• Title/Summary/Keyword: Early symptom

Search Result 486, Processing Time 0.025 seconds

Characteristics of Early Maladaptive Schemas and Associated Cognitive Functions in Visitors to the Psychiatric Department in a University Hospital for Military Designation Process (병역판정검사를 위해 일 대학병원 정신건강의학과에 내원한 환자들의 초기 부적응 스키마와 관련 인지 기능 특성)

  • Chung, Youn Jae;Lee, Seung Jae
    • Anxiety and mood
    • /
    • v.15 no.2
    • /
    • pp.68-76
    • /
    • 2019
  • Objective : The goal of this study was to investigate the characteristics of early maladaptive schemas (EMSs), and associated neurocognitive functions as seen in visitors for military designation process. Methods : This retrospective study included 111 males aged 18 to 24 years among three groups: 41 visitors for military designation process (VMD), 21 patients with obsessive-compulsive disorder (OCD), and 49 healthy subjects. We collected the results of the Young Schema Questionnaire, Symptom Checklist-90-Revised, three neurocognitive tests as well as their clinicodemographic data. We analyzed the differences in EMSs between these three groups, and the correlations among the identified EMSs and neurocognitive performances within the VMD group. Results : Compared with both the OCD and healthy groups, the evaluation of the VMD group showed significantly higher scores in mistrust/abuse (F=6.4, p=0.002), vulnerability to harm (F=6.6, p<0.0001) and negativity/pessimism schema (F=7.3, p<0.0001), even when controlling for depression scores and levels of education. These three schemas also exhibited significant negative correlations with the score of Stroop test with r ranging from -0.34 to -0.44. Conclusion : These findings suggest that people who are likely to have difficulties adjusting to living in a military life may have psychological vulnerabilities related to certain EMSs. Further studies are warranted to test the clinical potentials of these findings, such as a treatment target and a predictor factor.

Characteristics of Early Maladaptive Schemas in Individuals with Schizophrenia: A Comparative Study Relative to Major Depressive Disorder (주요우울장애와의 비교를 통한 조현병 환자의 초기 부적응적 스키마 특성)

  • Jang, Tae Yang;Lee, Seung Jae
    • Korean Journal of Schizophrenia Research
    • /
    • v.23 no.1
    • /
    • pp.29-37
    • /
    • 2020
  • Objectives: This study aimed to investigate the characteristics of early maladaptive schemas and their associations with clinical symptoms in patients with schizophrenia. Methods: Forty-eight patients with schizophrenia, 49 patients with major depressive disorder, and 50 healthy controls completed the Young Schema Questionnaire and symptom measures including the Brief Psychiatric Rating Scale-Expanded (BPRS-E). Results: The schizophrenia group had significantly higher scores than the healthy controls and lower scores than the depression group in most schemas. Compared with healthy controls, the schizophrenia group exhibited higher scores in 10 schemas, i.e., mistrust, social isolation, failure, dependence, vulnerability to harm, enmeshment, insufficient self-control, subjugation, emotional inhibition, and negativity schemas (all p<0.001). Moreover, vulnerability to harm, enmeshment, subjugation, and negativity schemas were correlated with total scores of the BPRS-E (0.37≤r≤0.43, all p<0.05). Regarding the five BPRS domains, emotional deprivation schema showed significant relationships with negative (r=0.50, p=0.005) and disorganization (r=0.39, p=0.033) symptoms, while no schemas showed correlations with positive symptoms. Conclusion: These results suggest that most schemas in patients with schizophrenia pertain to impaired autonomy and performance as well as disconnection and rejection domains and may improve our understanding and the treatment of schizophrenia from a perspective of schema therapy focused on these domains.

