• Title/Summary/Keyword: age threshold

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Correlation between preoperative pressure pain assessments and anxiety and postoperative pain in impacted lower third molar surgery

  • Hosgor, Hatice;Coskunses, Fatih Mehmet;Tokuc, Berkay
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.1
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    • pp.15-19
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    • 2021
  • Objectives: The aim of this study was to evaluate correlations between anxiety and preoperative pressure pain assessments and postoperative pain and analgesic requirements in impacted lower third molar tooth surgery. Materials and Methods: This prospective study enrolled 60 patients who underwent impacted lower third molar surgery. The preoperative State-Trait Anxiety Inventory-I (STAI-I), pressure pain threshold, and pressure pain tolerance scores were measured. At 2, 4, 6, 12, and 24 hours, and at 6 days following surgery, the patients scored their pain on the visual analogue scale and recorded their analgesic drug usage. The data were evaluated, and the results were statistically analyzed. Results: Of the 60 patients, 38 were female. Mean age was 24.62±7.42 years. The study found no relationship between preoperative pressure pain assessments and postoperative pain (P>0.05). There was also no relationship observed between preoperative STAI-I scores and postoperative pain (P>0.05). However, there was a positive correlation between operation time and total medication taken (P<0.05). Conclusion: Preoperative pressure pain threshold, pressure pain tolerance, and anxiety level had no significant effects on postoperative pain and analgesic requirements in impacted lower third molar surgery.

A Study on Healing Community Space Applied Prospect and Refuge Theory - Architectural Suggestions for Psychological Healing amid the COVID-19 Pandemic Era - (전망과 은신처 이론을 적용한 치유적 커뮤니티 공간 연구 - 코로나 팬데믹 시대의 심리치유를 위한 건축적 방안 -)

  • Kim, Soonwung;Cho, Sunhee
    • Journal of the Korean Institute of Rural Architecture
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    • v.23 no.1
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    • pp.19-26
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    • 2021
  • We have lived in a highly dense environment since the rapid urbanization of the industrial age. The COVID-19 pandemic has increased the need for individual spaces for telecommuting or non-face-to-face classes in residential spaces. In metropolitan cities in Korea, where there are many housing types for one-person, the sense of social isolation is increasing more than ever due to COVID-19. This study explored problems in residential spaces and the solutions to relieve the sense of social isolation in this pandemic era. The development process of the courtyard housing in France was examined as an example. Based on the case study, the meaning of threshold of contemporary architecture was reinterpreted, and the characteristics of the healing community space in this pandemic era were proposed by applying prospect and refuge theory.

Temperature Modifies the Association between PM10 and Mortality in Seoul (서울시 미세먼지(PM10)로 인한 사망영향에 대한 기온의 수정효과)

  • Bae, Hyun-Joo;Lim, Yu-Ra;Yu, Seung Do;Kim, Joung Hwa;Cho, Yong-Sung
    • Journal of Environmental Health Sciences
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    • v.39 no.1
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    • pp.90-98
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    • 2013
  • Objectives: Many studies have shown that air pollution and temperature have adverse effects on mortality and morbidity. But the interactive effect between air pollution and temperature on mortality has been rarely investigated. This study aims to explore whether temperature modifies the associations between ambient particulate matter less than $10{\mu}m$ in diameter ($PM_{10}$) and mortality in Seoul, Korea. Methods: The time-series analysis examined the effect of the interaction between $PM_{10}$ and temperature on mortality from 1999 to 2010 in Seoul. In order to examine the interactive effect between $PM_{10}$ and temperature on mortality, we fitted a response surface model controlling the time-trends and meteorological variables. The effects of $PM_{10}$ were stratified by temperature stratum to quantitatively estimate the $PM_{10}$-health outcome associations. Results: When temperature was low (below the threshold temperature), the percentage increases per $10{\mu}g/m^3$ increase of $PM_{10}$ increased 0.38% (95% Confidence Interval[CI]: 0.09~0.68%) and 0.31% (95% CI: - 0.07~0.68%) of mortality in the all age group and ${\geq}65$ year age group, respectively. When temperature was high (above the threshold temperature), the percentage increases per $10{\mu}g/m^3$ increase of $PM_{10}$ increased 1.09% (95% CI: 0.47~1.72%) and 1.35% (95% CI: 0.65~2.06%) for mortality in the all age group and ${\geq}65$ year age group, respectively. Conclusion: The results of this study showed strong modification by temperature in the association between $PM_{10}$ and mortality. We recommend that public health strategies to minimize adverse health impact of heat and $PM_{10}$ should be considered in control and prevention measures for air pollution and weather-related health impacts.

