• Title/Summary/Keyword: Clinical symptoms

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Depression in Cancer Patients (암 환자의 우울증)

  • Kim, Sung-Wan;Lee, Sam-Yeon;Kim, Jae-Min
    • Korean Journal of Biological Psychiatry
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    • v.13 no.2
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    • pp.59-69
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    • 2006
  • Bidirectional relationships exist between cancer and depression; the prevalence of depression in cancer patients is higher than in the general population, and depression predicts cancer progression and mortality. The mechanisms through which depression contributes to the progression of cancer are related with dysregulation of the hypothalamic-pituitary-adrenal axis and impairment of immune function. However, depression in cancer patients tends to be underdiagnosed and not appropriately treated. The methods of diagnosis and assessment of depression in cancer patents have been debated because physical symptoms of depression mimic both cancer symptoms per se and the side effects of cancer treatment. Many studies have shown that various psychosocial and/or pharmacological interventions are effective at improving de-pressive symptoms and quality of life in cancer patients. Furthermore, antidepressant treatments are effective for various physical symptoms related to cancer, such as fatigue, anorexia, pain, hot flashes, and itching. This article reviews and discusses current knowledge about depression in cancer patients.

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Clinical Symptoms and the Duration of Illness in Patients with Obsessive-Compulsive Disorder (강박증 이환기간과 임상 양상)

  • Lee, Seung-Jae;Yoo, So-Young;Kang, Do-Hyung;Kwon, Jun-Soo
    • Anxiety and mood
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    • v.2 no.1
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    • pp.22-27
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    • 2006
  • Objectives : There is a paucity of data on the long-term course of obsessive-compulsive disorder (OCD) and chronological relationship between OC symptoms and their related symptoms such as anxiety and depression. The purpose of this study was to investigate the longitudinal course of OC symptoms as well as anxiety and depression which are believed to be associated with OC symptoms. Methods : Data for 155 patients with OCD who completed general evaluation for OCD were used. Forty four were excluded to minimize the effect of the different age of onset on the clinical course. One hundred eleven patients finally participated in the analysis. Cross-sectional correlations between each symptom as well as between such symptoms and the duration of illness were analyzed. Further correlation analysis was done within two groups that were divided by 7 years of the duration of illness. Results : There were significant correlations not only between the severity of OC symptoms and anxiety but also between anxiety and depressive symptom, regardless of the duration of illness. These correlations between such symptoms were also found within patients with the duration of illness below 7 years, whereas these were not within the group with the duration of illness above 8 years. Conclusion : Patients with OCD in this study shows the moderate to severe level of OC symptoms irrespective of the duration of illness. Our finding also suggests that the OC symptoms, especially obsessions are closely related to anxiety and depressive symptoms and these relationships might be pronounced in relatively early phase of the OCD after onset.

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The Clinical Study in 20 Cases of Patients with Chronic Prostatitis on the effects by Takrisodokeum for 1 month (탁리소독음가미(托裏消毒飮加味) 처방(處方)을 투여(投與)한 만성(慢性) 전립선염(前立腺炎) 환자(患者) 20례(例)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Kim, man ho;Lee, Ji young;Lee, Jung Won;Cho, Chung Sik;Kim, Chul Jung
    • Journal of Haehwa Medicine
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    • v.11 no.1
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    • pp.103-110
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    • 2002
  • A Clinical study was done on 20 patients of chronic prostatitis who were treated by Takrisodokeum for 1 month in Dept. of Internal Medicine, Oriental Medicine Hospital, Daejon University, from 1 November. 2001 to 30 April 2002. The results were as Follows. 1. Therapeutic improvement of symptoms were distributed the voiding symptoms(81.3%), the Pain-neurological symptoms(80.0%), the others symptoms(77.6%) and the symptoms related with sexual punction(77.1%). 2. Therapeutic improvement rate of whole symptoms was 79.5%. 3. The voding symptoms was the most effectively improved and cured than any other symptoms. 4. The residual urine sensation was the most effectvely improved(93.7%) and the Urethral discharge was the less ineffectually improved(61.2%) than any other single symptoms. 5. Most symptoms of the voiding symptoms were improved over 80%. 6. According to the change of WBC counts on expressed prostatic secretion(EPS), improvement rate was 45.0% and cure rate was 15.0%.

