• Title/Summary/Keyword: Duration of symptom

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Comparative Study of the Effect of Acupuncture for Dry Eye Syndrome According to Difference of Duration of Treatment (자침 횟수의 차이에 따른 안구건조증 치료 효과 비교)

  • Lee, Seung-Min;Lee, Chang-Woo;Jeon, Ju-Hyun;Kim, Jung-Ho;Kim, Jung-Il;Choi, Sun-Mi;Kim, Young-Il
    • Journal of Acupuncture Research
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    • v.29 no.4
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    • pp.55-69
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    • 2012
  • Objectives : The aim of this study was to compare the effects of 12 acupuncture treatments versus 24 acupuncture treatments for patients with dry eye syndrome. Methods : We have assessed the symptom score, number of dry eye symptoms, and ocular surface disease index(OSDI) scores before and after the acupuncture treatments. The group A received 12 acupuncture treatments, and the group B received 24 acupuncture treatments. To evaluate the efficacy of acupuncture treatments the before and after scores of both groups were compared. Results : After treatment, symptom score, number of dry eye symptoms, and ocular surface disease index(OSDI) were significantly decreased in each group (p<0.001). The symptom score has shown a greater decrease in group B than group A, but no significant differences were seen in the numbers of existing symptoms and ocular surface disease index(OSDI) scores between the two groups. Conclusions : Acupuncture is an effective way to relieve the symptoms of dry eye syndrome. The more number of acupuncture treatments may be correlated with better outcomes in the means of symptom score.

A Study on Disease Characteristics, Psycho-social Factors and Treatment Behavior of Patients with Lupus (루푸스 환자의 질병특성, 심리사회적요인 및 치료 행태)

  • Kim, Myung-Ja;Kang, Hyun-Sook;Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.9 no.1
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    • pp.40-52
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    • 2002
  • This study was conducted to describe disease characteristics, psycho-social factors and treatment behavior of patients with lupus and to analyze relationships anions these variables. The subjects were consisted of 120 lupus patients at G university hospital in Seoul. Data were collected by means of structured interview with questionnaires, and analyzed by using frequencies, $x^2$test, t-test, ANOVA, and correlation. The results were as follows; 1. The average age of the subjects was 31.34 years and average duration of suffering lupus was about 7.3years. Severity of symptoms was moderate and the disturbance of living activities was at the very low level. 2. Self-efficacy score of lupus patients was high, and life satisfaction was at moderate level. 3. Dosage for most of the subjects was about twice a day. 16.7% of them took non-prescribed medicine and only 27.5% perform exercise. 4. Positive correlation was shown among symptom, discomfort of living activities, self-efficacy and life satisfaction, while there was negative correlation among symptom and self-efficacy, symptom and life satisfaction, discomfort of living activities and self-efficacy, and discomfort of living activities and life satisfaction. In addition, exercise showed significant relationship with discomfort of living activities, and non-prescribed medicine showed significant relationship with discomfort of living activities and self-efficacy. These results show that lupus is a chronic disease of long suffering duration among young people. Severity of the symptom was at modest level, while discomfort of living activities were relatively insignificant. However self-efficacy was relatively high. Furthermore self-efficacy has influences on symptom and discomfort of life activities, just as exercise affects discomfort of life activities. Therefore it is required to examine further measures for continuous exercise.

