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Necessity of Oral Health Care for Patients with Hypertension and Diabetes Related to Gwangju Community Care Project

  • Hyun Joo Kang
    • Biomedical Science Letters
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    • v.30 no.2
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    • pp.56-64
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    • 2024
  • In this study, 293 middle-aged and elderly people in Gwangju·Jeonnam were analyzed for prevalence of hypertension and diabetes and health behavior index using composite logistic regression analysis using SPSS ver 21.0. The prevalence of hypertension was significant in age, education level, and household type, and the prevalence of diabetes was significant in education level. The prevalence of hypertension according to health behavior related indicators was significant in subjective health awareness, prosthesis repair, and discomfort chewing, and the prevalence of diabetes was significant in subjective health awareness, oral examination, discomfort chewing. The variables affecting the prevalence of hypertension were age and prosthetic repair, and the variables affecting the prevalence of diabetes were age, prosthetic repair, discomfort chewing, and annual drinking frequency. The purpose of this study was to investigate the relationship between hypertension, diabetes mellitus prevalence and health behavior indicators of middle-aged and elderly people, and to help the importance of Community Care and oral health care improvement program.

Effect of Cardiotonic Pills$^{(R)}$ on Chest Pain and Discomfort: A Multi-center Double-blind Randomized Controlled Trial. (심적환$^{(R)}$이 흉통 흉민에 대하여 미치는 영향에 대한 다기관 무작위배정 이중맹검 임상연구)

  • Jang Insoo;Ko Changnam;Lee In;Park Jung-mi;Kim Sehyun;Kim Sangwoo
    • The Journal of Korean Medicine
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    • v.26 no.2 s.62
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    • pp.95-104
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    • 2005
  • Objectives: This was a double blinded, randomized, placebo-controlled clinical study for evaluation of safety and effective dose finding of Cardiotonic Pills$^{(R)}$ in patients with chest pain and discomfort. Cardiotonic Pills$^{(R)}$ are composed of Salviae Miltiorrhizae Radix (丹蔘), Notoginseng Radix (三七根) and Borneolum (龍腦). Major effects of Salviae Miltiorrhizae Radix and Notoginseng Radix are vasodilatation, sedation and analgesic action. Borneolum has an antibacterial effect, and can stimulate the central nervous system. All of these substances are oriental herbs that have been used for a long time in east Asia. Cardiotonic Pills fi received Investigational New Drug (IND) approval from the Food and Drug Administration (FDA) in the USA and 40 million people in the world take this pill. We performed a phase IV clinical study to confirm its efficacy and safety in patients who have probable cardiogenic or psychogenic chest pain or chest stifling. Methods: This study was planned for a multi-center clinical trial including four university hospitals of oriental medicine in Korea. This was the first time to evaluate the 'planning treatment according to diagnosis (辨證施治)' of chest pain or chest discomfort according to oriental medical guidelines. The patients who were included in this trial were adult volunteers from 20 to 70 years old who had chest pain or chest discomfort more than twice during a recent month, and we received written consent to participate in this study from all of them. After administration of Cardiotonic Pills$^{(R)}$ for 8 weeks, number of occurrences, duration, appearance and degree of chest pain or chest discomfort was observed and degree of symptoms (severity of illness, global improvement) were measured using a patient's global assessment composite scale. Results: In the patient's global assessment scale, the severity of illness of the Cardiotonic Pills$^{(R)}$ group (n=25) was 14/25=0.56 but of the placebo group (n=25) was 7/25=0.28 (p-value=0.0449). This result indicates Cardiotonic Pills$^{(R)}$have a positive effect on the symptoms of chest pain and discomfort. However, the global improvement of the Cardiotonic Pills$^{(R)}$group was 23/25=0.92, and of the placebo group was 22/25=0.88 (p-value=0.6374). The total symptom score of the Cardiotonic Pills$^{(R)}$ group was $1.68\pm20.06$, and of the placebo group was $16.76\pm72.l4$(p-value=0.2285). The number of symptom events of the Cardiotonic Pills$^{(R)}$ group was $72\pm29.78$, and of the placebo group (n=25) was $10.80\pm38.42$ (p­value=0.3660). We could not find any effects on the other factors examined besides the severity of illness, beyond the difference of standard deviations. Conclusions: Cardiotonic Pills$^{(R)}$ significantly reduced chest pain and chest discomfort in patients. Therefore, we expect that Cardiotonic Pills$^{(R)}$ will be helpful for patients with chest pain and chest discomfort not only caused by heart disease but also by other diseases.

