• Title/Summary/Keyword: the state of sleep

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A Study of Stressful Events and the Coping Methods of Technical High School Students in Pusan (부산시내 공업고등학교 학생의 스트레스 생활사건과 대처방법에 관한 연구)

  • Kim, Lee Sun
    • Journal of the Korean Society of School Health
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    • v.11 no.1
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    • pp.75-90
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    • 1998
  • The purpose of this study is to identify the stressful events, students their coping methods, and to provide data which maintain and promote healthy students, mentally and physically, The data were collected from total of 481 students from a technical high school in Pusan The Questionnair survey was done from February 2 to February 14, 1988 Analysis of the data was done using descriptive statistics, frequency, ANOVA and a t-test, The findings of the research were as follows: 1) As to the general characteristics of the 481 subjects, 376 (78.2%) were boys and 105 (218%) were girls In terms of health, 93% were in poor health From the results, It seems that when students have problems, many of them seek advice from their friends while nobody seeks advice from their teachers. 2) This study found that most students have many stressful events. In boy students, the most serious events were the following, 'death of parents', 'death of brother or Sister', 'divorce of parents' In girl students, the most serious erents were the following: 'death of brother or sister', 'death or serious sickness of friend', 'death of parents'. 3) To cope With these events, boy students used positive ways such as the following, 'to listen to music', 'to bear', 'to think through the problems' To cope with stressful events, girl students used the following positive methods 'to listen to music', 'to talk with others', 'to sing', 'to sleep' and 'to weep', A small percentage of students used the following negative methods 'to drink alcohol', 'to skip school' and 'to escape from home' 4) The relationship between stressful events and general characteristics represented Significant differences in academic scores (F=1.440, p=0008), health state (F=1.388, p=0.015), and relationship with parents (F=1.685, p=0.000) The relationship between general characteristics and coping methods represented a significant difference in sex (t=-3.100, p=0.002).

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The Stress of Patients in the Coronary Care Unit (심장내과 중한자실 입원 환자의 스트레스)

  • Yoo, Yang-Sook;Bong, Seung-Ok;Kim, Kyung-Lim;Choi, Kyung-Ok;Jeong, Hye-Sun
    • Journal of Korean Biological Nursing Science
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    • v.9 no.2
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    • pp.135-142
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    • 2007
  • Purpose: This study was conducted to investigate degree of stress level in CCU patients, and to give a baseline data in developing nursing intervention program to reduce the stress. Method: Subjects of this study were the 100 hospitalized patients of C University Hospital in Seoul City from February to December 2003. The collected data was analyzed by using the SAS program: t-test, Scheff$\acute{e}$ test, and ANOVA analysis were employed to find differences in stress level. Result: The highest stress factor was 'Concern', and next were 'Dependency & limitation', 'Uncertainty', 'Treatment procedure', 'Sleep disturbance', 'Environment' in order. The perceived stress level of CCU patients was 1.65 scores; the highest scored item was 'have to void urine and feces on the bed', next were 'have to use the toilet bowel lying on the bed' in order. The stress level according to characteristics of the subjects was significantly different with the marital status, the presence of religion, the hospitalized days, the economic status, and the admission experience. Conclusion: The stress level of patients in the coronary care unit was high in concern of a disease, family and economic state, in limitation and dependency, and in uncertainty about prognosis of a disease. Further researches are necessary to develop and apply the intervention method of reducing stress level of CCU patients. In addition studies on family members of CCU patients are also recommended.

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The Basic Study for Building the Depression Prescription Guideline of Gamiguibi-Tang - The Evaluation of Reliability and Validity of the Depression Pattern-Identification Questionnaire - (가미귀비탕(加味歸脾湯)의 우울증 투약지침 개발을 위한 기초연구 - 우울증 변증 설문지의 신뢰도 타당도 평가 -)

