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Case Report: Lower Extremity Paresthesia and Pain with Diabetic Polyneuropathy Combated with Complex Korean Medical Treatment (하지 감각이상 및 통증을 호소하는 당뇨병성 다발신경병증 환자에 대한 복합 한의치험 1례)

  • Seong-Hoon Jeong;Young-Seon Lee;Si-Yun Sung;Han-Gyul Lee;Ki-Ho Cho;Sang-Kwan Moon;Woo-Sang Jung;Seungwon Kwon
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.231-243
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    • 2023
  • Background: Diabetic polyneuropathy is the most common complication in diabetics, occurring in 50% of all cases. About 10-20% of all diabetics are accompanied by neurological pain, showing a tendency to increase with age. Clinical aspects are very diverse, from mild abnormalities on nerve conduction tests to severe abnormalities in all sensory, motor, and autonomic nerves; however, sensory symptoms usually precede motor symptoms. Patients typically express sensory symptoms, such as positive and negative symptoms, which decrease the quality of life and have marked clinical implications, such as increased morbidity and mortality. Although Western medical drugs, such as tricyclic antidepressants, anticonvulsants, and narcotic analgesics, are used for diabetic polyneuropathy, a standard treatment has not been established. Case report: A 65-year-old male with paresthesia and pain due to diabetic polyneuropathy was treated with Uchashinki-hwan, acupuncture, electroacupuncture, moxibustion, and Jungsongouhyul pharmacopuncture for 10 days. We used the Toronto Clinical Neuropathy Scoring System, EuroQol-5 Dimension, and Visual Analog Scale to evaluate symptoms. Subsequently, the Neuropathy Scoring System, EuroQol-5 Dimension, and subjective discomfort improved. Conclusion: The present case report suggests that combined Korean medicine treatment might be an effective treatment for paresthesia and pain with diabetic polyneuropathy. Several follow-up studies should be conducted to clarify the effectiveness of the treatment.

Association between Participation in a Rehabilitation Program and 1-Year Survival in Patients Requiring Prolonged Mechanical Ventilation

  • Wanho Yoo;Myung Hun Jang;Sang Hun Kim;Soohan Kim;Eun-Jung Jo;Jung Seop Eom;Jeongha Mok;Mi-Hyun Kim;Kwangha Lee
    • Tuberculosis and Respiratory Diseases
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    • v.86 no.2
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    • pp.133-141
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    • 2023
  • Background: The present study evaluated the association between participation in a rehabilitation program during a hospital stay and 1-year survival of patients requiring at least 21 days of mechanical ventilation (prolonged mechanical ventilation [PMV]) with various respiratory diseases as their main diagnoses that led to mechanical ventilation. Methods: Retrospective data of 105 patients (71.4% male, mean age 70.1±11.3 years) who received PMV in the past 5 years were analyzed. Rehabilitation included physiotherapy, physical rehabilitation, and dysphagia treatment program that was individually provided by physiatrists. Results: The main diagnosis leading to mechanical ventilation was pneumonia (n=101, 96.2%) and the 1-year survival rate was 33.3% (n=35). One-year survivors had lower Acute Physiology and Chronic Health Evaluation (APACHE) II score (20.2±5.8 vs. 24.2±7.5, p=0.006) and Sequential Organ Failure Assessment score (6.7±5.6 vs. 8.5±2.7, p=0.001) on the day of intubation than non-survivors. More survivors participated in a rehabilitation program during their hospital stays (88.6% vs. 57.1%, p=0.001). The rehabilitation program was an independent factor for 1-year survival based on the Cox proportional hazard model (hazard ratio, 3.513; 95% confidence interval, 1.785 to 6.930; p<0.001) in patients with APACHE II scores ≤23 (a cutoff value based on Youden's index). Conclusion: Our study showed that participation in a rehabilitation program during hospital stay was associated with an improvement of 1-year survival of PMV patients who had less severe illness on the day of intubation.

