and the patients status related to diet, activity, medication, physical and psychoemotional limitations were analyzed. The results are summarized as follows ; 1. Mitral valve replacement was the most frequent type of surgery(91.2%). In most cases, a mechanical valve was used (91.0%) . The duration of admission after the operation was two to four weeks for most of the patients(48.9%). The follow-up period was between one and two years for 28.9% of the patients and below 6 years for all of the patients. 2. Many Patients didn’t know the importance of a low salt diet(57.8%), and did not get any education on low salt diet (66.7%). Gimchi was included as one of the most commonly ingested foods (77.8%). All of the patients indicated nursing needs related to education about low salt diets and further they indicated a major interest in foods that are harmful (57.7%) or foods that are safe(51.1% ). 3. Most patients did not recognize the need for limitations on physical activity(84.4%). Further, 31.1% of them could not return to work at the time of the study. All patients had nursing needs related to physical activity, with the most frequent questions being about the permissble degree of activity and special cautions dictated by their illness (60.0%). 4. Many patients were ignorant of the necessity of medication(55.6%) . Forty percent of the patients were taking additional drugs, usually herb drugs. The time and duration of medication and the side effects of drugs were common concerns (57.7%) related to nursing. needs about medication and were mentioned by all of the patients. 5. All of the patients complained of physical discomfort including the following : memory disturbance(62.2%), weight gain(60.0%), chest tightness (55.6%), hair loss(51.1%), sleep disturbance(46.7%) and other symptoms in that order of frequency. Nursing needs related to physical condition were a concern for all of them. The viability and function of the replaced valve(53.3%) and weight gain(60.0%) were mal or concerns. 6. Looking at their psychoemotional condition it was found that 36 patients(80.0%) were emotionally unstable. The causes were physical discomfort(17 patients), insufficient knowlege of open heart surgery(6 patients), fear of death(6 patients), familial over protection(2 patients ) and lack of support (5 patients).

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Effect of Xingyo-tang on Learning and Memory Performances in Mice

  • Kim, Ki-Bong;Chang, Gyu-Tae;Kim, Jang-Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.1
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    • pp.254-261
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    • 2005
  • The effects on memory and learning ability of the Korean herbal medicine, Xingyo-tang(XGT, 神交湯), which consists of Ginseng Radix(人蔘) 4 g, Liriopis Tuber(麥門冬) 40 g, Morindae Officinalis Radix(巴戟天) 40 g, Biotae Semen(柏子仁) 20 g, Dioscoreae Rhizoma(山藥) 40 g, Euryales Semen(?實) 20 g, Scrophulariae Radix(玄蔘) 40 g, Salviae Miltiorrhizae Radix(丹蔘) 12 g, Poria(茯神) 12 g, Cuscutae Semen(免絲子) 40 g, was investigated. The effects of XGT on learning and memory performance were examined in normal or memory impaired mice by using avoidance tests, Pentobarbital -induced sleep test, fear conditioning task, novel object recognition task, and water maze task. Hot water extract from XGT was used for the studies. Learning ability and memory are based on modifications of synaptic strength among neurons that are simultaneously active. Enhanced synaptic coincidence detection leads to better learning and memory. The XGT-treated (30 mg/100 g and 60 mg/100 g, p.o.) mice exhibit superior ability in learning and memorizing when performing various behavioral tasks. XGT did not affect the passive avoidance responses of normal mice in the step through and step down tests, the conditioned and unconditioned avoidance responses of normal mice in the shuttle box, lever press performance tests, and the ambulatory activity of normal mice in normal condition. In contrast, XGT produced ameliorating effects on the memory retrieval impairment induced by ethanol. XGT also improved the memory consolidation disability induced by electric convulsive shock (ECS). XGT extended the sleeping time induced by pentobarbital dose-dependently, suggesting its transquilizing or antianxiety action. These results suggest that XGT has an improving effect on the impaired learning through the effects on memory registration and retrieval.