  • Koo, Byung-Soo;Lee, Sang-Jae;Han, Chang-Ho;Kim, Ho-Jun;Park, Se-Hwan
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.1-13
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    • 2009
  • Objectives : As depression falls into the category of Wuljeung, Gamiguibi-Tang(Jiaweiguipitang) is the standard prescription to cure Wuljeung. This study develops a questionnaire for building the guidelines to administer Gamiguibi-Tang to depression and evaluates reliability and validity of questionnaire. Methods : With extracting the text related to depression and Gamiguibi-Tang through total 9 Korean medicine books and consulting the experts, the study selected 80 items and converted them into a questionnaire. It surveyed the neuropsychiatry professors and the medical specialists three times by Delphi method, and lastly selected 21 final items of a questionnaire. On the basis of the questionnaire, it collected total 216 samples and tested their reliability and validity. Results : 21 items all didn't reduce total Cronbach alpha coefficient and satisfied test-retest reliability. As a result of factor analysis, totally 5 factors were extracted such as mental state, sleep, accompaniment, fatigue and weakness. Finally, in comparing a depression group with a normal control group, two groups all showed meaningful difference in each 21 items' point, the sum of factor 1 to 5 items' points, and the sum of 21 items' points. Conclusions : The questionnaire on the updated depression prescription guideline of Gamiguibi-Tang satisfied both of reliability and validity. Later it can help objectifying to apply Gamiguibi-Tang to depression cure.

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A Questionnaire Study to Investigate the Symptoms and Solutions of Wearing-off in Parkinson's Disease Patients (파킨슨병 환자의 개인별 Wearing-off 증상 및 해결책 현황 조사를 위한 설문 연구)

  • Miso S. Park;Sang Soo Park;Horyong Yoo;Jaeson Pyeon;Wang Jung Hur;Shin Young Park
    • Journal of TMJ Balancing Medicine
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    • v.13 no.sup
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    • pp.1-8
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    • 2023
  • Objectives: Parkinson's disease (PD) is currently the most rapidly increasing degenerative brain disease due to population aging and westernization of lifestyle. Levodopa is the most commonly used drug to manage PD symptoms. However, levodopa has a problem in that the wearing-off phenomenon occurs as the duration and dose of administration increase. In order to investigate the wearing-off phenomenon in PD patients and devise countermeasures, we conducted a questionnaire survey in Korea. Methods: For the study, a questionnaire with a total of seven items was prepared. Part IV of the MDS-UPDRS (Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale) and the WOQ-9 (9-symptom Wearing-off Questionnaire) were used as references. Results: Of the 48 patients who completed the questionnaire, all 47 patients who completed the questionnaire experienced the wearing-off phenomenon. Only one of the patients diagnosed with PD a year ago did not experience the wearing-off phenomenon. Patients frequently mentioned a lack of sleep and stress as aggravating factors for wearing-off. They also stated that in order to resolve the off-state, they walked, massaged, warmed up the body, stretched and exercised. Conclusions: Because wearing-off is such a common occurrence, it is thought necessary to develop wearing-off prevention and resolution measures that PD patients can use in their daily lives.

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Characteristics of Atopic Dermatitis Patients Based on Personal Health Records (PHR) according to Age and Sasang Constitution (연령과 사상체질에 따른 개인건강기록(PHR)에 기반한 아토피피부염 환자의 특성)

  • Oh, Jin-Ah;Sung, Hyun-Kyung;Go, Ho-Yeon;Shin, Mi-Ran
    • The Journal of Pediatrics of Korean Medicine
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    • v.35 no.1
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    • pp.63-75
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    • 2021
  • Objectives The purpose of this study is to identify the characteristics of atopic dermatitis patients based on the personal health records (PHR) according to age and Sasang Constitution, and to find basic data for daily life management using the personal health record. Methods We analyzed the characteristics of atopic dermatitis patients based on PHR (symptoms, emotional state, SCORAD Index, five viscera weakness questionnaire, etc.), and Sasang Constitution collected for 6 weeks in 34 patients (or guardians). Results Each item of the SCORAD Index score in children and adolescents showed that children and adolescents have significantly higher edema than adults. However, repeated measurement of the SCORAD Index showed a significant positive improvement over time regardless of age and constitution. In terms of the symptoms of atopic dermatitis, there was a significant correlation between age and swelling, quality of life and effusion, pruritus (itch) and sleep disturbance in relation to the general characteristics of the subject. In the five visceral weakness scores, adults had significantly higher spleen weakness, liver weakness, kidney weakness scores than in children and adolescents. All results showed a high tendency to have a high lung weakness score, which was more pronounced in children and adolescents. Conclusion This study is meaningful to confirm the correlation between SCORAD Index items related to the symptoms of atopic dermatitis, and to identify trends for specific items by ages and Sasang Constitution.

