• Title/Summary/Keyword: 증상

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Attitude and Belief About Menopause and Menopausal Symptoms in Depressive or Anxiety Disorder Patients (우울, 불안장애 환자에서 폐경에 대한 태도 및 인식과 폐경기 증상)

  • Choi, In Kwang;Lee, Moon-Soo;Ham, Byung-Joo;Lee, Hwa-Young;Ko, Young-Hoon;Joe, Sook-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.2
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    • pp.82-93
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    • 2010
  • Objectives : The purpose of this study was to explore attitude and belief about menopause and severity of menopausal symptoms according to menopausal status. This study conducted a cross-sectional assessment of the effects of depressive symptoms and the severity of trait anxiety on the severity of menopausal symptoms. Methods : Participants were all outpatients at the psychiatric outpatient clinic of Korea University Guro Hospital. All participants, aged 40 to 64, had depressive or anxiety disorders and were divided into the premenopause, perimenopause, premenopause, and postmenopause groups. Menopause Rating Scale(MRS) was used to measure the severity of menopausal symptoms. The attitude toward menopause was examined by a self-report questionnaire regarding menopause. Beck Depression Inventory(BDI) and State-Trait Anxiety Inventory(STAI) were used to assess depressive symptoms and anxiety. Results : The severity of menopausal symptoms was not different among the groups according to menopausal status. There was a significant correlation between a negative attitude toward menopause and the severity of menopausal symptoms. Patients with moderate to severe depressive symptoms and trait anxiety had more severe menopausal symptoms. Conclusion : Negative attitude toward menopause, depressive symptoms, and anxiety had a significantly negative impact on the severity of menopausal symptoms. The results of this study suggest that treatment to relieve depressive symptoms and anxiety and intervention to reduce negative attitude toward menopause are required. Further studies with larger sample size are needed to evaluate potentially effects of depressive symptoms and anxiety on severity of menopausal symptoms in middle-aged female psychiatric patients.

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The Study of the Initial Presentations of Wilson Disease at Diagonosis (Wilson 병의 진단시 임상 발현 양상에 대한 고찰)

  • Yang, Tae-Jin;Ji, Geun-Ha;Song, Min-Seop;Hwang, Tae-Gyu
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.2
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    • pp.199-206
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    • 2001
  • Purpose: To review the clinical and laboratory features of patients with Wilson disease at diagnosis. Methods: In this retrospective study, records of all 20 patients, who were diagnosed as having Wilson disease at the Paik hospital in Busan from 1990 to 2000, were reviewed. Results: Out of 20 patients, 12 pateints (60%) have hepatic presentation alone, 2 patients (10%) have neurologic presentation, 4 patients (20%) have hepatic and neuropsychiatric presentation, and one patient (5%) has hematologic presentation at diagnosis. One patient (5%) has neither symptom nor laboratory finding of Wilson disease except very low serum ceruloplasmin level and positive family history. Family screening test revealed 3 cases of Wilson disease. 12 patients were revealed to be combined with liver cirrhosis at diagnosis. Conclusion: Early diagnosis and treatment is very important in patients with Wilson disease. Children or adolescents who manifest symptoms of hepatitis, who has prolonged elevation of liver enzymes, and has family history of hapatitis of unknown origin, with mild hematologic or urinary abnormalities must be suspected to have Wilson disease. Also, in adolescents with extrapyramidal symptoms or other neuropsychiatric symptoms, liver function test should be done.

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Post-Marketing Surveillance Study of Hepatitis A Vaccine in Korean Population (한국에서 A형간염 백신(GlaxoSmithKline Biologicals' $Havrix^{TM}$)의 시판 후 조사)