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Analysis of Awareness and Requirement of Home Care Nursing in Cancer Patients by Experienced Symptoms and Nursing Items (암 환자의 증상경험과 가정간호항목별 가정간호 인식도 및 가정간호 요구도)

  • Sung, Young-Hee;Hwang, Moon-Sook;Lim, Su-Jin
    • Journal of Home Health Care Nursing
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    • v.17 no.1
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    • pp.45-54
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    • 2010
  • Purpose: This study sought to provide basic information for the establishment of home care nursing system in cancer patients. Methods: Data were collected by the descriptive questionnaires consisting of 42 articles from five fields of nursing services. Patient's symptoms were investigated by the Korean version of EORTC QLQ-C30. Data were analysed using SPSS-PC 12.0. Results: Among the cancer patients (n=182), 40.1% had serious limitations on their usual lives. 74.7% had serious economic burdens. 79.7% agreed strongly with the necessity of home care nursing system, 74.2% were willing to use home care nursing, and 91.2% felt that home care nursing should be mandatory in cancer centers. There was no correlation between the frequency of symptoms or nursing items and the degree of home care nursing requirements. Digestive symptoms, symptoms requiring procedures, and symptoms to meet educational help displayed a high degree of requirement. Conclusion: Home care nursing should be activated for cancer patients as a bridge between hospital-based acute care and community-based chronic care which could increase the quality of care and reduce insurance related payments.

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A clinical analysis on glaucoma, cataract and causing-blindness-diseases by oriental medical therapy (內障과 眼盲疾患의 韓方治驗에 關한 小考)

  • Kim, Gyung-Jun;Chae, Bhung-Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.10 no.1
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    • pp.340-348
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    • 1997
  • The glaucoma, cataract and causing-blindness-diseases have high clinical importance by their severity of the symptoms and possibility of causing visual loss. Glaucoma is caused by an increase in the intraocular pressure, if severe enough, can cause field loss and eventually complete blindness. In cataract, the general clarity of vision is impaired due to a loss of transparency of the chrystalline lens of the eye. The causing-blindness-diseases can be divided to PokMaeng which cause sudden blindness and ChungMaeng, in which visual acuity is losed gradually. In glaucoma, cataract and causing-blindness-diseases, the visual acuity is affected and the patient may complain blurriness, fatigue of eye, visual field loss deficiency or scintillant feeling, vitreous floaters. In this study, 32 patients who have cataract, glaucoma or other causing-blindness-diseases was treated with oriental medicine or acupuncture from July, l996 to May. 1997, and was followed up by their symptoms and visual acuity. 1. In glaucoma patients, intraocular pressure decreased significantry and the symptoms improved positively. 2. In cataract patients, there was no improvement of visual acuity but $40\%$ of patients found their symptoms improved. 3. In causing-blindness-diseases, $57\%$ of patients reported improvement of their symptoms such as blurriness or fatigue of eye. 4. Through oriental medical treatment, the symptoms of glaucoma, cataract and causing-blindness-diseases can be treated effectively. Therefore oriental management seems to be possible to cure glaucoma, cataract and causing-blindness-diseases.

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Is This Symptom Even a Food Allergy?: Clinical Types of Food Protein-induced Enterocolitis Syndrome

  • Hwang, Jin-Bok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.2
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    • pp.74-79
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    • 2014
  • Food protein-induced enterocolitis syndrome (FPIES) is an under-recognized non-IgE-mediated gastrointestinal food allergy. The diagnosis of FPIES is based on clinical history, sequential symptoms and the timing, after excluding other possible causes. It is definitively diagnosed by an oral food challenge test. Unfortunately, the diagnosis of FPIES is frequently delayed because of non-specific symptoms and insufficient definitive diagnostic biomarkers. FPIES is not well recognized by clinicians; the affected infants are often mismanaged as having viral gastroenteritis, food poisoning, sepsis, or a surgical disease. Familiarity with the clinical features of FPIES and awareness of the indexes of suspicion for FPIES are important to diagnose FPIES. Understanding the recently defined clinical terms and types of FPIES is mandatory to suspect and correctly diagnose FPIES. The aim of this review is to provide a case-driven presentation as a guide of how to recognize the clinical features of FPIES to improve diagnosis and management of patients with FPIES.

Comprehensive Korean Medicine Treatment for Benign Essential Blepharospasm in a Patient Responding Poorly to Botulinum Toxin Treatment

  • Ha, Seojung;Kim, Sung A;Lee, Suji;Choi, Sungwoon;Lee, Sanghoon
    • Journal of Acupuncture Research
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    • v.39 no.1
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    • pp.49-52
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    • 2022
  • Benign essential blepharospasm (BEB) is a condition/disease which involves involuntary muscle contractions causing the eye to repetitively close, making it impossible for the patient to perform daily activities. This study reports Korean medicine treatment of a rare case BEB in a 34-year-old male patient whose symptoms showed minimal improvement following botulinum toxin injection (the standard treatment). Acupuncture, pharmacopuncture, and herbal medicine treatment for 11 days resulted in clinical improvement for all symptoms as assessed by using the Jankovic Rating Scale, Blepharospasm Disability Index, numerical rating scale, duration of spasms lasting more than 1 hour per day, and number of spasms lasting less than 1 minute per day. This case report suggests that comprehensive Korean medicine treatment could be a treatment option for BEB in patients who do not respond well to botulinum toxin injection.