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Observation between Clinical Outcomes and the Size of the Syrinx with Magnetic Resonance Image

  • Hwang, Ju-Yeon;Kim, Young-Jin;Oh, Seong-Hoon;Kang, Jae-Kyu;Kim, Young-Soo
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.169-174
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    • 2006
  • Objective : This study was conducted to examine the correlation between clinical outcomes and the size of the syrinx in post-operative magnetic resonance imaging[MRI] and symptom duration. Methods : The authors investigated twelve patients who underwent various operations for syringomyelia from January 1995 to December 2003. The authors retrospectively analyzed medical records. pre- and post-operative MRI findings, features and durations of symptoms, and the method of surgical treatments. The clinical outcomes were assessed on Prolo scale at 6 months of post-operative period. Results : Neurologic symptoms did not promptly disappear after the shrinkage of syrinx, but post-operative MRI demonstrated most patients showed reductions in the size of the syrinx. There is no statistical relationship between clinical improvements and decrements of the syrinx size. However, patients who underwent surgical treatment within 2 years from the symptom onset had more favorable outcome than those who had operations after 2 years from the onset of symptoms. Conclusion : Change in the size of the syrinx in post-operative MRI is not directly proportional to favorable clinical outcomes. However, symptom duration before surgical treatment has considerable impact on the clinical outcomes.

An Investigation of the Symptom Prevalence of Hand-Arm Vibration syndrome among the Workers Using Powered Hand Tools (수지진동증후군 증상 호소율 조사)

  • Park, Hui-Seok;Im, Sang-Hyeok
    • Journal of the Ergonomics Society of Korea
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    • v.19 no.3
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    • pp.93-107
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    • 2000
  • The excessive exposure to powered hand tools can cause damage to nerves, impair blood circulation, and musculoskeletal damage. The symptoms associated with hand-arm vibration syndrome (HAVS) include numbness, tingling, pain and subsequent reduced dexterity of the hands. This study was performed to report the prevalence of the HAVS and evaluate its related factors among the workers using powered hand tools. Total 282 workers in 11 plants of Kyungki and Inchon areas were examined. A standard symptom questionnaire was developed and administered to collect information on personal characteristics, work history, operating conditions, tool characteristics, and subjective symptoms of HAVS. Mean values (standard deviations) of the age, the duration of powered hand tools used, and the daily hours using powered hand tools were 38.3(8.9) years, 79.3(62.2) months and 6.0(2.6) hours, respectively. 132 workers(46.8%) showed vibration-induced white finger symptoms according to the Taylor-Pelmear classification, and 30 workers(10.6%) were interfered with the work. The results of a multiple logistic regression analysis controlling for age and daily working hours showed that smoking, work duration, weight of tools, and continuous work over 2 hours were significantly associated with the symptom of HAVS.

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Malondialdehyde Levels in Middle Ear Fluid from Patients of Otitis Media with Effusion

  • Mun, Kyo-Cheol;Kim, Deok-Jun
    • BMB Reports
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    • v.32 no.1
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    • pp.25-27
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    • 1999
  • Otitis media with effusion (OME) is an inflammatory disease of the middle ear cleft. Oxygen free radicals have been implicated in a variety of inflammatory disorders. Oxygen free radicals may also be involved in the pathogenesis of OME. To evaluate the involvement of oxygen free radicals in the pathogenesis of OME, the level of malondialdehyde, which gives an index of lipid peroxidation by oxygen free radicals, was measured by the reaction with thiobarbituric acid. Malondialdehyde level in the middle ear fluid from the OME group was higher than that in the normal control group. Malondialdehyde level in the middle ear fluid from a mucoid subgroup was higher than that in the serous subgroup. Malondialdehyde levels in the middle ear fluid from the serous subgroup was significantly correlated with symptom duration. The Pearson correlation coefficient between malondialdehyde levels in the middle ear fluid from the serous subgroup and symptom duration was 0.842 (P<0.05). These results indicate that lipid peroxidation by oxygen free radicals may be involved in the pathogenesis of human OME.