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A Study on the Effect of Cold Application Using a Sponge Bath in Healthy Adults (냉요법 적용방법에 따른 냉요법 효과에 관한 연구-건강한 성인 여성에서 스폰지 목욕방법을 중심으로)

  • Chung, Hyun-Sook;Kang, Kyu-Sook;Hwang, Ae-Ran
    • The Korean Nurse
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    • v.28 no.3
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    • pp.68-82
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    • 1989
  • This study was a quasi-experimental research study to test the characteristics of temperature regulation according to sponge bath methods of cold application. Thirteen volunteers were selected from among nursing college students according to an established criteria using a purposive sampling technique. Four different cold application methods were used: $\circled1$ tepid water sponge bath at $28^{\circ}C$, $\circled2$ 20% alcohol sponge bath at $28^{\circ}C$, $\circled3$ 40% alcohol sponge bath at $28^{\circ}C$ and $\circled4$ tepid water sponge bath at 28$^{\circ}$C plus an ice bag to the head. Changes in rectal temperature, mean skin temperature, mean body temperature, heat content change and thermal discomfort during the cold application were measured at 5 minute intervals over a 120 minute period. The data collection period was from Dec. 20, 1988 to Feb. 3, 1989. The data were analyzed using descriptive statistics, simple regression, ANOVA, Duncan's multiple range test and Pearson correlation coefficient using the SPSS-X Program. The results of the study are summarized as follows. Five general hypothesis were tested. Hypothesis 1 that "Change in heat content will be decreased for each cold application method according to the cold application time" was rejected. (tepid water sponge bath: after 10 minutes of cold application, 20% alcohol sponge bath: after 25 minutes of cold application: 40% alcohol sponge bath: after 45 minutes of cold application, tepid water sponge bath plus an ice bag to the head: after 80 minutes of cold application) Hypothesis 2 that "Thermal discomfort will be changed for each cold application method according to the cold application time" was rejected after 5minutes of cold application. Hypothesis 3 that "Change in heat content will differ among the cold application methods" was accepted except 0~5, 0~10, 0~65, 0~105 and 0~120 minute. This difference showed significance only between sponge bath methods and tepid water sponge bath plus an ice bag to the head. Hypothesis 4 that "Thermal discomfort will differ among the cold application methods" was accepted at 15, 20, 35, 45, 75, 80, 90, 95, 100, 105, 110, 115 and 120 minute of cold application time. This difference showed significance only between sponge bath methods and tepid water sponge bath plus an ice bag to the head. Hypothesis 5 that "The higher the change in heat content, the higher the thermal discomfort during the cold application time" was accepted for between 10~60 and 75 minute of cold application. In conclusion, this study showed that in sponge bath at $28^{\circ}C$, 10~80 minute was a effective cold application time in the view of heat loss through the skin. Concerning the effects of evaporation and thermal discomfort, it was found that there was no difference with regard to the solutions; tepid water sponge bath; 20% alcohol sponge bath or 40% alcohol sponge bath at a $28^{\circ}C$ controlled solution temperature. So it was thought that the type of solution itself did not have a big influence on the heat loss through skin. The combined effect of sponge bath with an ice bag to the head showed a significant difference and also showed a slight increase in thermal discomfort. On the basis of this research it can be concluded that cold application, for example, an ice bag to the head during a tepid water sponge bath is a good method as it increase heat loss through conduction, although fit can also cause a slight increase in thermal discomfort. The correlation between changes in heat content and thermal discomfort were not high. So factors other than change in heat content are considered to have an effect on the cognition of thermal discomfort.