Dienogest in endometriosis treatment: A narrative literature review

  • Joowon Lee;Hyeon Ji Park;Kyong Wook Yi
    • Clinical and Experimental Reproductive Medicine
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    • v.50 no.4
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    • pp.223-229
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    • 2023
  • Endometriosis is characterized by the implantation of endometrial cells outside the uterus. This hormone-dependent disease is highly prevalent among women of reproductive age. Clinical symptoms of endometriosis include dysmenorrhea, pelvic pain, and infertility, which can negatively impact the overall quality of life of those affected. The medical treatment of endometriosis serves as an important therapeutic option, aimed at alleviating pain associated with the condition and suppressing the growth of endometriotic lesions. As such, it is employed as an adjuvant therapy following surgery or an empirical treatment after the clinical diagnosis of endometriosis. Dienogest, a fourth-generation progestin, has received approval for the treatment of endometriosis in many countries. A growing body of evidence has demonstrated its efficacy in managing endometriosis-associated pain, preventing symptoms, and reducing lesion recurrence. In this review, we examine the clinical efficacy, safety, and tolerability of dienogest in treating endometriosis. We also provide updated findings, drawing from clinical studies that focus on the long-term use of this medication in patients with endometriosis.

ANALYSIS OF THE CLINICAL SYMPTOMS AND THE TEMPOROMANDIBULAR JOINT DISK BY MAGNETIC RESONANCE IMAGING AFTER CONSERVATIVE TREATMENT WITH ANTERIOR REPOSITIONING SPLINT (측두하악관절 환자의 전방재위치장치 치료 전후의 임상증상 및 자기공명영상을 이용한 관절원판 변화의 분석)

  • Myoung, Shin-Won;Park, Je-Uk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.2
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    • pp.136-142
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    • 2006
  • Temporomandibular joint(TMJ) disorders have characteristic clinical findings such as pain, joint sound, and abnormal jaw function. With the rapid progress in TMJ imaging techniques, magnetic resonance imaging(MRI) especially provides the clinician and researcher with the ability to evaluate TMJ disorders(effusion, anterior disk displacement) and the hard and soft tissue of the TMJ. In order to manage the internal derangement of TMJ such as anterior disk displacement, the so-called appliance therapy is commonly used. This technique became the treatment of choice before surgical intervention by many practitioners. The purpose of the present study was to evaluate and determine the efficacy of anterior repositioning splint by means of the change of the position of the disk through pre- and post-treatment MRI. MRI and clinical symptom were carefully recorded in TMJ disorder patients. The relationship between TMJ symptoms such as pain, clicking sound, and disk displacement and effusion in MRI were analyzed. Then, splint therapy was applied for 3 months according to our protocol; at day 1, patients should wear 24 hours, in order to accomodate the splint and then, wearing time is reduced to 12 hours per day for one month. During next 2 months, it is tapered to 8 hours per day according to the evaluation of the clinical symptoms. Post-treatment MRI was obtained after 3 month protocol. This treatment strategy improved the clinical symptoms of TMJ disorder, and effusion and articular disk position showed a significant change. In conclusion, a treatment modality using an anterior repositioning splint therapy is an appropriate method for temporomandibular disorder patients.

A Case of Soeumin Rectal Cancer Misdiagnosed as a Taeyangin and Mistreated with Mihuedungsikjang-tang (미후등식장탕으로 오치하여 복통(腹痛), 자한(自汗), 오심(惡心)이 발생한 소음인 직장암 환자 1례 증례보고)

  • An, Ji-Hye;Kwon, Eun-Mi;Song, An-Na;Kim, Eun-Hee;Park, So-Jung;Jung, Yee-Hong;Choi, Won-Chul;Lee, Soo-Kyung
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.4
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    • pp.533-540
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    • 2011
  • In this case, we report a case of Soeumin rectal cancer patient who was mistreated with herb medication. This patient was 72 years old female diagnosed rectal cancer stage IV with multiple liver, lung, and LN metastases. She administered our cancer center in Sep. 2011 for cancer treatment, we diagnosed this patient as Taeyangin at first, and treated with Mihuedungsikjang-tang. After 1 week, she complained upper abdominal discomfort, severe abdominal pain, nausea and sweating. Considering several symptoms and conditions, the change of symptoms seemed to a adverse events caused by mistreatment. We re-diagnosed this patient as Soeumin, and treated with Soeumin herbal medication, Baekhaoleejung-tang(白何烏理中湯) and Hyangsayangyi-tang(香砂養胃湯). Several symptoms including abdominal pain were improved 2 weeks later. Therefore, we report this case as a reference that Soeumin misdiagnosed as Taeyangin and the improvement of adverse symptoms.