  • Choi, Jae-Won;Kim, Myoung-Seok;Ma, Sang-Hyuk;Kang, Jin-Han;Ok, Jin-Ju;Ng, Timothy L.;Bock, Hans L.;HavrixTM PMS Korean study group,
    • Pediatric Infection and Vaccine
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    • v.15 no.2
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    • pp.115-120
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    • 2008
  • Purpose : This post-marketing surveillance (PMS) study was conducted in Korea to assess the safety and reactogenicity of hepatitis A vaccine (GlaxoSmithKlineBiologicals'$Havrix^{TM}$) administered to the Korean population. Methods : A total of 1,188 healthy subjects with 1,122 subjects <6 years of age were enrolled to receive one dose of the hepatitis A vaccine from April 2005 to January 2006. Diary cards were provided to the subjects or subjects' parents for reporting solicited and unsolicited symptoms during the 4-day and 31-day post-vaccination follow-up period. Results : The number of subjects who returned diary cards was 568, whereas, 620 subjects did not return diary cards. Among the subjects who returned diary cards, 9.9% and 14.3% reported local and general solicited/unsolicited symptoms. Among the subjects who did not return diary cards, 1.6% and 8.4% reported local and general solicited/unsolicited symptoms. At least one unsolicited symptom was reported by 13.2% of the subjects. Conclusion : Results indicate that the vaccine was well-tolerated and had an acceptable safety profile. The use of diary cards in such a survey provided a prompt and reliable option for recording symptoms.

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Temporomandibular disorders and risk factors in office workers, service workers, and teachers (측두하악장애의 유병률과 관련요인에 관한 연구 -일부 일반사무직, 서비스직, 교직원을 대상으로-)

  • Seo, Eui-Gyeong;Kim, Soon-Duck;Lee, June-Young;Rim, Jae-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.3
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    • pp.563-576
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    • 2012
  • 목적 : 본 연구는 업무형태에 따른 측두하악장애의 유병률과 업무 시 노출되는 직무스트레스 및 구강 내 악습관이 측두하악장애와 어떠한 연관성이 있는지 알아보아 보건학적 기초자료를 제공하고자 실시되었다. 방법 : 본 연구의 자료 수집을 위하여 서울과 경기 일부지역에 근무하고 있는 일반사무직, 서비스직, 교직원으로부터 편의 추출된 452명을 대상으로 2010년 1월부터 2010년 4월까지 설문조사를 실시하였고, 수거된 353명을 연구대상으로 하였다. 설문지는 측두하악장애의 증상, 하악사용에 관한 구강 내 악습관, 직무스트레스, 인구사회학적 특성으로 구성되었다. 측두하악장애의 증상의 정도를 구분하기 위해 설문지의 양성응답 수의 빈도에 따라 무증상인 1단계에서 양성응답 수가 가장 많은 4단계 까지 총 4그룹으로 나누었다. 측두하악장애의 유병률을 알아보기 위하여 빈도분석을 시행하였고, 측두하악장애의 증상의 정도에 따른 여러 요인들 간의 연관성 및 관련요인을 알아보기 위하여 교차분석 및 경향성 분석과 다항로지스틱회기 분석을 시행하였다. 결과 : 측두하악장애의 유병률은 75.4%였고, 측두하악장애에 대한 주관적 증상으로는 관절잡음이 56.4%로 가장 주된 증상 중 하나였으나 남녀 간의 차이는 통계적으로 유의하지 않았다. 다음으로는 두통이나 목의 통증이 36.5%이었고, 귀, 관자놀이, 볼 주위의 통증이 22.1%로 높았다. 측두하악장애의 주관적인 증상 수에 따른 인구사회학적 특성은 증상이 없는 경우 여성에서 19.1%, 남성에서 36.6%로 여성에서 더 높은 유병률을 보였다. 연령별로는 40세 이상의 그룹보다 20 - 30대그룹에서 측두하악장애 증상수가 높아지는 경향을 보였다. 하악 사용과 관련된 악습관 및 직무스트레스는 측두하악장애 증상수와 유의한 관련성이 있는 것으로 나타났는데, 하악 사용과 관련된 습관의 개수가 많아질수록 측두하악장애의 증상의 개수도 많아졌고, 습관이 한 가지씩 늘어날수록 측두하악장애 증상이 없는 1단계보다 3단계가 될 위험이 1.45배, 4단계가 될 위험이 1.57배 높아졌다. 스트레스 수준도 가장 하위단계에서 한 단계 높아지면 측두하악장애 1단계에서 4단계가 될 위험이 2.49배, 두 단계 높아지면 3.43배 높아졌다. 결론 : 본 연구의 결과 측두하악장애와 업무특성에 따른 연관성은 설명하지 못하였지만, 직무스트레스가 높은 경우 측두하악장애 증상의 개수 또한 높아짐을 확인할 수 있었다. 이는 측두하악장애의 주관적인 증상을 발생시키는데 있어서 업무형태 보다는 심인적인 부분이 더 중요한 인자임을 의미한다. 그러므로 측두하악장애 평가 시 신체적인 문제뿐 아니라 행동적, 심리 사회적 문제로 예측인자를 폭넓게 인식함으로써 다각적인 접근을 하는 것이 필요하며, 측두하악장애 증상이 발생된 경우 임상적 치료뿐 아니라 행동요법 및 심리 치료와 자가 관리 등이 함께 수반되어 기여요인 조절을 조절하는 것이 중요하다 하겠다.