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The Clinical Experiences of Laser Therapy of Patients with Pain (치료용 레이저를 이용한 통증치료 경험(II))

  • Chae, Ki-Young
    • The Korean Journal of Pain
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    • v.4 no.2
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    • pp.142-146
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    • 1991
  • One hundred twenty patients with acute and chronic pain treated by a low power laser were divided into several groups by their pathology and evaluated according to their response rate to laser therapy through a follow-up study. 1) The ages of the patients were between the early twenties and late forties (71.7%), and there was no differences between sexes. 2) The spinal pathology group was the most common(52.5%) and the articular pathology group occupied next (14.2%). 3) The average duration of Laser therapy was about 20 days and response to the therapy appeared about the eighth day. 4) The response to the therapy in the spinal pathology group appeared about the eighth day and the average duration of therapy was about 18 days. 5) The response to the therapy in the articular pathology group appeared about the eighth day and the average duration of therapy was about 28 days. 6) The response rate of the spinal pathology group was 81.0%, and remarkable symptom relief was noted when compaired to a 58.7% response rate in the control group, 7) The response rate of the articular pathology group was 82.4%, which was similar to the control group. 8) The response rate of the miscellaneous group was 87.0%, and remarkable symptom relief was noted when compaired to a 66.7A response rate in the control group. 9) The mean response rate of all patients treated by a low power laser was 82.5% and that of the control group was 70.5%. Laser therary proved to be an effective treatment modality for acute and chronic pain.

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Obesity and Related-factors in Patients with Chronic Mental Illness Registered to Community Mental Health Welfare Centers (지역사회 정신건강복지센터를 이용하는 만성정신질환자의 비만 관련요인)

  • Park, Eun-Suk;Lee, Eun-Hyun
    • Research in Community and Public Health Nursing
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    • v.29 no.1
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    • pp.76-86
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    • 2018
  • Purpose: The purpose of study was to examine the relationship between obesity and its associated factors (psychiatric symptom, duration of illness, type of medication, physical activity, dietary habits, depressive symptom, and stress) in patients with chronic mental illness registered to community mental health welfare centers. Methods: This was a cross-sectional correlation study using a convenience sampling. A total of 392 participants were recruited from community mental health welfare centers. The obtained data were analyzed using binary and multinomial logistic regression. Results: Atypical antipsychotic medication, duration of illness, dietary habits (overeating, and drinking instant coffee) were significantly contributed variables into body mass index (BMI) obesity. Atypical antipsychotic medication and instant coffee were significantly related to abdominal obesity. Conclusion: These results emphasized the needs of tailored obesity-preventive management for the community-dwelling patients with chronic mental illness, topically focusing on the administration of atypical antipsychotic medication, duration of illness, and dietary habits.

A Survey on the Prevalence of Musculoskeletal Symptom according to Work Task (작업유형별 근골격계 증상 호소율에 관한 조사연구)

  • Oh, Hae-Ju;Lee, Duk-Hee;Park, In-Guen;Jang, She-Han
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.2 s.46
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    • pp.230-241
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    • 1994
  • Though people occupationally exposed to machineries and automation in the industrialized society desire work involving decreased strength, due to the continuous and repetitive activities, a new industrial stress is present. Studies on prevalence of musculoskeletal disease and their related risk factors have evolved. In this study in relation to work tasks, we investigated the differences in musculoskeletal symptoms occurring In each body region. The results of the survey were as follows. 1. When comparing age, level of education, work duration, job satisfaction and leisure time activities according to work task, age in control group was $38.83{\pm}5.5$, in comparison to the other 2 groups was smaller(p<0.05), and level of education in control group was higher (p<0.05). Work duration in the cutting department was $8.04{\pm}4.99$ years longer than the other 2 groups (p<0.05), but there was no difference in the job satisfaction and leisure time activities. 2. The mean of symptom scores of each work task was 1.54 in the cutting department, 1.57 in the press department and 1.59 in the control group, and there was no significant differnce in the 3 groups. The mean of symptom scores for upper extremities in the control group was low but no statistically significant diffrence was shown. 3. When comparing the mean of symptom score according to work task in the each body region, in the shoulder region, the symptom score in the press department which desired strength was higher than the other 2 groups but no significant difference was shown. In the wrist region the cutting department scored 1.01 and in comparison to the other 2 groups was significantly increased (p<0.05). 4. The results of the univariate regression analysis on the major individual risk factors associated with musculoskeletal symptom relating work showed that previous symptom complaints in the same body region was significant risk factor(p<0.001) in the whole body Besides wrist, hip, and knee, psychological problem was shown to be a significant factor(p<0.05). And the body regions which work task was significant risk factor were wrist and neck region (p<0.05). 5. The results of the multiple regression analysis involving significant factors of each body region from the univariate regression analysis showed that previous symptom complaint in whole body region(p<0.001) and psychological problem in the shoulder, elbow and lumbar region (p<0.05) were significant factors, and work task was significant factor in the wrist (p<0.05).

