• Title/Summary/Keyword: 피로증상

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Effect of Cancer Symptoms and Fatigue on Chemotherapy-related Cognitive Impairment and Depression in People with Gastrointestinal Cancer (암증상과 피로가 소화기 암 환자의 항암화학요법 관련 인지기능 감퇴와 우울에 미치는 영향)

  • Oh, Pok Ja;Lee, Jung Ran
    • Journal of Korean Academy of Nursing
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    • v.46 no.3
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    • pp.420-430
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    • 2016
  • Purpose: The purpose of this study was to test a hypothetical model of chemotherapy-related cognitive impairment (CRCI) and depression in people with gastrointestinal cancer. Methods: A purposive sample of 198 patients undergoing chemotherapy was recruited from November 2014 to July 2015. The instruments were Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), and M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module. Data were analyzed using descriptive statistics, correlation, and path analysis. Results: CRCI was directly affected by cancer symptoms (${\beta}=.19$, p=.004) and fatigue (${\beta}=.56$, p<.001)($R^2=47.2%$). Depression was directly affected by fatigue (${\beta}=.48$, p<.001) and CRCI (${\beta}=.27$, p<.001). However, The impact of cancer symptoms on depression was confirmed through the mediating effect of CRCI. Conclusion: Results indicate that in patients with gastrointestinal cancer undergoing chemotherapy along with the direct physiologic effects (fatigue, symptoms) of cancer treatment may have altered cognitive function leading to depression.

A Research on Subjective Symptoms of Fatigue of Housewives at Shin-Chon Area in Seoul (피로 자각증상표에 의한 일부 신촌지역 주부들의 피로도에 관한 일 연구)

  • 이광옥;신공범
    • Journal of Korean Academy of Nursing
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    • v.9 no.2
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    • pp.27-38
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    • 1979
  • This study was undertaken to determine the subjective symptoms of fatigue among the house-wives groups. Inquiries into subjective symptoms of fatigue were made by the form designied by the Industrial Fatigue Research Committee of the Japan Society of Industrial Health (1961), Comprising 30 items. These items are classified into 3 groups of 10 items, namely, A) Physical Symptoms, B) Mental Symptoms, C) Neuro-Sensory Symptoms (Figure 1 ). The results of the investigation can be summerized as follows: 1. Within the total items (T), the physical symptoms (A) were the strongest in the effect on the feelings of fatigue, and were followed by (B), and (C). 2. There was a significant difference shown in the distribution of responses by height (X$^2$=236.29, d.f. = 145, p < 0.00001). In the mental category (F = 2.22, d.f. = 4, p = 0.05) and neuro-sensory category (F = 2.64, d.f. = 4, p < 0.001), there was a difference in the responses’com-plaints by weight. 3. As for the ages, housewives at the age of 50 presented a higher rate than those 30 or 20. 4. Regarding the number of children, respondents have more children showed higher frequency rate of complaints. 5. In the investigation sample, complaints were related to education level (f = 18.34, d.f. = 3, p<0.0001) pentruation (t = 2.31, p< 0.022), and sleeping hours (F = 6.04, d.f. = 6, p< 0.0001).

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A Study on the Prescription of Size Lens for Myopic Aniseikonia (근시성 부등상시의 등상시 렌즈 처방에 관한 고찰)

  • Kwon, Young-Seok;Kim, Ki-Hong;Lee, Hyun-Mee;Chu, Byoung-Sun;Kwon, Yun-Kyung
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.555-560
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    • 2013
  • Purpose: The aims of this study were to investigate the stereoacuity and subjective symptoms of aniseikonia with prescription of the size lens. Methods: Participants were myopic anisometropia patients with the binocular refraction difference between 1.75 D~3.50 D. Inclusion criteria of participants were no ocular pathology, no amblyopia, more than 1.0 of corrected visual acuity. With fully corrected spectacles and a correction with the size lens, Awaya aniseikonia test and Randot Stereo test were conducted respectively. In addition, subjective symptoms were also examined using questionnaire. Results: As the anisometropia increased, the aniseikonia increased. Under the anisometropia with same refractive correction was different for each individual. The prescription of size lens caused less aniseikonia than the general prescription of glasses. In addition, prescription of the size lens improved stereoacuity and relieved the symptoms of asthenopia. Conclusions: The prescription of size lens that can correct aniseikonia with prescription of glasses can improve stereoacuity and reduced asthenopia.

