• Title/Summary/Keyword: 증상완화정도

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The Relationship between Menopausal Symptoms, Perceived Awareness of Menopausal Symptom, Menopausal Attitude and Menopausal Management in Middle Age Women (중년여성의 폐경 증상, 폐경증상에 대한 주관적 인식, 폐경태도 및 폐경관리와의 관계)

  • Kim, Sung Ju;Kim, Young Ran;Lee, Ok Suk;Choi, So Young
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.347-356
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    • 2021
  • The purpose of this study was to investigate the correlation between menopausal symptoms, perceived awareness of menopausal symptom, menopausal attitude and of menopausal management in middle aged women and to identify factors affecting menopausal symptoms. The subjects of study were 242 middle aged women who are living in G, J, K city and understood the research items and agreed to participate in the research. Data were collected from April 10 to May 30, 2019. Data were analyzed using t-test, ANOVA, Pearson's Correlation Coefficient and Stepwise Multiple Regression with SPSS/WIN 25.0. In this study, it was founded that perceived awareness of menopausal symptom(β=. 51, p<.001), menstruation status(β=. 23, p<.001), perceived health status(β=. 19, p=. 002), satisfaction of life(β=. 14, p=. 019) and religion(β=. 10, p=. 045) were found to be influential factors affecting menopausal symptoms in middle aged women. The most influential factor was perceived awareness of menopausal symptom. A nursing intervention program is needed to change positively the awareness of menopausal symptom.

Effects of 20% Aluminum Chloride Hexahydrate in Compensatory Hyperhidrosis (보상성 다한증에서 20% Aluminum Chloride Hexahydrate의 효과)

  • 이석열;이승진;이만복;이길노
    • Journal of Chest Surgery
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    • v.34 no.1
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    • pp.80-84
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    • 2001
  • 배경: 보상성 다한증은 다한증에서 흉강경하 교감신경수술후에 가장 많이 발생되는 합병증으로 환자의 만족도를 감소시킬 뿐 아니라 환자에게 또다른 부담을 주고 있다. 그러나 이러한 보상성 다한증에 대하여 현재까지 뚜렷한 치료법은 없는 실정이다. 이에 본 연구는 다한증 수술후 심한 보상성 다한증을 호소하는 환자들에게 20% Aluminum Chloride hexahydrate를 이용하여 발한감소효과를 관찰하고자 시행되었다. 대상 및 방법: 200년 5월부터 7월말까지 보상성 다한증으로 심한 불편을 호소하는 8명을 대상으로 약제의 효과를 관찰하였다. 보상성 다한증에 대하여는 1=없다(absent), 2=약간있다(mild), 3=눈에 보일정도의 발한이 있으나 생활에 불편은 없다(moderate). 4=일상생활에서 지장을 줄 정도롤 발한이 심하다(severe). 5=발한이 너무 심하여 일상생활이 불가능하다(disabling)로 구분하였다. 또한 보상성 다한증으로 인한 생활의 만족도는 1=Absolutely no satisfaction, 2=$\leq$25%, 3=<25-$\leq$50%, 4=<50-$\leq$75%, 5=<75-$\leq$100%로 구분하였다. 20% Aluminum Chloride Hexahydrate를 바르기전과후의 수치변화를 Wilcoxon signed rank test를 이용하여 비교 분석하였다. 결과: 보상성다한증으로 인한 발한의 정도는 치료전에 4.25$\pm$0.46에서 치료후에 2.88$\pm$0.64로 감소하였으며(p=0.009), 만족도는 치료전이 1.25$\pm$0.46였고 치료후의 만족도는 4.00$\pm$1.07로 만족도의 상승을 볼수있었다(p=0.011). 결론: 20% Aluminum Chloride Hexahydrate를 사용하여 증상완화와 생활의 만족도상승을 볼 수 있었다. 그러나 많은 수의 환자들을 대상으로 장기적인 연구가 좀더 필요하리라 사료된다.