Partial mediating effect of stress in the relationship between Somatic symptoms and oral symptoms of University Staff (대학 교직원의 신체 건강과 주관적 구강 건강의 관계에서 스트레스의 매개 효과)

  • Hong, Min-Hee;Lee, Jung-Min;Jang, Ki-Won
    • Journal of Convergence for Information Technology
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    • v.11 no.11
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    • pp.229-238
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    • 2021
  • The purpose of this study is to examine the effect of physical health on oral health in university staff and the mediating effect of stress on their relationship. As for the research method, a questionnaire survey was conducted from June 15 to June 30, 2021 for some university staff in the Seoul area. As research tools, general characteristics, somatic symptoms, oral symptoms, and perceived stress were investigated. For the analysis method, Pearson correlation analysis was used to examine the correlation between physical symptoms, stress, and oral symptoms, and regression analysis was used to verify the mediating effect. As a result, somatic symptoms, stress, and oral symptoms all showed a positive correlation. Also, somatic symptoms were found to have an effect on oral symptoms, and stress had a partially mediating effect on the relationship between somatic symptoms and oral symptoms: somatic symptoms directly affect oral symptoms, and stress directly and indirectly affects oral symptoms. In conclusion, institutional measures are needed to reduce the work stress of the university staff, and regular oral health education to promote oral health should be expanded.

Factors Influencing VDT syndrome among male adolescents with risk of digital addiction (디지털중독 위험군 남학생의 VDT 자각증상 영향요인)

  • Seomun, GyeongAe;Lee, Youngjin
    • Journal of Digital Convergence
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    • v.14 no.1
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    • pp.363-370
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    • 2016
  • The purpose of this study was to determine the influential factors associated with video display terminal (VDT) syndrome of male adolescents with digital device addition. The study design was cross-sectional descriptive survey. The study participants were 169 male middle school students in Seoul. A structured questionnaire was used for data collection and data were analyzed using the SPSS program. The factors most influential for the subjective symptoms of VDT were smartphone addiction, computer use time during the week, computer use environment. These factors accounted for 28.1% of the variance in subjective symptoms of VDT. In order to prevent the occurrence of VDT syndrome in students, we suggest to establish a preventive intervention against the digital addiction.

The Degree of Musculoskeletal Discomfort of Officers (사무직근로자의 신체부위별 근골격계 증상과 관련요인)

  • Sim, Mi-Jung;Son, In-A;Hong, Sung-Gi
    • The Journal of the Korea Contents Association
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    • v.9 no.9
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    • pp.249-258
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    • 2009
  • The purpose of this study is to identify the factors influencing the musculoskeletal discomfort and the physical region related symptoms. The outcome of the study uses KOSHA Code H-30-2003 which defines possible symptoms into different categories. Symptom I, ll showing the highest occurrence rate in shoulder and neck regions and most of Symptom III, IV come from back region. Analysis of the factors influencing the musculoskeletal discomfort vary in different parts of the body. In the neck region, the discomfort related to rest and the computer keyboard. Gender affects the magnitude of pain in the shoulder region. Wrist pain is related to the chairs being used and back discomfort is influenced by shoulder exercise and the degree of rest taken. Physical fatigue due to work affects all the regions mentioned above. Conclusively, office workers are prone to the musculoskeletal discomfort due to their work environment. To alleviate this problem, the workers need to be educated with proper long-term musculoskeletal related health programs and exercise program containing various stretching methods. In addition, the effort to improve the variables in this study would help to reduce the rate of musculoskeletal discomfort.