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

  • Choi, Sang-Ki;Lee, Geo-Lyong
    • Journal of Digital Convergence
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    • v.18 no.8
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    • pp.231-242
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    • 2020
  • The thesis presents a system that continuously collects the human body's physiological vital information at rest with sensors and ICT information technology and predicts diabetes using the collected information. it shows the artificial neural network machine learning method and essential basic variable values. The study method analyzed the correlation between heart rate measurements of BCG and ECG sensors in 20 DM- and 15 DM+ subjects. Artificial Neural Network (ANN) machine learning program was used to predictability of diabetes. The input variables are time domain information of HRV, heart rate, heart rate variability, respiration rate, stroke volume, minimum blood pressure, highest blood pressure, age, and sex. ANN machine learning prediction accuracy is 99.53%. Thesis needs continuous research such as diabetic prediction model by BMI information, predicting cardiac dysfunction, and sleep disorder analysis model using ANN machine learning.

A Case Report of Improvement of Clinical Symptoms and Atrial Flutter on the Electrocardiogram (EKG) Treated with Xiaofengbusindaotantang (疎風補心導痰湯) and Shengmaisan (生脈散) (소풍보심도담탕(疎風補心導痰湯) 합(合) 생맥산(生脈散) 투여 후 임상증상 및 심전도 상 심방조동이 호전된 환자 1례)

  • Kim, Dong-Hyun;Im, In-Hwan;Rheu, Kyoung-Hwan;Na, Byong-Jo;Lee, Beom-Jun
    • The Journal of Internal Korean Medicine
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    • v.27 no.3
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    • pp.784-790
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    • 2006
  • Most of the atrial flutter occurs in patients who have an organic disease of the heart. The symptoms of atrial flutter include anxiety with palpitation. sleep disorder and fatigue. For a long time, oriental medicine has clinically treated these symptoms, and the diagnosis has been usually based on the doctor's judgment on the subjective clinical symptoms. However, if oriental medicine includes new diagnostic aids like electrocardiogram or other various methods or combinations of techniques, the accuracy and objectivity of diagnosis and clinical data can be improved. In this case, a 65 year-old male patient who had anxiety with palpitation and abnormal P wave (atrial flutter) on the EKG was treated with Xiaofengbusindaotantang (疎風補心導痰湯) and Shengmaisan (生脈散). Significant improvement in the clinical symptoms and EKG results was observed. This result suggests that oriental medical treatment can be used for treatment of organic heart disease like an atrial flutter. In addition, subsequent studies should be followed to ensure the appropriateness of new diagnostic aids, such as EKG, and other various modalities.

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Comparison of Dietary Status and Health Behaviors according to the Obesity in Male Workers (남자 직장인의 비만도에 따른 건강행동과 식행동 비교)

  • Rhie, Seung Gyo;Jang, In Yong
    • The Korean Journal of Community Living Science
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    • v.24 no.3
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    • pp.411-427
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    • 2013
  • To investigate the comparison of dietary status and health behaviors according to obesity, 239 male workers were selected and classified as normal (18.5-22.9 27.2%), overweight (23-24.9, 37.7%), and obese (25-29.9, 35.2%) by body mass index ($kg/m^2$). The SAS (ver. 9.2) program was used and verified by the chi-square and f-value methods. Drinking frequency(2-3 times a week) was higher in normal males(45.3%), but not as high as in obese males (48.1%) (p<0.001). Smoking frequency and amount were the highest in overweight males, but not-quit-smoking was high in obese males(51.9%) (p<0.001). Exercise time was longer in normal males(108 minutes) than other groups(69 overweight males, and 82 obese males (p<0.01). Obese groups(73.8%) slept well (p<0.001), but overweight males(44.4%) showed less than 6 hours of sleep (p<0.01). Meal frequency differed by group(two meals a day 67.7% in normal males (p<0.001), no-snack 65.5% in obese males(p<0.001). The frequency of eating-out was once a day in normal males (38.5%), differed in the eating-out time (lunch(45.8%) in normal males, dinner in overweight males(52.1%) and obese males(59.5%) (p<0.01). Korean food (49.3%) was selected, but noodle differed by group(10.2% normal 21.5% obese (p<0.01). Self-perception of body differed from the body's actual condition(p<0.001). For weight control, exercise(56.4%) was practiced more than diet(18.6%). Nutrition knowledge was poor (correct answer rate was 36.7% in normal males, 41.7% in overweight males, and 46.7% in obese males). For eating attitudes, obese males answered more in "flexible to change eating habits", "supplemented when poor eating"(p<0.001), normal responded in "impact on nutrition to health", "try new food for health"(p<0.01). From these results, it is evident that male workers, especially overweight ones, must work to learn more about health and nutrition so as to combat chronic diseases.