Tension Wire Sensor of shallow failure detection for the real time slop stabilization (지표변위 감지 센서를 활용한 사면 안전감지 시스템)

  • 장기태;윤기재;정성윤;유병선;김경태;이원효
    • Proceedings of the Korean Geotechical Society Conference
    • /
    • 2001.10c
    • /
    • pp.19-27
    • /
    • 2001
  • Early detection of premonitory symptom of slope movement ensures tremendous saving of lives and repair costs from catastrophic disaster. Therefore, it is essential to constantly monitor the performance and integrity of both reinforced and un-reinforced cut slopes. We developed a novel monitoring system by using tension wire sensors. It's advantages are highly sensitivity, simple installation, large displacement measurement, durability of system, capability of remote sensing. Real-time measurement of slope surface movement is shown graphically and it gives a warning when the monitored value exceeds a given threshold level so that any sign of abnormal slope movement can be easily perceived.

  • PDF

congenital cystic adenomatoid malformation (C.C.A.M.)-Two cases report- (선천성 낭포성 선종양기형 (CCAM) -2예 보고-)

  • 이인성
    • Journal of Chest Surgery
    • /
    • v.19 no.2
    • /
    • pp.352-357
    • /
    • 1986
  • Congenital cystic adenomatoid malformation [CCAM] of the lung is a rare but often fatal congenital lung bud anomaly that causes acute respiratory distress in the newborn infants. In those who survive infancy and early childhood, its clinical manifestations are not unusual to detect. Recently we experienced two children with CCAM; one with coughing and high fever, another without any symptom On case I, the patient was a 9 year-old female, and was suffered from coughing and high fever since 15 days before. Medical treatment was failed and then, exploratory thoracotomy was performed under the impression of loculated empyema. Finally, a right lower lobectomy was done with a satisfactory postoperative course. On case II, the patient was a 12 year-old female, and admitted for evaluation of known large pulmonary cyst which was checked at the outpatient clinic. Preoperative evaluations gave no more informations, so obliteration of cysts was performed with open biopsy. Two patients with CCAM are described in Korean Univ. Medical Center.

  • PDF

Congenital Cystic Adenomatoid Malformation [type II] of Lung; A Case Report (폐의 낭포성 유선종 기형;1례 보고)

  • 홍은표
    • Journal of Chest Surgery
    • /
    • v.26 no.8
    • /
    • pp.650-653
    • /
    • 1993
  • Congenital cystic adenomatoid malformation [ C.C.A.M.] is rare, but often fatal congenital lung bud anomaly that causes acute respiratory distress in the newborn infants. In those who survive infancy and early childhood, its clinical manifestations are not unusual to detect. Recently we experienced an infant with C.C.A.M. Type II. The patient was a 7-month-old male, and had been suffering from coughing and fever since 3 months ago. The symptom were not improved with medical treatment and then, exploratory thoracotomy was performed under the impression of infected C.C.A.M. or other congenital cystic disease.The left lower lobectomy was performed, and the postoperative course was uneventful.

  • PDF

Juvenile rheumatoid arthritis (소아기 류마티스 관절염)

  • Kim, Dong Soo
    • Clinical and Experimental Pediatrics
    • /
    • v.50 no.12
    • /
    • pp.1173-1179
    • /
    • 2007
  • The diagnosis of juvenile rheumatoid arthritis (JRA) is based on patient's age at disease onset, symptom duration, gender, and clinical manifestations. JRA is of unknown origin, begins under the age of 16, and persists for a minimum of 6 weeks. JRA is categorized into three principal types, systemic, oligoarticular and polyarticular. Infection, other connective tissue diseases, malignancy, trauma, and immunodeficiency are discussed as differential diagnoses for JRA. Because of joint damage, focusing on early diagnosis and intervention, a vigorous initial therapeutic approach must be taken in patients who have poor prognostic factors. A multidisciplinary team approach is also important for the care of patients with JRA.