The Meaning of Parenthood and Christian Educational Care (부모 됨의 의미와 기독교 교육적 돌봄)

  • Jeung-Gwan Lee
    • Journal of Christian Education in Korea
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    • v.72
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    • pp.49-70
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    • 2022
  • The purpose of this study is to suggest a response and solution through Christian educational care to the crisis and change of the era of low birth rate faced by Korean society and the Korean church. This study proposes to find an alternative to the biblical aspect of pregnancy, childbirth, and parenthood as God's blessing for the demographic cliff and low birth rate problem that have become a reality in Korean society and churches. Being a parent in an age of low birth rate is very difficult, but on the other hand, it gives happiness and joy. Being a parent is a blessing from God, and is the most important and valuable thing in life. However, modern society emphasizes the right and necessity to choose one's own parenthood status. In the nuclear family, the decrease in the number of children, and the development of child research, parents feel more responsibility and economic burden for raising children than ever before. Therefore, it is a reality that the number of people who delay becoming parents or voluntarily do not have children is gradually increasing. To improve the perception of becoming a parent due to a decrease in responsibility for raising children, it is necessary to shed light on marriage, pregnancy, childbirth, and childrearing from a Christian educational point of view. In addition, it is necessary to understand the recognition of being a parent and the characteristics of childbirth and rearing, and to analyze past and present value changes. This study will also discuss the causes of low birthrate and try to provide Christian educational care for childcare including solving the low birthrate problem.

Investigation of acoustic performances of the creative convergence classrooms in elementary schools (초등학교 창의융합교실의 음향성능 조사)

  • A-Hyeon Jo;Chan-Hoon Haan
    • The Journal of the Acoustical Society of Korea
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    • v.42 no.4
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    • pp.285-297
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    • 2023
  • The present study aims to investigate the acoustic performance of the creative convergence classrooms in Korea used by elementary school students under the age of 9 introduced through the school space innovation project. In order to do this, acoustic performances of three creative convergence classrooms were measured. The measured acoustic parameters were background noise levels, Reverberation Time (RT), D50, Speech Transmission Index (STI), and Inter-Aural Cross Correlation (IACC). Also, acoustic parameters including Transmission Loss (TL) and standardized level difference (DnT) have been measured for the analysis of sound insulation performance of walls. In addition, the noise level was measured according to the opening conditions of doors and windows in the classroom. As a result, background noise level was measured at an average of 28.0 dB(A) to 32.8 dB(A) when the air conditioner was not operated, and the RT did not exceed 0.6 s. There were differences in IACC according to various desk layouts, and IACC values were high in the center line and the seats near the sound source. In particular, higher IACC was measured at the seats on the center line facing the source squarely. Regarding noise level in the classroom according to the opening conditions of doors and windows, the standards were exceeded when all windows, or windows and doors front onto the corridor were opened.

The Characteristics of Traditional Irrigation Farming System of Uiseong-gun (의성 전통수리 농업시스템의 특징)

  • Lee, Yoo-Jick;Lee, Seung-Hye;Lee, Da-Young;Jeong, Jae-Hyeon;Park, Jin-Wook;Gu, Jin Hyuk
    • Journal of Korean Society of Rural Planning
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    • v.29 no.1
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    • pp.69-79
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    • 2023
  • Uiseong-gun, Gyeongsangbuk-do, one of the representative small rain regions, has developed a traditional irrigation farming system while overcoming and adapting to unfavorable agricultural environments from the days of the ancient nation of Jomunguk to the present. In 2018, its value was recognized and designated as Nationally Important Agricultural Heritage System No. 10. This study was conducted with the purpose of examining the characteristics of the traditional irrigation farming system in Uiseong from the viewpoints of irrigation facilities, irrigation communities, and agricultural activities. The research results are as follows. Uiseong-gun has been expanding irrigation facilities for agriculture since long ago, and it has been investigated that a total of 6,227 irrigation facilities are currently distributed along the Wicheon water system that crosses Uiseong-gun from east to west. Irrigation facilities appear differently depending on the topography. The irrigation facility has a 'su-tong' as an irrigation passage and a corkscrew structure 'mot-tchong' as a water quantity control device, so the amount of water was adjusted as needed. Through this facility, surface water with warmer temperature is supplied to the farmland to prevent cold damage to crops. Uiseong has developed activities to organize irrigation communities in one village or several villages to secure agricultural water from an early age. Currently, this tradition continues, and a total of 213 irrigation communities manage 375 irrigation facilities (6.0% of all irrigation facilities). Through this organization, called Mong-ri-gye, water for agriculture is obtained, managed, and distributed equitably. In order to increase agricultural production, Uiseong implemented double cropping by converting rice fields and fields. In the case of Mt. Geumseong, double cropping of rice and barley was mainly carried out until the 1970s, but since the 1980s, double cropping of rice and garlic has been implemented with higher income. One of the unique features of the agricultural system of this region is the spectacular landscape that changes simultaneously from field to rice field in spring and from rice field to field in autumn.