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An Experiment of Discomfort Glare from Non-uniform Glare Source (불균일한 휘도를 갖는 창면의 불쾌글레어 평가실험)

  • Shin, Ju-Young;Kim, Jeong-Tai;Kim, Won-Woo
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.23 no.2
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    • pp.1-9
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    • 2009
  • Impact of daylighting on the visual environment can improve occupant's well-being by providing visual comfort. Also, daylighting can save energy. However, glare from window can be a direct hazard to vision and can cause serious discomfort. Selecting glare source on a window plane is very important for evaluating discomfort glare from windows. But former glare indices can not identify the range of the glare source properly. In this study, difference in glare sensation with uniform and non-uniform glare sources are evaluated to identify the range of the glare source. The glare source was assumed as $120{\times}120[cm]$ window model. The window was divided into three parts with different luminance values. The experiment was conducted under 1[m], 1.5[m], 3[m] distance from the glare source. Two results were obtained from the experiments. First, the degree of discomfort glare increased as average window luminance increased. Second, the middle and lower part of the window plane can affect evaluation of discomfort glare as well as the upper part of the window plan. These results can be used for selecting the glare source in a window with non-uniform luminance.

The Effect of the Elderly's Ability to Perform Daily Activities on Life Satisfaction: Focusing on Mediating Effect of Depression (노인의 일상생활 동작수행이 삶의 만족도에 미치는 영향: 우울감의 매개효과 중심)

  • Yoon, Mee-Ra;Lee, Mee-Ae
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.187-196
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    • 2022
  • The purpose of this study is to examine the mediating effect of depression in the relationship between the performance of daily activities in the elderly and their life satisfaction. The subjects of the study were 10,097 people from the Survey on the Elderly (2020), and the SPSS 25.0 program was used for data analysis. The main research results that analyzed the elderly's daily life movement performance by dividing it into daily life discomfort and movement performance difficulty are as follows. First, it was confirmed that the effects of discomfort and difficulty in performing daily activities of the elderly on life satisfaction were significant. Second, the effects of discomfort in daily life and difficulty in motion performance in the elderly on depression were found to be at a statistically significant level. Third, the effect of depression on life satisfaction was found to be statistically significant. Fourth, the partial mediating effect of depression was examined in the relationship between the daily life discomfort and difficulty in motion performance of the elderly on life satisfaction. These results clarified that daily life discomfort, difficulty in performing movements, and depression should be reduced in order to improve life satisfaction of the elderly. Through this, a discussion was presented to increase the life satisfaction of the elderly.

Effect on Discomfort and Attention Through Analysis of Resting-State Brain Wave Activity in Forward Head Posture (휴식시 뇌파 활성 분석을 통한 거북목 자세의 불편함 및 주의력에 미치는 영향 연구)

  • Ju-Yeon Jung;Chang-Ki Kang
    • Science of Emotion and Sensibility
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    • v.27 no.2
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    • pp.105-112
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    • 2024
  • Forward head posture (FHP) is a representative postural deformation problem in people today, causing various physical and mental problems, but the effect of FHP on discomfort or distraction during rest is not well known. Accordingly, this study aims to demonstrate the effect of FHP on these brain functions by analyzing brain wave signals at rest. Thirty-three heavy users of computers participated in this study, and all of them exhibited functional FHP when using computers. All participants performed using both normal posture and FHP, and their brain waves were measured at rest while maintaining each posture for five minutes without stimulation. Brain wave signals were acquired using EEG with 32 channels, and through frequency analysis, changes in delta and beta waves, known to be closely related to discomfort and attention, were compared and analyzed depending on the posture. As a result, FHP showed a significant decrease in delta waves in nine channels compared to the normal posture, and a significant increase in beta waves in 14 channels, showing that FHP does affect brain function at rest. These changes are consistent with those that occur under conditions of psychological discomfort and distraction, and they appear to be because the increased discomfort caused by musculoskeletal changes in the FHP also affects brain activity. These can provide important results showing that posture correction can help improve brain function and psychological state at rest.

An Improved Musculoskeletal Discomfort Assessment Questionnaire (근골격계 장애 분석을 위한 설문지 조사에 관한 연구)

  • 장성록
    • Journal of the Korean Society of Safety
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    • v.14 no.2
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    • pp.148-154
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    • 1999
  • A self-report musculoskeletal assessment tool was adapted following field use by ergonomic analysis teams and was administrated to 100 employees of ChangWon techno-complex. Results were analyzed to determine of the self-report could adequately predict whether or not an employee reportedly sought medical treatment for a work-related discomfort. It is anticipated this tool can be utilized as an easily administrated, proactive surveillance instrument to assist in early identification of ergonomic concerns and to help prioritize jobs for intervention.