Infected Left Atrial Myxoma (감염된 좌심방 점액종)

  • Kim, Hyuck;Kang, Jeong-Ho;Chung, Yoon-Sang;Kim, Young-Hak;Chung, Won-Sang
    • Journal of Chest Surgery
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    • v.42 no.4
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    • pp.513-515
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    • 2009
  • Myxoma is the most common primary tumor of the heart. The common symptoms of myxoma can be similar to those of infective endocarditis, which include fever, weight loss, fatigue and arthralgia, but it is very rare for a myxoma to become infected. We report on a case of a 76-year-old male patient with fever and loss of conscious-ness, and he underwent an emergency operation after suffering shock state due to the infected myxoma.

근위축성 측삭경화증(ALS)의 한의학적 임상 연구

  • Gwon, Gi-Rok
    • Journal of Pharmacopuncture
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    • v.6 no.1
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    • pp.13-13
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    • 2003
  • 1. 도입 및 배경 Lou Gehrig 병이라고 알려져 있는 근위축성 측삭경화증은 중추신경계 중 운동신경의 퇴행성 변화에 의한 진행성 질환이다. 이 병은 근육의 마비와 약화, 강직의 진행과 더불어 언어장애, 연화장애, 호흡장애가 동반된다. ALS는 환자나 가족들에게 엄청난 고통을 주는 질환으로 이병은 발병 후 3-5년 내에 약 $75\%$가 사망한다. 그리고 연하장애가 주된 증상이거나 고령에서 발병하였을 때에는 생존기간이 더욱 단축되는 경향을 나타낸다. 그리고 치명적인 호흡장애로 인해 대부분 사망하게 된다. 현재 의학계에서는 이 병의 원인도 알고 있지 못하고, 증상에 대한 아무런 치료방법도 제시하지 못하고 있는 실정이다. 2. 역학 원발성 운동신경원성 질환의 발생률은 100,000당 약 7명이고, ALS는 이 중 약 $65-85\%$를 차지한다. 전 세계적으로 1년에 약 2-4명/100,000이 발생하고 있으며 시간이 경과할수록 점차 증가하고 있는 추세이다. 3. 연구방법 EMG나 Biopsy 등을 통해 신경과 전문의가 ALS로 진단한 환자 중 상지대학교 부속한방병원에서 3개월 이상 입원치료를 받은 환자 18명을 대상으로 임상연구를 진행하였고, 설문조사는 외래에 내원한 환자 중 설문에 응답한 환자 28명을 포함한 총 46명의 환자들을 대상으로 시행하였다. 치료방법은 침, 약침, 봉약침, 한약 등을 환자의 체질을 고려하여 변증에 따라 적용하였고, 환자의 상태 변화는 ALSFRS(ALS Functional Rate Scale)를 사용하여 관찰하였다. 4. 결과 본 연구결과 ALS의 치료에 한의학적 치료방법은 유효한 것으로 나타났다. 특히 본 질환이 시간이 경과하면서 $100\%$ 악화되는 질환임을 감안한다면 한의학적 치료를 통해 약 $40\%$의 환자에서 몸의 상태나 언어장애, 만성적 피로 등이 호전되었고, 근력도 증가되는 결과를 나타내었다.

Premenstrual Dysphoric Disorder : A Clinical Review (월경전 불쾌기분 장애에 대한 임상적 고찰)

  • Hwang, Gul
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.14-21
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    • 2007
  • Premenstural dysphoric disorder(PMDD) imposing 4-5% of women is possibly caused by an enhanced responsiveness to the changes of sex steroid hormones and the decrease of serotonin, melatonin and GABA. The common clinical features between PMDD and depression, seasonal affective disorder, panic disorder and anorexia nervosa suggest a relatedness between PMDD and each of them. The diagnostic criteria of DSM-IV-Tr for PMDD requires psychological symptoms, that commonly include irritability, anger, depression, mood swing, affect lability, tension, anxiety, fatigue and food craving. As of today, the best pharmacological treatment for PMDD is the selective serotonin reuptake inhibiter, and leuprolide, danazol, estradiol, spironolactone and bromocriptine are possible alternatives. Nonpharmacological treatments for patients with mild to moderate symptom severity are diet, exercise, light therapy, psychotherapy and keeping a diary.

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One human case of natural infection by Heterophyopsis continua and three other species of intestinal trematodes (긴이형흡충과 여러 종의 장흡충에 혼합감염된 인체감염 1례)

  • 홍성종;정창근
    • Parasites, Hosts and Diseases
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    • v.34 no.1
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    • pp.87-90
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    • 1996
  • The third human case of natural infection by Heterophvopsis continuo in Korea was found in Chinju, Kyongsangnam-do. The case was a 53-year-old mn. He used to eat raw brackish and fresh water fish. After praziquantel treatment and purgation, H. continua were collected from the diarrheal stool together with Metononimw vokognwai, Heterophves nocens and Echinostona hokense. His clinical complaints were indigestion, epigastric discomport, poor appetite and fatigue. The complaints were considered rather due to heavy M. Wokoscwci infection.

