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RISS 인기검색어
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- 저자 : 엄석현 ( Suk Hyun Eum ) (검색결과 3 건)
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김도연 ( Do Yeon Kim ),엄석현 ( Suk Hyun Eum ),성태희 ( Tae Hui Sung ),이한동 ( Han Dong Lee ) 국군의무사령부 2018 대한군진의학학술지 Vol.49 No.1
Objectives; Naval crew are under continuous exposure and inevitable situation from sea sickness because of occupational reasons. This research aimed at report the present state of sea sickness and psychologic status in navy crew and study effects of psychologic factors on sea sickness. Methods; This research was designed as questionnaire-based cross-sectional study. This study included 86 healthy sailors who were members of a naval destroyer. We collected age, gender, sailor experience, baseline characteristics of motion sickness and its score using Misery Scale. For evaluation of psychologic status, Beck's depression inventory and Beck's anxiety inventory were conducted. Kruskal-Wallis univariate analysis and linear logistic analysis was done for statistical establishment. Results; People who had ever suffered from sea sickness were 67 (77.9%) and 18 people could not adjust to sea sickness after a sailing experience until the study. The score of Beck's depression inventory had linear association with final Misery scale, but not first Misery scale. Beck's anxiety inventory score was not associated with adjustment of sea sickness. Sixteen responders had an experience to be ignored in sea sickness management due to its position, and 21 responders due to their current duty. Conclusions; We concluded that the adjustment of sea sickness was associated with depression but not anxiety. Therefore active psychologic counseling in a ship will help crew to adjust to sea sickness.
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김도연 ( Do Yeon Kim ),엄석현 ( Suk Hyun Eum ),성태희 ( Tae Hui Sung ) 국군의무사령부 2018 대한군진의학학술지 Vol.49 No.1
Objectives; The current prescription for sea sickness compromises dimenhydrinate antihistamine medication. However, the effect of caffeine on sea sickness is controversial. This study was conducted to study patient experience on the current anti-sea sickness medications and to compare patient experience of dimenhydrinate plus caffeine compound to dimenhydrinate single medication. Methods; This research was a retrospective survey study in a naval destroyer. The study population included all visitors to a ship clinic due to sea sickness and who were prescribed dimenhydrinate plus caffeine compound or single dimenhydrinate from May 2018 to June 2018. We collected age, gender, sailor experience, and the duration from administration to symptom relief. Misery scale before and after using medications were checked for scoring sea sickness. Two sides were compared with Kruskal-Wallis univariate analysis. The effectiveness of medications were also evaluated with 4 categorized symptoms as follows: Gastrointestinal, neurologic, autonomic, and generalized symptoms. Results; Among 61 included patients, 37 patients took dimenhydrinate plus caffeine and 24 patients took single dimenhydrinate. The duration from administration to symptom relief were not different (66.5 and 57.7 minutes, p=0.276) in two groups. Misery scale after usage had no difference (0.9 and 0.7). When comparing 4 symptoms, symptom relief was obtained for gastrointestinal (25% and 29.7%) and neurologic (20.8% and 19.8%) symptoms, respectively. However, caffeine compound showed higher symptom relief proportion (35.1%) than dimenhydrinate single (20.8%). Conclusions; There were no significant difference in overall sea sickness severity between dimenhydrinate plus caffeine and dimenhydrinate single. However, autonomic symptoms were more likely to be relieved by caffeine compound.
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뱃멀미지수와 해군 함정 승조원의 멀미약 소비량과의 관계
김도연 ( Do Yeon Kim ),박기웅 ( Ki Woong Park ),양수경 ( Soo Kyung Yang ),신기식 ( Ki Sik Shin ),엄석현 ( Suk Hyun Eum ),한광남 ( Gwang Nam Han ),김명원 ( Myung Won Kim ) 국군의무사령부 2019 대한군진의학학술지 Vol.50 No.1
Objectives; Korea Hydrographic and Oceanographic Agency (KHOA) developed Korean motion sickness index which estimates the incidence of sea sickness and helps prevention of sea sickness for citizens and ship crew. Because avoidance of sea sickness is impossible for naval crew, prevention and supply of anti-sea medication is important in sailing. Method and material; This research was an ecologic study in two naval destroyers. The study included available sailing days which includes domestic sail records from April 2018 to October 2018. We collected daily Korean motion sickness index from KHOA and daily supply of anti-motion sickness medication. Motion sickness index was divided into 5 stages (Very good, good, usual, bad, very bad). We defined anti-motion sickness medication consumption rate (AMCR) as (total consumption of anti-motion sickness medication) / (total crew numbers) X 100. Motion sickness index and AMCR were compared with univariate analysis. Results; Among available 60 sailing days, motion sickness index of good was 15 days, usual was 31, and bad was 14 days. There was no very good or very bad days among sailing days. Average scores of components in motion sickness index were 3.32 for wave height, 4.42 for ship weight, 1.55 for sailing time, and 2.72 for maximum wind speed. Averagic AMCR were 2.44%. AMCR for good sailing day was 0.22%, usual was 1.36%, and bad was 6.99%. The medication consumption was increased in bad sailing day by 31 times. Conclusions; We found inverse correlation between motion sickness index and AMCR in this study. Before sailing, supply of motion sickness medication could be estimated through Korean motion sickness index.
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