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The Palliative Radiation Therapy in Malignant Extra-Hepatic Biliary Obstruction (간외 폐쇄성 황달 환자에서 고식적 방사선치료의 결과)

  • Kay Chul-Seoung;Jang Hong-Suk;Kim Sung-hwan;Ryu Mi-Ryeong;Kim Yeon-Shil;Chung Su-Mi;Yoon Sei-Chul
    • Radiation Oncology Journal
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    • v.17 no.3
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    • pp.209-216
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    • 1999
  • Purpose : To evaluate the effectiveness of external radiation therapy and the prognostic factors, we retrospectively analyzed therapeutic results of malignant extrahepatic biliary obstruction (EHBO). Methods and Materials : We analyzed the results of the external radiation therapy in 59 patients of inoperable malignant EHBO who had been treated with more than 10 Gy of external radiation therapy from April 1984 to December 1990. There were 21 stomach cancer ($35.6\%$), 12 pancreas cancer ($20.3\%$), 15 extrahepatic biliary cancer ($18.0\%$) and 11 another cancer ($18.0\%$). Their pathologies were confirmed in 31 patients ($52.5\%$). They divided into 27 adenocarcinoma and 4 nonadenocarcinoma. Their chief complaints were jaundice in 47 patients ($79.7\%$) and abdominal pain in 15 patients ($49.2\%$). Twelve patients had slightly increased bilirubin level in liver function test without jaundice. We treated twenty four patients ($40.6\%$) with percutaneous transhepatic biliary drainage (PTBD) and 32 patients ($54\%$) with systemic chemotherapy (CT). We performed external radiation therapy (ERT) upto $10.8\~55.8$ Gy (median 37.8 Gy) with palliative aim. Results : Overall median survival duration was $7.80\pm1.15$ months. The response rates of jaundice were $81.8\%$ in PTBO group and $66.7\%$ in non-PTBD group without statistical significance. The improving rate of jaundice was not significantly different in decreased ratio of total bilirubin level. But abdominal pain was more decreased in CT group than non-CT group (p<0.05). The significant prognostic factors were high performance status (Karnofski Performance Status >70), total radiation dose more than 35 Gy and good response of pain after therapy. There were increased in bacterial cholagitis in PTBD group and gastrointestinal complications in CT group. Conclusion : External radiotheapy could improve jaundice and abdominal pain in malignant EHBO patients, Overall survival duration was prolonged in patients with higher performance status and patients who had been treated with more than 35 Gy of total radiation dose. In the future, we expect not only better palliative role but also the prolongation of survival of using the ERT combined with other treatment method. But to achieve certain conclusion, we need luther study consisted with many kinds of treatment methods including new technologies in RT.

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A case of childhood relapsing/remitting multiple sclerosis and interferon β-1b treatment in a Korean patient (소아 재발/완화형 다발성 경화증 환자에서 인터페론 베타 1b 치료 1례)

  • Kim, Hyun Seok;Lee, Won Deok;Lee, Jun Hwa;Cho, Kyung Lae
    • Clinical and Experimental Pediatrics
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    • v.50 no.6
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    • pp.580-584
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    • 2007
  • Multiple sclerosis (MS) is a demyelinating disorder that affects discrete areas of the CNS, including the optic nerves, in a quite variable relapsing-remitting fashion over a prolonged period of time. Although MS is usually considered to be a disease that affects peoples in early to middle adulthood, children do develop multiple sclerosis. The frequency of MS onset before the age of 15 years is 2.7-5% of all cases, while MS onset during infancy and early childhood was observed to be 0.2-0.7% of all cases. We report here on a Korean case of a relapsing-remitting MS female child who was treated with four rounds of intravenous methylpredinsolone pulse therapy and preventive Interferon-$\beta$-1b ($Betaferon^{(R)}$).