A Study on the Food-culture's Property of the Traditional Generation through the Oral Interview (구술을 통한 전통세대의 음식문화특성 연구)

  • Kim, Mi-Hye;Chung, Hae-Kyung
    • Journal of the Korean Society of Food Culture
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    • v.24 no.6
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    • pp.613-630
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    • 2009
  • This thesis, which involves honest life stories of members of the ìtraditionalî Korean generation that lived through the turbulent times of the first half of the twentieth century, assesses the meaning and import of Korean cuisine during an individual Korean's lifetime, as well as the relevant properties of the culinary culture of the traditional generation and how those properties continue to influence the present generation of Koreans. Thus, traditional Korean culinary culture was subdivided into the following four aspects, each of which were exemplified by representative examples. The first of these is slow-food dietary life, which is exemplified by fermented foods. The development of side dishes (panchan) based on fermentation - kimchi, different types of soy and bean paste, salted seafoods, dishes of dried radish or cucumber slices seasoned with soy sauce, and so on - made the quantitative and qualitative supplementation of food possible for traditional Koreans. The second of these aspects, referred to as friendly dietary life, is exemplified by self-sufficiently produced foods. The system of many species and small production suitable with the season made it possible to produce food from sustainable ecological systems and to maintain locally grown food-cultures, each of which was distinguished from others by a local specialty product. The third aspect of the traditional Korean culinary culture involves the same use of medicinal roots and plant materials for foodstuff, and this is exemplified by the use of foods to cure and prevent diseases. The notion, for example, that 'boiled rice is an invigorant' is characteristic of the notion that diet can function in a preventative medical context, and other similar Korean notions illustrate the importance, also, of the curative properties of food. The fourth and final aspect of traditional Korean culinary culture identified herein is creative dietary life, which can be viewed essentially as a Korean adaptation to the turbulence of life during the early $20^{th}$ century in Korea. This trend is exemplified by many Korean foods that were created in response to foreign influences, such as onions, cabbages, curry, etc. which found their place in overall Korean culture through the age of Japanese settlement, as well as the Korean war.

Signification Education for Communication of Creative Semiotic System on Social and Cultural Value - Focused on Advertising Story - ('사회문화적 가치'에 대한 창조적 기호계(semiosphere)와 의사소통을 위한 의미 표현 교육 - 광고스토리를 중심으로 -)

  • Lim, Ji-Won
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.145-153
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    • 2019
  • The present study is a discussion in which the flow of 'social and cultural values' inherent in the creative advertising story is considered against Bart's symbolism and the creative symbol system, and attempted to reproduce the work through the cognitive thinking of the inmates. The interaction of correct social and cultural communication is not just a strategy for persuasion and effectiveness. Starting with these issues, I thought that experiencing the 'symbolic production' and 'cognition interpretation' of the most creative, aesthetic and implicit advertising stories was the realization of concrete cultural values. The reason why I pay attention to advertising as a target tool of the original school is that it gives anyone access to the social and cultural values based on the productivity of meaning, the sharing of meaning and social small-call work by paying attention to the most implicit symbols in a short period of time. I also think that with the trend of the times, it is well worth it as a tool of positive communication for social and cultural member harmony and solving future problems. The reality of social and cultural advertising stories conducted in conjunction with the analysis of meaning at the cognitive thought level is very appropriate to apply in creative classes for college students. The Dong-A Ilbo is a discussion that suggested that the work of realizing the cognitive meaning of advertising stories, a "symbol complex" based on creativity in a complex, multi-media era, will become an age-old communication tool to join university students' strategies for solving future problems