States, Behaviors and Cues of Infants (영아의 상태, 행동, 암시)

  • Kim, Tae-Im
    • Korean Parent-Child Health Journal
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    • v.1
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    • pp.56-74
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    • 1998
  • The language of the newborn, like that of adults, is one of gesture, posture, and expression(Lewis, 1980). Helping parents understand and respond to their newborn's cues will make caring for their baby more enjoyable and may well provide the foundation for a communicative bond that will last lifetime. Infant state provides a dynamic pattern reflecting the full behavioral repertoire of the healthy infant(Brazelton, 1973, 1984). States are organized in a predictable emporal sequence and provide a basic classification of conditions that occur over and over again(Wolff, 1987). They are recognized by characteristic behavioral patterns, physiological changes, and infants' level of responsiveness. Most inportantly, however, states provide caregivers a framework for observing and understanding infants' behavior. When parents know how to determine whether their infant is sleep, awake, or drowsy, and they know the implications, recognition of states has for both the infant's behavior and for their caregiving, then a lot of hings about taking care of a newborn become much easier and more rewarding. Most parents have the skills and desire to do what is best for their infant. The skills 7373parents bring to the interaction are: the ability to read their infant's cues: to stimulate the baby through touch, movement, talking, and looking at: and to respond in a contingent manner to the infant's signals. Among the crucial skills infants bring to the interaction are perceptual abilities: hearing and seeing, the capacity to look at another for a period of time, the ability to smile, be consoled, adapt their body to holding or movement, and be regular and predictable in responding. Research demonstrates that the absence of these skills by either partner adversely affects parent-infant interaction and later development. Observing early parent-infant interactions during the hospital stay is important in order to identify parent-infant pairs in need of continued monitoring(Barnard, et al., 1989).

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Factors Affecting the Health Behavior Pattern in Industrial Workers (산업장 근로자의 건강행동에 미치는 요인)

  • Kim, Tae-Myon;Yoo, Ki-Ha;Lee, Young-Soo;Cho, Young-Chae;Lee, Dong-Bae
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.3 s.47
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    • pp.465-473
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    • 1994
  • This study was carried out to evaluate the relations between sociodemographic, work-related factors and health related behaviors in a group of 1,042 workers in Taejeon and Chungnam area. The results were as followings: The older workers took more irregularly meals, more cigarette and more alcohol than the younger. Men had more appropriate sleeping time, more regular exercise than women, but more frequent alcohol consumption and cigarette smoking. The married had more regular sleeping habit than the unmarried. The group of married were smoking more and obese. In view of monthly income which represent the socioeconomic state of workers, the group of more than 1 million won had more frequent alcohol ingestion, more heavier body weight than another group of less than 1 million won. Workers having their work hours exceed 9 hours had inappropriate sleep duration, and shift workers took more irregularly meals. The group having poor self-rated health status showed more regular diet, exercise and overweight. Workers recently experienced chronic illness were more overweight and lesser smokers. Above results showed that the health related behaviors were related to the sociodemographic characteristics and occupation-related characteristics. The study for relationship between variant factors affecting health behavior and disease or mortality is need and it should be emphasized that the publicity and education of health related behavior for industrial workers is necessary.

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A Case of Fluoxetine-induced Mania & Suicidal Ideation in Obsessive-Compulsive Disorder (Fluoxetine 투여 후 조증과 자살 사고를 보인 강박증 환자 1례)