Current perception threshold in diabetic sensory polyneuropathy with normal routine nerve conduction study

  • Park, Kyung Seok;Kwon, Yong Chul;Youn, Minjung;Park, Yong-Shik;Hong, Yoon-Ho;Sung, Jung-Joon
    • Annals of Clinical Neurophysiology
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    • v.19 no.2
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    • pp.125-130
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    • 2017
  • Background: Routine nerve conduction study (NCS) can only be used to evaluate the function of large fibers, and the results of NCS are often normal in patients with distal sensory polyneuropathy. The measurement of the current perception threshold (CPT) has been reported to represent a variety of peripheral nerve fiber functions. This study was performed to investigate the value of measuring CPT in patients with diabetic sensory polyneuropathy who have no abnormalities in routine NCS. Methods: Twenty-seven diabetic patients with sensory polyneuropathy and normal routine NCS and 18 age-matched control subjects participated in this study. The CPT was measured on the unilateral index finger and great toe of each subject at frequencies of 5 Hz, 250 Hz, and 2,000 Hz. Results: CPT values were significantly higher in the patient group than in the control group, especially with stimuli at the lowest frequency of 5 Hz (p < 0.05). There were significant correlations between the CPT values obtained at three different frequencies in the patient group, whereas the correlation was only significant in the pair of 250 Hz/5 Hz (both in the hands and feet), and in the pair of 2,000 Hz/250 Hz (in the feet) for the control group. Conclusions: Our data suggest that the CPT test, especially at a stimuli frequency of 5 Hz, may be a useful screening tool for diabetic polyneuropathy in patients who show no abnormalities in routine NCS.

Comparison of the Anaerobic Threshold Level Between Subjects With and Without Non-Specific Chronic Low Back Pain (비특이성 만성요통 유무에 따른 무산소성 역치수준 비교)

  • Seong, Jun-Hyuk;Kwon, Oh-Yun;Yi, Chung-Hwi;Cynn, Heon-Seock;Cho, Young-Ki
    • Physical Therapy Korea
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    • v.18 no.1
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    • pp.74-82
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    • 2011
  • The purpose of this study was to compare the anaerobic threshold (AT) between subjects with and without non-specific chronic low back pain (NCLBP). The patient group included 15 women with NCLBP. The normal group included 15 women without NCLBP who were age-, height-, weight-, and activity level-matched. The subjects performed a Balke treadmill protocol which was symptom-limited progressive loading test. Their heart rate (HR), ventilatory gas and metabolic equivalents (METs) were measured using the automatic breath gas analyzing system. After the test, each subjects' ratings of perceived exertion (RPE) were evaluated. The visual analog scale (VAS) was assessed pre- and post-test. The independent t-test and Wilcoxon's signed-rank test were used for analysis of the data. Time, HR, the volume of oxygen consumption ($VO_2$), relative $VO_2$, and METs at the AT level of the patient group were significantly lower than those of the healthy group (p<.05). However, there were no significant differences in RPE, VAS, and breathing frequency at the AT level (p>.05). The findings of this study indicate that patients with NCLBP had a lower aerobic fitness than healthy subjects. Thus, implementation of rehabilitation program to increase aerobic fitness may be considered in patietns with NCLBP, and further studies are required to determine the etiological factors of decreased aerobic fitness.