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The Effect of Timing of Primary Surgery on Outcomes of Lumbar Herniated Intervertebral Disc (요추 추간판탈출증 환자의 초기 수술시점이 진료결과에 미치는 영향)

  • Choi, Bo-Ram;Ji, Young-Geon;Shin, Dong-Ah;Om, Young-Jin;Rhie, Dong-Mo;Kang, Hyung-Gon
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.151-164
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    • 2014
  • This study was conducted to investigate the effect of timing of surgery on outcomes of spine operated patients for lumbar herniated intervertebral disc. The research design was cohort study and based on the data of claims for the medical expenses of health insurance. 21,475 cases who had primary spine surgery between January 1, and December 31, 2003, observed to conservative treatment period in the past two years from preoperative primary diagnosis to timing of primary surgery. According to one and five year follow up monitoring, the probability of occurrence of reoperation was not statistically significant with preoperative duration of symptom. Also one year follow up, the probability of occurrence of complication, was not statistically significant with preoperative duration of symptom. But five year follow up, groups who had one to two month preoperative duration of symptom decreased complication rate than less than a month(95%CI:0.594-0.927). Thus, from the onset of symptoms of back pain before primary surgery with enough and adequate time observation is required. Also, medical consumers or providers to choose surgery in determining prudence is required.

Histopathological changes in gall bladder mucosa in relation to the number, and size of gallstones, and analysis of the findings in the context of age distribution of the patients: A perspective

  • Sanjeev Sharma;Bhupinder Singh Walia;Mandeep Randhawa;Arjun Sharma;Pankaj Dugg;Jiteshwar Singh Pannu
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.3
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    • pp.277-286
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    • 2023
  • Backgrounds/Aims: To study histopathological changes in gall bladder mucosa in cholelithiasis patients, and analyse their relation to the number and size of gallstones. These findings were evaluated in the context of age distribution of the study population. Methods: One hundred cases of cholecystectomy were part of the study, which was conducted in collaboration with the pathology department. The time period of the study was January 2020 to June 2021. Results: Maximum cases had multiple stones (69.0%), while one third cases (31.0%) had solitary stones. While initial univariate analysis showed age (odds ratio [OR], 6.882; p = 0.043), gallstone number (OR, 9.1; p = 0.050), gallstone size (OR, 17.111; p = 0.013), and duration of symptom (OR, 34.125; p = 0.001) to be significant risk factors associated with gallbladder carcinoma, multivariate analysis found none of these variables to be significant. However, conditional multivariate analysis for the duration of symptom (p = 0.008; OR, 21.118) yielded significant p-value. With histopathological diagnoses, 5% of cases had gallbladder cancer. Conclusions: This study shed light on the rising incidence of cholelithiasis in the young population and the high rate of gallbladder carcinoma in Punjab, India. Although gall stone characteristics (size, number) and patient age appeared to be significant risk factors when their individual relation with gallbladder carcinoma was studied, multivariate analysis, could not prove that. Conditional multivariate analysis showed the duration of symptom to be the only significant risk factor associated with gallbladder carcinoma. Further research with larger sample size is needed to study the rising incidence of gallbladder carcinoma, and the risk factors associated with it.