Outcomes of Neonatal Seizures (신생아 경련의 예후)

  • Sung, In-Kyung
    • Neonatal Medicine
    • /
    • v.16 no.1
    • /
    • pp.18-24
    • /
    • 2009
  • Seizures are the most common clinical symptom of a neurologic insult and have long been recognized as an obvious marker of brain dysfunction in newborns. Presence of seizures in newborn infants may signify substantial risk for subsequent neurodevelopmental impairment including postneonatal epilepsy and death. The outcomes of seizures in neonates are determined mainly by the etiology of the seizures. Despite the decreasing trend of mortality of neonatal seizures, the prevalence of long-term neurodevelopmental sequelae in survivors has remained unchanged over time. Clinical studies have contributed to identifying significant prognostic factors for neurodevelopmental outcome. The underlying etiology of the seizures and electroencepaphalography background pattern are considered as most reliable early predictors of later neurologic sequelae. However, clinicians managing neonatal seizures are still challenged by difficult therapeutic and prognostic questions because of many unresolved issues in seizure recognition, terminology, relationships to the underlying brain lesion, effect of current management, particularly antiepileptic drugs on long-term outcomes. This review presents the prognosis of neonatal seizures, especially about mortality and neurodevelopmental deficit, and predictors of outcomes.

Occurrence of Boxthorn Bligth Casued byPhytophthora nicotivanea and P. drechsleri (Phytophthora nicotianae와 P. drechsleri에 의한 구기자 역병의 발생)

  • 지형진;곽용범;이봉춘;조원대
    • Korean Journal Plant Pathology
    • /
    • v.14 no.4
    • /
    • pp.294-298
    • /
    • 1998
  • Since 1995, boxthorn bight caused by Phytophthora spp. has occurred at Chongyang areas in Chungnam province. Infected plants showed yellows and wilt at early stage, but the symptom rapidly progressed into blight due to the decay of roots and basal stem tissues. The disease was relatively severe in poorly drained lowlands and incidence reached ca. 20% in some fields. Two species of Phytophthora were constantly isolated from freshly infected roots and asal stems. Among 39 isolates collected, 26 were identified as P. nicotianae and 13 as P. drechsleri based on their mycological characteristics. Both fungi showed strong pathogenicity to boxthorn cv. Chongyang No. 1. However, the former expressed stronger pathogenicity than the latter. Phytophthora blight of boxthorn caused by the fungi has not been reported n Korea previously.

  • PDF

Anormalous Origin of Left Coronary Artery from Pulmonary Artery (좌 관상동맥-폐동맥 이상 기시증 수술치험 1례)

  • 조광조;편승환
    • Journal of Chest Surgery
    • /
    • v.30 no.10
    • /
    • pp.1024-1027
    • /
    • 1997
  • Anomalous origin of left coronary artery from pulmonary artery(ALCAPA) is a rare fatal congenital anormaly that needs early surgical intervention. Many reports say that the choice of operative procedure is reimplantation of the left coronary artery into the ascending aorta. We experienced the surgical management of a case of the ALCAPA. The patient was 44 days old and 3.45 kg weighed female baby who had a symptom of congest ve heart failure. She underwent implantation of coronary artery on the aorta with cardiopulmonary bypass and recovered without any complications.

  • PDF

Spontaneous Regression of the Pseudoaneurysm Developed after Balloon Occlusion of the Direct Carotid-cavernous Fistula

  • Lee, Chae-Heuck;Kim, Myoung-Soo;Lee, Ghi-Jai
    • Journal of Korean Neurosurgical Society
    • /
    • v.41 no.5
    • /
    • pp.323-326
    • /
    • 2007
  • Direct carotid-cavernous fistula [CCF] is a common post-traumatic disease. However, pseudoaneurysm formation after balloon occlusion is a rare complication. The author present such a case with review of the literature. A 26-year-old man involved in a motor vehicle accident as a driver. Only mild conjunctival injection and minimal exophthalmos on the right eye were noted after trauma. However, angiography revealed a direct CCF and dissection of the proximal intracranial internal carotid artery [ICA]. After first balloon occlusion of the CCF, the patient redeveloped fistula due to early deflation of the balloon. After the second balloon occlusion, pseudoaneurysm and diplopia were developed with the change of balloon position and shape. However, visual symptom spontaneously resolved and pseudoaneurysm was also decreased within 6 months after balloon occlusion.