  • Lee, Seung-Hwan;Lee, Min Soo
    • Korean Journal of Biological Psychiatry
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    • v.6 no.2
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    • pp.253-258
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    • 1999
  • The fluoxetine is one of the most frequently prescribed drugs for the treatment of depression and obsessive-compulsive disorder(OCD). This has been known as one of the most safest medication. But since the advent of this drug, there have been several reports of side effects-the mania and suicidal ideation-encountered during coadministration of fluoxetine with or without other psychotropic drugs. We experienced a case of 20 years old male OCD patient who developed into abrupt manic state and also was preoccupied with intense suicidal ideation following fluoxetine use. He was a only child in his family and his father had a history of alcoholism about 15years ago. Our patient's obsessive-compulsive symptoms have been occured since puberty. His OCD symptoms and anxiety were aggravated since joining the army. Beside these facts, we could not find any other psychiatric history such as depressive disoder and bipolar disorder. We used the fluoxetine starting dosage of 20mg and increased to 40mg at second week. About 3 weeks after the treatment, he developed sudden manic symptom and more aggravated suicidal ideation without any OCD symptoms. He felt vitalized and energetic without having enough sleep and food. These symptoms were ceased over two weeks by stopping medication. Up to this point, the reason why fluoxetine induces mania and suicidal preoccupation is unclear. But somehow the fluoxetine has effects on serotonin receptor and serotonin-dopamine regulations, thus we could make an assumption that fluoxetine can induce mania, extrapyramidal symptoms(EPS) and suicidal ideation in some part of the serotonin unbalanced patients. We think this would be the first report to remark on fluoxetine's suicidal and manic side effects in Korea. So here we present the case with the summary of reviewed articles.

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Diabetes Detection and Forecasting using Machine Learning Approaches: Current State-of-the-art

  • Alwalid Alhashem;Aiman Abdulbaset ;Faisal Almudarra ;Hazzaa Alshareef ;Mshari Alqasoumi ;Atta-ur Rahman ;Maqsood Mahmud
    • International Journal of Computer Science & Network Security
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    • v.23 no.10
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    • pp.199-208
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    • 2023
  • The emergence of COVID-19 virus has shaken almost every aspect of human life including but not limited to social, financial, and economic changes. One of the most significant impacts was obviously healthcare. Now though the pandemic has been over, its aftereffects are still there. Among them, a prominent one is people lifestyle. Work from home, enhanced screen time, limited mobility and walking habits, junk food, lack of sleep etc. are several factors that have still been affecting human health. Consequently, diseases like diabetes, high blood pressure, anxiety etc. have been emerging at a speed never witnessed before and it mainly includes the people at young age. The situation demands an early prediction, detection, and warning system to alert the people at risk. AI and Machine learning has been investigated tremendously for solving the problems in almost every aspect of human life, especially healthcare and results are promising. This study focuses on reviewing the machine learning based approaches conducted in detection and prediction of diabetes especially during and post pandemic era. That will help find a research gap and significance of the study especially for the researchers and scholars in the same field.

Association between diets and mild cognitive impairment in adults aged 50 years or older

  • Kim, Kyoung Yun;Yun, Jung-Mi
    • Nutrition Research and Practice
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    • v.12 no.5
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    • pp.415-425
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    • 2018
  • BACKGROUND/OBJECTIVE: As aging progresses, the number of patients with cognitive impairment also increases. Cognitive function is not generally correlated with diet, and there is debate over that association. Thus, the present study aimed to investigate the association between dietary intake and cognitive function among adults aged 50 years or older. SUBJECTS/METHODS: Between July 2017 and March 2018, 324 adults aged over 50 years from Gwangju Sun-Han hospital participated in a dietary survey. The frequency of food intake and related information were collected using a semi-quantitative food frequency questionnaire (SQ-FFQ) and determining the mini-mental state examination (MMSE) level for 276 participants. The association between dietary intake and cognitive function was assessed by performing logistic regression analysis. RESULTS: Depending on the MMSE score, the participants' age, education level, inhabitation status, medications, alcohol consumption, sleep duration, physical activity, and short geriatric depression scale score were significantly different (P < 0.05). Moreover, those participant characteristics were associated with either decreased or increased odds ratios (OR) for the risk of mild cognitive impairment (MCI). Based on analysis of the participants' intake of 112 detailed food items, which were categorized into 20 food types, intakes of cooked white rice (< 2 times/day compared with ${\geq}3$ times/day) (P < 0.05), properly cooked rice with other grains and legumes (P < 0.001), fruits (P < 0.05), milk (low fat and normal) (P = 0.044), liquid-type yogurt (P = 0.019), and curd-type yogurt (P = 0.015) were found to significantly decrease the OR for the risk of MCI. CONCLUSIONS: Associations were significant between the risk of MCI and the intake of certain food types. Specifically, a moderate intake of cooked white rice and an adequate intake of whole grains, fruits, milk, and dairy products were associated with reduced risks of MCI among adults aged over 50 years.