A Study on the Ship's Performance of T.S. HANBADA(II) - The Evaluation of Boarding Comfort with Vertical Acceleration - (실습선 한바다호의 운항성능에 관한 연구(II) - 상하가속도를 이용한 승선감 평가 -)

  • Jung, Chang-Hyun;Lee, Yun-Sok
    • Journal of Navigation and Port Research
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    • v.32 no.5
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    • pp.333-339
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    • 2008
  • When a vessel is underway in a heavy weather, passengers and crew suffer from seasickness caused by ship motions such as pitch, heave or roll, or all combined Sickness induces drowsiness, dizziness, headache, stomachache etc, in extreme conditions, they are met with a serious trouble which is physiologically unrecoverable. It results in weakening of spiritual activities or making errors from decrease of motivation, dropping off skills, poor recognition and poor judgement. In this paper, it was examined the international standards concerning the occurrence of sickness and the execution of works, also evaluated the boarding comfort by conducting several times of questionnaire on cadets boarding on the training ship HANBADA As a result, it was confirmed that the main factor of occurring the sickness was the vertical acceleration and the level was more than 0.2g. Also, it was presented the way how to reduce the sickness by changing the speed and/or course in relation to the encounter period.

A Case Report of Psychogenic Tremor Patient with Head Tremor (두부진전을 주증상으로 내원한 심인성 진전 환자 치험례)

  • Hwang, Eun-Young;Chung, Sun-Yong;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.3
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    • pp.95-103
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    • 2010
  • Objectives : Abnormal movements are among the most common psychogenic symptoms, and psychogenic movement disorders(PMD) are estimated to account for 2-3% of patients in movement disorders clinics. Psychogenic tremor is the most frequent symptoms among psychogenic movement disorders. There are no treatment studies specific to PMD and lack any generally accepted treatment strategies. Methods : In this case, a 40 years old women had been suffered from head tremor for 4-5 years without any evidence for other neurological disorders and medical problems. Her symptom caused by stress events and severity of symptom had been change the level of by stress. We treated her with korean traditional herbal medicine(Chengsimyeonjatang), Qigong-based Stress Reduction Program(BQSRP), Giungoroen(wise saying and lofty opinion) and Gyeongjapyeongji(desensitizing the unease) for 2 months. Results : After treatment, the severity and frequency of the head tremors were decreased. In addition, anxiety level also decreased. Conclusions : This result suggests that our oriental medical treatments was effective on psychogenic tremor.

Mobile Phone Use Pattern and Visual Display Terminal Syndrome Symptom Experience in Female Adolescents (여자 청소년들의 휴대전화 사용행태와 컴퓨터단말기증후군 증상경험)

  • Park, Soonjoo;Yang, Sumin;Yoon, Jihye;Choi, Hannha;Han, Jayeon;Kwon, Sooyeon
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.45-55
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    • 2016
  • The purpose of this study was to identify the relation between mobile phone use and visual display terminal syndrome symptom experience in female students from middle school and high school. The convenience sample consisted of 349 female students in four schools. The data were collected from May to June in 2013 using VDTS Subjective Symptom Questionnaire. Descriptive statistics, Kruskal-Wallis test, and Mann-Whitney U test were used to analyze the data using SPSS 21.0. Almost all (96.3%) female students use mobile phone. Among them, 87.7% of the subjects experienced more than one VDTS symptom and the average score was $.39{\pm}.41$ in VDTS symptom experience. Eye related symptom was most experienced and musculoskeletal symptom was the highest in severity among five subdomain of VDTS symptoms. There were significant differences in VDTS symptom scores in accordance with posture, hours of use, and break type during mobile phone use. These findings suggest that the education program for adolescents would be necessary, and the development of checklist would be useful for adolescents to check themselves.

The Effects of Diesel Exhaust Particulates and Particulate Matters on the Airway Remodeling in the Asthma-induced Mice (디젤분진 및 미세분진이 천식마우스에서 기도 재구성에 미치는 효과)