A Study on Antecedents of Suicidal Ideation among Korean Older Adults: A test of the Stress-diathesis Model (노인의 자살 생각에 영향을 미치는 선행요인에 관한 연구: 스트레스 소질 모델(Stress-diathesis Model)을 중심으로)

  • Ahn, Joonhee;Chun, Miae
    • 한국노년학
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    • v.29 no.2
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    • pp.489-511
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    • 2009
  • While late-life suicide has been increasing and become an important issue for public health in Korea, little is known about the phenomenon and its contributing risk factors based on which effective preventive measures can be made. Since suicidal ideation is a major precursor to attempted and completed suicide, the objective of the present study was to reveal primary contributors to suicidal ideation. Data were collected from a cross-sectional survey of 247 community-dwelling Korean older adults (age≥60) in the mid-size city in Korea. The statistical methodology employed a robust hierarchical regression procedure that iteratively downweights outliers. Based on the stress-diathesis model, the study examined major diathesis and stressors directly explaining suicidal ideation. The study also explored the significant interaction among these factors. The findings revealed that living alone and depression were significant main antecedents of suicidal ideation. In addition, neuroticism X life events and neuroticism X depression were significant interaction terms with the strongest explanatory power, which provides an empirical evidence to support the stress-diathesis model in explaining suicidal phenomenon of the Korean elderly. The result demonstrates the theoretical implication as well as the practical implication for developing and implementing late-life suicide prevention strategies. Limitations and directions for future research are discussed.

The Influence of the Health Promotion Behaviors on the Life Satisfaction of the Elderly with Diabetes - A Mediating Effect of Depression (당뇨노인의 건강증진행위가 삶의 만족도에 미치는 영향에 대한 우울의 매개효과)

  • Kim, Dong-Bae;Chae, Su-Jin;Cho, Wan- Ki
    • 한국노년학
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    • v.29 no.1
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    • pp.101-116
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    • 2009
  • With increasing elderly living with diabetes, health professionals have focused on the relations between behaviors improving health status and life satisfaction. This research attempts to explain the influence of the health promotion behaviors on the life satisfaction of the elderly with diabetes. Also, we are focusing whether there is a mediating effect of depression between health promotion behaviors and life satisfaction of the elderly with diabetes. 685 persons with diabetes over 60 years of age were selected from the data of KLoSA (Korean Longitudinal Study of Ageing), administered by The National Institute of Labor in 2006. Life satisfaction was measured by 5 items: health status, economic status, relationship with a spouse, relationship with children, and the quality of life. Health promotion behaviors were measured by 4 items: regular diet, exercise, smoking, and drinking. The mediating variable is the depression measured by CES-D10. As the method of analysis, the multiple regressions were used with SPSS 12.0. The result of the study shows that the health promotion behaviors have a positive influence on life satisfaction and a negative influence on depression. It was also verified that the depression variable has a partial mediating effect between health promotion behaviors and life satisfaction. These results present the importance of integrated (physical, psychological, and social) approach for the health promotion experts intervening with the elderly with diabetes.

Influence of Resilience and Depression on Suicidal Ideation in Elderly (회복탄력성과 우울이 노인의 자살생각에 미치는 영향)

  • Park, Jong-Suk;Park, Yong-Kyung;Jeong, Seong-Hwa;Lee, Chae-Shik;Kim, Hong
    • 한국노년학
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    • v.34 no.2
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    • pp.247-258
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    • 2014
  • The aim of this study was to investigate the influence of resilience and depression on suicidal ideation in elderly. The survey was conducted by 335 subjects (aged 65 to 70 years old; both gender) living in Daegu and Gyeongbuk district. Data were collected through interview-based questionnaires which were constructed to include the general characteristics(8 items), suicidal ideation(19 items), depression(15 items), and resilience(27 items). Collected data were analyzed by frequency, t-test, one-way ANOVA, and regression analysis. The present results showed that the main general factors affecting the resilience of elderly were age, the type of dwelling, pin money, and health. The influencing factors on suicidal ideation were health status, depression level, and the resilience in elderly. In particular, the suicidal ideation was more affected by self-regulation and affirmation of the subcategory in resilience. In conclusion, the resilience and depression is need to be considered as one of the main factors for decreasing the suicidal ideation in elderly.