A Study on the Wavelet-based Algorithm for Noise Cancellation (잡음 제거를 위한 웨이브렛기반 알고리즘에 관한 연구)

  • Bae, Sang-Bum;Kim, Nam-Ho
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • v.9 no.1
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    • pp.524-527
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    • 2005
  • A society has progressed rapidly toward the highly advanced digital information age. However, noise is generated by several causes, when signal is processed. Therefore, methods for eliminating those noises have researched. There were the existing FFT(fast fourier transform) and STFT(short time fourier transform) for removing noise but it's impossible to know information about time and time-frequency localization capabilities have conflictive relationship. Therefore, for overcoming these limits, wavelet-based denoising methods that are capable of multiresolution analysis are applied to the signal processing field. However, existing threshold- and correlation-based denoising methods consider only statistical characteristics for noise, accordingly a lot of noise is acceptable as an edge and are impossible to remove AWGN and impulse noise, at the same time. Hence, in this paper we proposed wavelet-based new denoising algorithm and compared existing methods with it.

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Health Risk Estimation for Daily Maximum Temperature in the Summer Season using Healthcare Big Data (보건의료빅데이터를 이용한 여름철 일최고기온에 대한 건강위험도 평가)

  • Hwang, Mi-Kyoung;Kim, Yoo-Keun;Oh, Inbo
    • Journal of Environmental Science International
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    • v.28 no.7
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    • pp.617-627
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    • 2019
  • This study investigated the relationship between heat-related illnesses obtained from healthcare big data and daily maximum temperature observed in seven metropolitan cities in summer during 2013~2015. We found a statistically significant positive correlation (r = 0.4~0.6) between daily maximum temperature and number of the heat-related patients from Pearson's correlation analyses. A time lag effect was not observed. Relative Risk (RR) analysis using the Generalized Additive Model (GAM) showed that the RR of heat-related illness increased with increasing threshold temperature (maximum RR = 1.21). A comparison of the RRs of the seven cities, showed that the values were significantly different by geographical location of the city and had different variations for different threshold temperatures. The RRs for elderly people were clearly higher than those for the all-age group. Especially, a maximum value of 1.83 was calculated at the threshold temperature of $35^{\circ}C$ in Seoul. In addition, relatively higher RRs were found for inland cities (Seoul, Gwangju, Daegu, and Daejeon), which had a high frequency of heat waves. These results demonstrate the significant risk of heat-related illness associated with increasing daily maximum temperature and the difference in adaptation ability to heat wave for each city, which could help improve the heat wave advisory and warning system.

Cardiovascular-metabolic Diseases Affecting Hearing loss in Workers Exposed to Noise (소음 노출 근로자의 청력손실에 미치는 심혈관-대사성 질환의 영향)

  • KyooSang Kim;Jungmin Sung;Eun-A Kim
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.3
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    • pp.332-345
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    • 2023
  • Objectives: We examined the association of hearing with cardio-metabolic diseases, dyslipidemia, hypertension and diabetes mellitus according to the personal and occupational characteristics of workers exposed to noise. Methods: The subjects of the study were 237,028 workers who underwent 2, 3, and 4 kHz airway pure tone audiometry in 2015 and who underwent clinical tests to diagnose cardiovascular-metabolic diseases. Cardiovascular-metabolic diseases were defined using reference values for respective items including blood pressure (systolic/diastolic), fasting blood glucose, cholesterol, and triglycerides. The airway pure tone hearing threshold of 2, 3, and 4 kHz, the average threshold of 2-3-4 kHz, and the hearing loss by the average threshold of the primary examination were distinguished. Results: Workers with cardiovascular-metabolic disease had significantly higher average hearing thresholds and higher rates of hearing loss. Logistic regression analysis, which adjusted for demographic variables of gender and age and occupational variables such as workplace size, industry, and type of work, and cardiovascular-metabolic disease as independent variables, showed that the odds ratio of hypertension to hearing loss in the mid-frequency was 1.239 (95% confidence interval: 1.118-1.374). For hypertension was 1.159 (1.107-1.214) and for diabetes it was 1.166 (1.104-1.230) for hearing loss in the high-frequency. Hearing loss measured by mean hearing was 1.178 (1.105-1.256) for hypertension and 1.181 (1.097-1.271) for diabetes. Conclusions: Cardiovascular-metabolic diseases in noise-exposed workers are associated with an increased risk of hearing loss and should be accompanied by bio-monitoring of cardiovascular-metabolic diseases in addition to auditory surveillance.