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Aerodynamic analysis for train operation without the effect of the passenger ear-discomfort in tunnel of new Seoul-Chunchon line (경춘선 1급 신설터널에서 열차승객의 이명감 없이 주행 가능한 열차속도에 대한 연구)

  • 김동현
    • Proceedings of the KSR Conference
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    • 2000.05a
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    • pp.495-502
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    • 2000
  • For the tunnel design of the first class on new Seoul-Chunchon railway, we investigated for train speeds to run through tunnels without ear-discomfort of passenger in cabin by application of numerical analysis. Also we analyzed the effect of the wind speed induced by train in tunnel that is very harmful to the workers on railroad and the effect of the air-pressure fluctuations which get the fatigue to the tunnel lining and the car body.

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The Effect of Hand Moxibustion Therapy on Knee Joint Pain, Joint Range of Motion and Discomfort during ADL in Elderly People (수지뜸요법이 노인의 슬관절통증, 관절가동범위 및 일상생활활동 불편감에 미치는 영향)

  • Woo Soon-Nyeol;Yeo Hyun-Joo;Kim Kyung-Suk;Park Jeong-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.2
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    • pp.244-253
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    • 2003
  • Purpose: This study was done for the purpose of testing the effects of hand moxibustion on pain in the knee joint, range of motion of the knee, and discomfort during ADL in elderly persons with knee joint pain. Method: Nonequivalent control group pre-post test research design was used. The participants were 35 elders who had knee joint pain. Sixteen were assigned to the experimental group and 19 to the control group. The instruments used for this study were the CRS (Graphic rating scale) for knee joint pain, goniometer for knee joint ROM, and modified ADL questionnaire developed by Lee. Analysis of data was done by percents, means and standard deviation, $x^2$-test, t-test, and ANCOVA using SPSS WIN 10.0. Result: The pain score for the right knee joint after hand moxibustion was significantly different between the experimental group and the control group after hand moxibustion (p=.035). The pain score for the left knee joint was not significantly different between the experimental group and the control group after hand moxibustion (p=.075). Right and left knee ROM scores were significantly different between the experimental group and the control group after hand moxibustion (Right p=.000, Left p=.034). Discomfort of ADL score was not significantly different between the experimental group and the control group after hand moxibustion (p=.053). Conclusion: In summary, knee joint pain in elders after hand moxibustion decreased and knee ROM in elders after hand moxibustion increased. So it would be useful for nurses to provide hand moxibustion as an alternative therapy to elders with knee joint pain in the community and thus reduce joint pain and increase knee ROM.

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Quantitative Comparison of the E-book and Paper-book by using Eye-tracker

  • Kim, Jung-Yong;Lee, Min-Ho;Min, Seung-Nam;Cho, Young-Jin;Choi, Jun-Hyeok
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.5
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    • pp.609-616
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    • 2012
  • Objective: The aim of the study is to evaluate the difference of legibility between e-book and paper-book by using eye-tracker. Background: Despite of many researches on the e-book and paper-book, there are few researches on the difference between e-book and paper-book. In addition, the researches on the e-book were only dependent on the e-book reader. This study focused on the comparison of e-book and paper-book controlled with the same environments. Method: This study was conducted with $2{\times}3$ within-subject design. Independent variables include the types of book (e-book, paper-book) and font sizes (8pt, 10pt, 12pt). Dependent variables are four measures of fixation duration, saccade length, blink rate and subjective discomfort. Analysis of Variance (ANOVA) with repeated measured design was used to investigate the main and interaction effects of independent variables on each of the dependent variables. The multiple comparisons were performed by post hoc analysis and Bonferroni correction was applied. Results: Fixation duration at e-book was longer than paper-book (p<0.01). Saccade length at e-book was shorter than paper-book (p<0.05). Blink rate at e-book was higher than paper-book (p<0.1). Subjective discomfort at e-book was higher than paper-book (p<0.1). Legibility at 8pt was better than 10pt, 12pt (p<0.01) in fixation duration, saccade length and subjective discomfort. Conclusion: It was found that the legibility at e-book are worse than paper-book from this study. These results indicated that the legibility of e-book was needed to be validated and improved to replace the paper-book. Application: This study suggests improving something related to fixation duration, saccade length, blink rate and subjective discomfort for betterment of e-book.