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Factors Affecting Musculoskeletal Symptoms of Teachers in Child Care Centers (보육교사의 근골격계 증상에 영향을 미치는 요인)

  • Kim, Il-OK;Yeom, Gye Jeong
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.3
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    • pp.162-172
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    • 2015
  • Purpose: This study was to explore factors affecting musculoskeletal symptoms of the child care centers' teachers in Korea. Methods: This study was a descriptive research, using a cross-sectional survey. Convenience samples of 230 child care centers' teachers aged 20 to 65 were selected. A self-administered questionnaire was used to measure general characteristics, job-related characteristics, exercise habit, fatigue and musculoskeletal symptoms of the body parts. The data were analyzed with the SPSS/WIN 21.0 program. Results: Shoulder pain (73.5%), low back pain (72.6%) and wrist/hand pain (57.8%) were the most common musculoskeletal symptoms. Shoulder pain significantly differed depending on the age of children in charge at the child care center (p<.047). The exercise habit was related to low back pain (p<.028) and the career was linked to wrist/hand pain (p<.046). The logistic regression analysis revealed exercise habit and fatigue were the risk factors on musculoskeletal symptoms of many body parts. Conclusion: These results suggest that interventions targeting the child care centers' teachers should be considered job-related characteristics and fatigue in order to prevent musculoskeletal disorder. Thus, there continues to be a need to develop exercise program for the child care centers' teachers.

Changes in Accommodative Function after VDT Work (VDT 작업 후의 조절기능 변화)

  • Seo, Eun-Sun
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.3
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    • pp.285-291
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    • 2012
  • Purpose: This study was conducted to research any effect on visual function related to accommodation by VDT work. Methods: The refraction power, accommodative lag, accommodative facility, relative accommodation, amplitude of accommodation and blink rate were measured before and after VDT work for 2 hours on 48 university students (16 males and 32 females), without abnormal accommodative function and systemic and ocular disease, who had never undergone corrective eye surgery. All examinations were performed with distant refraction, and a survey was conducted on the items related to subjective symptoms of VDT syndrome. Results: After 2 hours of VDT work, refractive power increased by 0.23 D, the amount of change in accommodative lag were $0.17{\pm}0.42D$ in the right eye and $0.23{\pm}0.47D$ in the left eye (t=2.26, p=0.03). There were statistically significant differences. Both the accommodative facility and relative accommodation and amplitude of accommodation were decreased after work. However, blink rate were increased. After VDT work, 33.4% of the subjects showed subjective symptoms of asthenopia and 33.3% of them showed shoulder pain. Conclusions: As a result, the accommodative lag increased in response to the two hours of VDT work, and overall accommodative functions were decreased. In addition, as symptoms of providing visual strain, asthenopia showed the most prominent subjective symptoms.

During the COVID-19 pandemic, Relationship between smart device usage time, eye health status, and eye health awareness among health college students (COVID-19 판데믹 시기에 보건계열대학생의 스마트기기 사용시간, 눈건강 실태, 눈건강 의식 간의 관계)

  • Yoon, Hyeon Gyeong;Kim, So Yeong;Park, Min Ji;Park, Ji Eun;Jeon, Hye Jin
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.2
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    • pp.187-195
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    • 2022
  • This study was conducted to confirm the relationship between smart device usage time, eye health status, and eye management consciousness during the COVID-19 Pandemic period for college students in the health field. The study participants were 188 health-related university students, and data analysis was performed using descriptive statistics, independent t-test, Chi-square test, one-way ANOVA, and Pearson's correlation coefficients using the SPSS 26.0 program. As a result of the study, the average of the subjects' eye fatigue score was 15.23±13.71, the dry eye subjective symptom score was 21.87±12.02, and the eye health management consciousness score was 3.48±1.09. Eye care awareness, dry eye symptoms (r=.152, p=.005) and eye fatigue, dry eye symptoms (r=.650, p<.001) were statistically significant positive correlation in the group using smartphones for 2 hours or more per day on average. Based on the results of this study, it is necessary to find a way to prevent eye health due to the use of smart devices by college students, and repeated studies are needed to confirm the factors affecting eye health.