Correlation of motor and non-motor symptoms in Parkinson's disease: a factor-analytic convergence study (파킨슨병 환자의 운동과 비운동 증상의 상관관계: 요인 분석 융합 연구)

  • Gang, Miyeong
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.71-78
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    • 2022
  • Parkinson's disease (PD) is clinically characterized by a variety of motor and non-motor symptoms, including cognitive and neuropsychiatric symptoms. Integrating a large variety of symptoms into a small number of clinical subtypes could be valuable for appropriate and early therapeutic intervention. As a first step toward this aim, this study attempted to identify correlation patterns among motor, cognitive and neuropsychiatric symptoms in PD without dementia. One hundred four non-demented patients with PD underwent a comprehensive motor, neuropsychological, and neuropsychiatric assessments. Factor analysis was performed to identify correlation patterns among demographic, motor, cognitive and neuropsychiatric variables. The eight factors were extracted: 1 motor-related, 3 cognitive-related and 4 neuropsychiatric factors. We indentified that characteristics of correlation can have associated symptom pattern in the disease process of Parkinson's disease. The current results suggest that a broad range of motor and non-motor symptoms in PD may be reducible to a small number of clinical parameters, which may be useful for identifying clinical subtypes of PD for individual patients.

폐쇄성 기도질환(1)

  • 심영수
    • 보건세계
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    • v.43 no.12 s.484
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    • pp.4-9
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    • 1996
  • 기도가 협착되어서 증상을 일으키는 질환으로 만성기관지염, 폐기종, 만성폐쇄성질환, 기관지천식 등이 있으며, 기침, 가래, 호흡곤란(숨참)등이 주요 증상인데 비의료인에게는 해소천식으로 더 잘 알려져 있다. 일반적으로 기침 가래가 나오고 숨이차면 해소천식이라고 하는데 실제로 이 만큼 오용되고 남용되는 단어는 드물 것이다. 동의보감에 의하면 해수(해소의 원명)는 기침을 말하는데 해는 가래가 없이 소리가 심한 경우이고 수는 가래를 주로하는 기침을 말하며 16가지 종류로 구분된다. 천식은 숨이 찬 증상을 말하는 것으로 8가지 종류로 구분되어 있다. 따라서 해소천식은 기침가래가 나오고 숨이 찬 증상을 말하는 것으로 특정질환을 말하는 병명이 아니다. 비의료인이 말하는 천식의 경우에는 숨이 찬 증상을 말하는 것이고 의료인이 천식이라고 할 경우에는 특정 기도질환인 기관지 천식을 말하는 것이므로 서로 오해하기가 쉽다. 실제로 일간지 건강상식란에 천식을 소개하였는데 의사는 병명으로서의 기관지천식을 설명하였고 동참한 한의사는 증상으로서의 천식을 설명하여 혼란을 일으켰던 예가 있었다. 한의학에서는 예전에 기관지천식은 효천(孝喘)이라고 부르고 천식의 증상이 심하고 위중한 상황일 때에는 천급(喘急)이라고 하여 한의학에서도 구별하였는데 도리어 현대에 와서 정확성이 없어지고 모호해진 이유는 무엇일지 궁금하다. 폐쇄성기도질환은 기도가 좁아지는 기전과 기도폐쇄의 가역성(기도가 정상으로 회복되는지)여부에 다라서 가역성폐쇄질환인 기관지천식과 비가역적인 만성폐쇄성기도질환으로 구분하고 있다.

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A Study on the Complaint Rate of Work-Related Self-Conciousness Symptoms in Hospital Workers (병원 종사자들의 작업관련 자각증상 호소율에 관한 연구)

  • Lee, Seong-Ran
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.984-987
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    • 2010
  • 본 연구는 병원 종사자들의 작업관련 자각증상 호소율의 요인들을 파악하고자 시도되었다. 자료수집은 2010년 5월 18일부터 6월 18일까지 서울 소재 2개 종합병원 종사자 157명을 대상으로 설문조사를 하였다. 연구결과 첫째, 작업관련 자각증상 호소여부는 허리의 증상호소자가 평균 19.53점으로 비증상호소자의 평균 13.06점보다 유의하게 높았다(t=9.684, p=0.007) 둘째, 운동을 안하는 군에 비해 운동을 불규칙적으로 하는 군의 자각증상 호소률은 2.18배(OR=2.183, 95%, Cl=1.362-7.420)로 유의하게 높아지는 것으로 나타났다. 따라서 작업관련 증상관리를 위한 건강증진 프로그램 개발시 이에 대한 총체적인 반영이 필요할 것으로 본다.

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