Perception of Body Weight Control, Life Styles, and Dietary Habits according to the Obesity Index(OI) of Female College Students (여자 대학생의 비만도에 따른 체중 조절 인식, 생활 습관 및 식습관 연구)

  • Ahn, Bo-Ra-Mi;Park, Eun-Sook
    • Korean Journal of Human Ecology
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    • v.18 no.1
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    • pp.167-179
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    • 2009
  • This study aims at examining perception of body weight control and lifestyles and food habits of under-weight, normal-weight and over-weight female college students. The data analysis were conducted by a body fat analyzer and questionnaires. The subjects were 368 female college students divided into three groups: the under-weight(UW), the normal-weight(NW), and the over-weight(OW), according to the guidelines of the Korean Society for the Study of Obesity(2000). Among the subjects, 18.2% were under-weight, 63.6% normal-weight, and 18.2% over-weight. Mean of body weights were 45.4kg, 53.3kg, and 63.7kg, and BMIs were $17.5kg/m^2$, $20.5kg/m^2$ and $24.6kg/m^2$ in the UW, NW, and OW groups, respectively. 'Self assessment of body weight' was significant at the level of p<0.001 according to the Obesity Index. Of the UW group, 41.8% considered their weight to be normal and 4.5% believed they are over-weight. In the NW group, 43.2% thought they are over-weight, 1.5% believed they are under-weight. 57.1 % of the UW group and 98.6% of the NW group had ever tried to reduce their weight. Their 'exercise frequency and exercise time' were not significant by the 01. 'Regularity in the daily life' of the subjects was significant at the level of p<0.05. 43.3 % of the OW group answered that they don't live regular daily lives. 'Sleeping time' of the subjects was significant at the level of p<0.05 by the 01. 41.8% of the OW group reported that they sleep 'between 7 and 8 hours a day' which was the highest rate among the three groups. 'Frequency of meals per day' was not significant by the OI. 'The speed of eating meals' was significant at p<0.01, 23.9% of the UW group, 31.2% of NW group, and 38.8% of OW group reported that they have meals 'in a very fast speed'. Concludingly, most of female college students conceive themselves as having inappropriate body image, which means that they need to be given additional education about nutrition and diet.

A Study on the Cause of Job Stress of Urban Railroad Drivers: Focused on Railroad Companies of Daejeon, Daegu, Incheon and Seoul Metro 9 (도시철도 기관사의 직무스트레스 원인 특성에 관한 연구: 대전, 대구, 인천, 서울9호선 운영회사를 대상으로)

  • Park, Taesoo;Lee, Jinsun;Kim, Hongki
    • Journal of the Korean Society for Railway
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    • v.16 no.4
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    • pp.340-347
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    • 2013
  • This paper studied the causes of job stress of driving crews working in Metropolitan Transit Authorities in Daejeon, Daegu, Seoul Metro Line 9, and Incheon, analyzing psychological, physical, and environmental factors, along withdriving crews' assignments. Regarding driving crews' assignments, it was found that driving crews had strong senses of obligation for their job, and hence their aptitude for their job was in accordance, and also it was found that most driving crews worked devotedly with a desirable occupational view and pride. However, psychological and physical factors that contributed to stress were identified: lack of sleep, high task burden, physical fatigue, and boring daily life. Furthermore, the driving crews' irregular working conditions and irregular meal time and burden related to on-time transit service with prolonged immobilization raised their stress levels. In terms of external environmental factors, it was found that driving crews' anxiety due to possible accidents caused a roughly four-fold increase in stress levels compared to other factors. Furthermore, personnel system and salary issue were also found to be closely related to the driving crews' job stress.

A Comparison Study on the Internet Addiction and Health Problems of Middle School Students between Urban and Rural Area (도농간 중학생의 인터넷 중독과 건강문제 비교연구)