  • Li, Tianzhu;Lee, Soo-Jin;Jang, Yang-Ho;Park, Jun-Hong;Park, Se-Jong;Lee, Jeong-Hak;Choe, Nong-Hoon
    • Journal of Life Science
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    • v.17 no.2 s.82
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    • pp.248-253
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    • 2007
  • This research investigated whether exposure of diesel exhaust particulate (DEP) and particulate matter (PM) effects on airway remodeling in asthma induced Balb/c and IL-10 knock out (KO) mouse. Mice were sensitized with intraperitoneal injection with ovalbumin, followed by challenges with intranasal ovalbumin. After that mice placed in inhalation chamber and exposed to DEP and $PM(10\;mg/m^3)$. The evidence of airway remodeling was assessed by masson's trichrome staining and PAS staining. The stainability of masson's trichrome and PAS reaction were increased in asthma-induced Baltic mice groups compared with control mice groups. More intensive stainability for masson's trichrome and PAS were appeared in the asthma-induced DEP and PM-exposed groups than asthama-induced groups. But, not significantly increased subepithelial fibrosis and the nember of goblet cell hyperplasia in asthma-induced IL-10 KO mice groups and asthma-induced+DEP and PM-exposed IL-10 KO mice than IL-10 KO mice groups. These results indirectly suggesting that exposure to DEP and PM in asthmatic patients might be aggravate clinical symptoms and IL-10 which seems to play a central role in allergic asthma. In conclusion, DEP and PM exposure might have additive effects on the ovalbumin- induced asthma in a murine model.

Perception and Knowledge of Hospice Care and Attitude toward Death Held by Medical Professionals from the Same Region in Korea (호스피스·완화의료에 대한 인식 및 지식 그리고 죽음에 대한 태도: 일개 지역에서의 의료인을 대상으로)

  • Lee, Young Eun;Choi, Eun Joung;Park, Joung Suk;Shin, Seong Hoon
    • Journal of Hospice and Palliative Care
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    • v.16 no.4
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    • pp.242-252
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    • 2013
  • Purpose: The purpose of this study was to examine medical professionals' perception and knowledge of hospice and palliative care (HPC) and attitude toward death. Methods: The survey was performed on 84 physicians and 172 nurses in Busan, Korea. Data were collected from April 5, 2012 to April 30, 2012. Results: Regarding the purpose of HPC, the most popular perception was "To alleviate pain and accommodate comfort" among both physicians and nurses. For the need for HPC, "Terminal patients need a separate ward for emotional fluctuation" the answer chosen by both groups the most. Both groups scored low on knowledge of HPC. For pain and symptom management, physicians scored higher than nurses (physicians: $6.97{\pm}1.82$, nurses: $5.68{\pm}1.93$, P<0.001). Conclusion: Considering the survey results, we suggest development of a program to improve medical professionals' perception and knowledge of HPC and attitude toward death.

마음챙김이 정신건강에 미치는 효과

  • Choe, Yeon-Hui;Byeon, Sang-Hae
    • 한국벤처창업학회:학술대회논문집
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    • 2016.04a
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    • pp.239-241
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    • 2016
  • 본 연구는 마음챙김(Mindfulness)의 심리치료적 과정을 기술해 보고 현대인의 정신적 질병인 우울증에 대한 마음챙김의 치료효과를 검증하는데 있다. 마음챙김은 최근 미국을 중심으로 심리학과 정신의학 분야에서 크게 주목을 받고 있는 심리치료 프로그램이다. 마음챙김은 일상생활에서 well-being을 추구하는 정신건강에 효과가 있으며, 정신적 스트레스 감소와 임상치료에서 우울, 불안, 강박, 중독, PTSD, ADHD 등 각종 정신병리의 증상완화에도 치료에 효과가 있다고 밝혀졌다. 본 연구는 신경정신과에서 의뢰받은 3명의 내담자들을 대상으로 마음챙김 심리치료를 실시하고 그 결과를 분석하여 우울증에 대한 치료효과를 알아보았다. 내담자의 특성은 장기간 우울증을 겪고 있으며 약물을 복용하고 있는 50대 여성을 대상으로 하였고, 그 결과 마음챙김은 우울증으로 인한 우울감과 불안감, 반추적 성향, 정서조절 곤란 정도에서 감소되는 효과가 있었으며, 정신건강의 긍정적인 지표인 마음챙김 기술 척도는 증가하는 것으로 나타났다. 이러한 연구 결과는 마음챙김이 인지행동치료 뿐만 아니라 약물치료를 대체하는 정신적 치료법으로도 효과가 있다는 시사점이 있다.

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