Quantitative Research Using Modified Digital Algometer according to Digestive Condition and Discomfort in Healthy Adults (건강한 성인의 소화 상태 및 소화 불편에 따른 복진용 압통장치를 활용한 정량적 연구)

  • Dae-Hyeok Kim;Young-Eun Kim;Sanghun Lee;Jeong Hwan Park
    • Korean Journal of Acupuncture
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    • v.40 no.3
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    • pp.99-108
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    • 2023
  • Objectives : The aim of this study was to assess the quantitative characteristics of pressure pain threshold (PPT) and pressure depth (PD) at the abdominal conception vessel (CV) acupoints according to subjective digestive status and digestive discomfort levels, accomplished by comparing a large group of healthy men and women, using the modified digital algometer. Methods : A total of 1,504 healthy adults aged 19 years or older participated in this study. A questionnaire was administered to evaluate participants' digestive status and discomfort. PPT (kgf/cm2/s) and PD (mm) measurements were obtained at CV14, CV12, and CV4 acupoints using a modified digital algometer. General characteristics were analyzed using the chi-square test, and differences in PPT and PD were assessed using two-sample t-tests and ANCOVA. Results : Significant difference in PPT was found based on digestive status at CV14 and CV12 for both sexes, and in PD at CV14 for women. Women exhibited significant difference in PPT based on digestive discomfort at CV14, CV12, and CV4, while men showed significant difference at CV14 and CV12. Significant difference in PD was observed at CV14 and CV4 among women. Even after adjusting for age and body mass index, significant difference persisted in PPT based on digestive discomfort at CV14 and CV12 for both sexes. PD exhibited significant differences at CV14, CV12, and CV4 among women. Conclusions : Using the modified digital algometer, this study showed the significant difference of pressure pain threshold at the CV14 and CV12 acupoints for subjective digestive discomfort levels in healthy men and women.

Case report : Postherpetic Neuralgia (포진후 신경통의 치료 증례)

  • Bae, Kook-Jin;Ahn, Jong-Mo;Yoon, Chang-Lyuk;Cho, Young-Gon;Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • v.35 no.1
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    • pp.93-99
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    • 2010
  • Herpes zoster (HZ) is the secondary manifestation of an earlier infection with the varicella-zoster virus in one or more dermatomes. As reactivation of the virus is linked to an age-related diminished virus-specific and cell-mediated immunity, HZ develops mainly in elderly people. Acute zoster is painful, but does not incur lasting morbidity. Reactivation of the varicella-zoster virus in the trigeminal nerve (Herpes zoster) occur with severe pain and rash in the oro-facial region. The acute pain decreases as the rash begins to heal. Postherpetic neuralgia(PHN), the most frequent complication of herpes zoster, is usually defined as pain in the involved dermatome that is still present 3 month after rash onset. The clinical characteristics of PHN are, eposodic stabbing pain, burning pain and allodynia, with hypoesthesia and/or dysesthesia. $Neurometer^{(R)}$(neuroselective sensory nerve conduction threshold: sNCT, Automated current perception threshold: CPT, neurotron incorporated. Baltimore, Maryland. 21209 U.S.A.) is convenient, rapid and noninvasive, and allows objective assessment of sensory disturbance. This case is about the postherptic neuralgia patient assessed with $Neurometer^{(R)}$. From this case, we reviewed the pathophysiology and the treatment of PHN and recommend the assessment of pain intensity with $Neurometer^{(R)}$ as quantitative and objective method.