  • Yeon, Mi-Jung;Kim, Keon-Yeop;Lee, Moo-Sik;Hong, Jee-Young;Bae, Seok-Hwan;Hwang, Hye-Jeong
    • Journal of the Korea Convergence Society
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    • v.1 no.1
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    • pp.41-47
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    • 2010
  • This study was conducted to investigate determinent factors of the internet addiction that have influenced on middle school students. We randomly selected each one middle school in urban and rural areas, and conducted survey in 862 students of 2nd and 3rd grade from September 1 to 15, 2005. By using a statistical program called SPSS10.0, the data collected thereby were analyzed through a series of statistical methods including $x^2$-test, logistic regression analysis. The result of logistic regression analysis showed that the significant variables in urban area were resting time and using time a day. In rural area, sex, economic level, resting time and using time a day were significant variables. Higher status of internet addiction showed significant relationship with physical problems, anxiety, maladjustment to school, insufficient sleep time, fatigue in eyes, headache, pain in neck or shoulder, chronic fatigue, reduced vision, weight reduction, indigestion, xeroderma and adjustment to school. Especially, resting time and using time a day have dominant influence on internet addiction. And in case that the groups who showed high addiction tendency, there were negative health problem by physical, mental and social problem. To prevent internet addiction health education programs of right internet use and time, importance of rest, and health problems must be considered in internet addiction prevention policy.

A Preliminary Study on the Circadian Rhythm of Autonomic Nervous System in Patients Admitted to Intensive Care Unit, Using the Heart Rate Variability (심박변이도를 이용한 중환자실 입원 환자의 자율신경계 일중변동성에 대한 예비연구)

  • Oh, Jooyoung;Cho, Dongrae;Kim, Jongin;Park, Jaesub;Heo, Jaeseok;Kim, Jae-Jin;Na, Se Hee;Shin, Cheung Soo;Lee, Boreom;Park, Jin Young
    • Korean Journal of Biological Psychiatry
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    • v.24 no.1
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    • pp.26-31
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    • 2017
  • Objectives A normal circadian rhythm of autonomic nervous system function stands for the daily change of sympathetic and parasympathetic modulation, which can be measured by heart rate variability (HRV). Generally, patients in the intensive care unit (ICU) are prone to sleep-wake cycle dysregulation, therefore, it may have an influence on the circadian rhythm of autonomic nervous system. This study was designed to interpret possible dysregulation of autonomic nervous system in ICU patients by using HRV. Methods HRV was assessed every 3 hours in 21 ICU patients during a 7-minute period. The statistical differences of HRV features between the morning (AM 6 : 00-PM 12 : 00), and the afternoon (PM 12 : 00-PM 18 : 00) periods were evaluated in time domain and frequency domain. Results Patients showed significantly increased normalized power of low frequencey (nLF), absolute power of low frequencey (LF)/absolute power of high frequencey (HF) in the afternoon period as compared to the morning period. However, normalized power of high frequency (nHF) was significantly decreased in the afternoon period. There was no statistically significant difference between the morning period and the afternoon period in the time domain analysis. Conclusions The increased sympathetic tone in the afternoon period supports possible dysregulation in the circadian rhythm of autonomic nervous system in ICU patients. Future studies can help to interpret the association between autonomic dysregulation and negative outcomes of ICU patients.

Correlation between Smartphone Addiction and Eating Behaviors of Elementary School Students in Ansan Area (안산지역 초등학생의 스마트폰 중독과 식행동과의 상관성)

  • Kim, Eun Ji;Kim, Seong Yeong
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.44 no.7
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    • pp.1007-1015
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    • 2015
  • This study investigated the correlation between smartphone addiction and eating behaviors of 288 elementary school students (fifth and sixth grades) in the Ansan area. Addiction and normal groups consisted of 29 (10.1%) and 259 students (89.9%). Average usage time of the smartphone addiction group was higher than that of the normal group (P<0.001). Percentages of using a smartphone when eating meals as well as skipping meals due to using a smartphone were also higher in the addiction group than the normal group (P<0.01). Degree of reduction of physical activity and sleep disorders due to using a smartphone were higher in the addiction group than the normal group (P<0.001). However, nutritional knowledge related to protein and dietary life scored lower in the addiction group than the normal group (P<0.05). Correlation between smartphone usage time and eating behaviors was as follows: smartphone usage time on weekdays increased with elevated usage time on weekends in the addiction group (+0.742) (P<0.001) and the normal group (+0.762) (P<0.001). Frequency of snack intake in the addiction group increased with elevated usage time on weekdays (+0.460) (P<0.05). Sleeping time of the normal group decreased with elevated usage time on weekdays (-0.150) (P<0.05), and good eating behaviors decreased with elevated usage time the on weekend (-0.143) (P<0.05). Consequently, smartphone addiction in elementary school students showed negative eating behaviors. Therefore, effective nutritional education programs and national support policy are required to solve problems of unhealthy eating behaviors from smartphone usage in elementary school students.