• Journal of Medicine and Life Science
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• 제19권2호
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• pp.46-56
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• 2022

The incidence of fever complicating percutaneous coronary intervention (PCI) is rare. However, little is known regarding the cause of fever after PCI. Therefore, this study aimed to determine the clinical characteristics of patients with acute myocardial infarction (AMI), with or without fever, after PCI. We enrolled a total of 926 AMI patients who underwent PCI. Body temperature (BT) was measured every 4 hours or 8 hours for 5 days after PCI. Patients were divided into two groups according to BT as follows: BT<37.7℃ (no-fever group) and BT ≥37.7℃ (fever group). The 2 years clinical outcomes were compared subsequently. Fever after PCI was associated with higher incidence of major adverse cardiac events (MACE) (hazard ratio [HR], 1.56; 95% confidence interval [CI], 1.07-2.28; P=0.021), all-cause death (HR, 2.32; 95% CI, 1.18-4.45; P=0.014), cardiac death (CD) (HR, 2.57; 95% CI, 1.02-6.76; P=0.049), and any revascularization (HR, 1.69; 95% CI, 1.02-2.81; P=0.044) than without fever. In women, prior chronic kidney disease, lower left ventricular (LV) ejection fraction, higher LV wall motion score index, white blood cell count, peak creatine kinase-myocardial band level, and longer PCI duration were associated with fever after PCI. Procedures such as an intra-aortic balloon pump, extracorporeal membrane oxygenation, continuous renal replacement therapy, central and arterial line insertion, and cardiopulmonary resuscitation were related to fever after PCI. Fever after PCI in patients with AMI was associated with a higher incidence of MACE, all-cause death, CD, and any revascularization at the 2 years mark than in those without fever.

• 대한한방내과학회지
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• 제19권2호
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• pp.451-457
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• 1998

This study was performed on the bases of clinical consideration about patient who has malaria. The symptoms of malaria are periodic alternating of chills and fever on everyone, two or three days. The patients feel a chill at the first time of malaria, and have a fever, headache and sweating at the next time. The long cycle of malarial fever such as every 2 or 3 days means that it takes a turn for the worse. In this study, oriental medicine was taken based on the oriental medicine principle such as Dalwonum(達原飮), Sosihotang(小柴胡湯) and Bojungikgitang(補中益氣湯), and the patients take a turn for the better. In the process of treatment if there is no fever in the expected date of the malarial fever, it is sure to have fever in the next expected date. It is favorable that patients lose the chills first and the fever lately in the process of treatment, and we can explain that supporting healthy energy to eliminate evil(扶正祛邪). The long cycle of malarial fever such as every 4, 6 or 9 days means that it is just before the recovery.

• Child Health Nursing Research
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• 제22권2호
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• pp.126-136
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• 2016

Purpose: The purposes of this review were to address misconceptions of childhood fever and fever management practice among parents and health care providers, and to identify the scientific evidences against such misconceptions and practices. Methods: Journal databases and clinical guidelines from 2000 to 2015 were searched. The search terms were fever, fever management, misconception, myth, fiction, fact, fever phobia, child, antipyretics, tepid bath, alternating use/combined use of antipyretics, and physical cooling method. Results: There are significant gaps between current concepts and practices, and the scientific evidence. Misconceptions and unrealistic concerns about childhood fever still exist among parents and even health care providers, worldwide. The evidences suggest that antipyretics should be given carefully with the aim of relieving discomfort or pain rather than decreasing the temperature itself. Alternating use of antipyretics should be discouraged due to the risk of confusion and error. Antipyretics do not prevent febrile convulsions. Moreover, the scientific evidence does not support tepid sponge massage. Conclusion: Evidence-based childhood fever management interventions should be targeted toward parents and health care providers. By adopting an evidence-based approach to nursing interventions, pediatric nurses can ensure children receive appropriate and safe fever management.

• 대한한의학원전학회지
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• 제36권4호
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• pp.69-91
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• 2023

Objectives : This study investigates the association between disease behind the Beijing Epidemic of 1232 and fever causing internal damages as mentioned in the Neiwaishang Bianhuolun. Methods : In order to narrow the fever causing diseases in the Neiwaishang Bianhuolun, the retrospective diagnostic method was used in analysis. Disease behind the 1232 Beijing Epidemic and the fever causing internal damages were categorized. Results : Fever causing diseases in the Neiwaishang Bianhuolun could be categorized as infectious disease, inflammatory disease, irritable bowel syndrome, and fever of unknown origin. The Beijing Epidemic was limited in scale with high fatality, of which possible diseases include infectious disease and inflammatory disease with epidemic medium. Fever from internal damage has a mild prognosis, is non-epidemic, and lacks accompanying symptoms such as acute stomachache, even when it happens with external damage. This narrows the possible diseases to IBS and fever of unknown origin. Conclusions : Among internal damage fever cases treated by Li Dongyuan, there were infectious diseases from the 1232 epidemic and inflammatory diseases with mild prognosis.

• 대한한방내과학회지
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• 제11권1호
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• pp.1-13
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• 1990

We objerved the following results from The Yellow Emperior's Canon of Internal medicine through the investigation of literature about fever. 1. Fever is divieded two type asthenic fever sthenic heat and It accused two type of excess of Yang-exoganous heat, deficiency of Yin-internal fever 2. The cause of fever is divieded three type, exoganous cause, internal cause non-exoganouse and internal cause Among the cause of fever Exoganous cause is almost affected by cold-evil Internal cause is affected by deficiency of Yin and seven emotion caused by having sex after intoxigation or over-exertion, and non-exoganous and internal cause bring about the difference of a personal life and food and drink 3. The sympton produced by fever is appeared differently through-pulse and meridian and they are indication of Diagnosis 4. The theory of treatment about fever are as follows Drinking cold-water Practising acupuncture Trerating hot-evil by cold Dispel cold by warm Treating cold-evil by heat Promote vital energy circulation by cold Treating warm-evil by cold Promating circulation by cold Treating cold-evil by warm Promoting circulation by heat.

• 한국콘텐츠학회논문지
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• 제12권12호
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• pp.702-713
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• 2012

본 연구는 아동의 발열 및 발열관리에 대해 부모들에게 정보를 제공하는 인터넷 사이트의 질을 평가하기 위한 연구이다. 아동의 발열과 발열관리에 대한 국내 사이트 총 48개를 분석에 포함하였다. 인터넷 사이트의 최신성, 개발자, 자료의 원출처, 목적성 및 정확성을 평가하였다. 정보의 정확성은 아동의 발열관리 지침과 최신의 근거를 사용하여 검토하였다. 정보의 내용은 전반적으로 미비했고 최신의 근거를 반영하지 못하고 있었다. 본 연구의 결과 국내 인터넷 사이트의 발열관리 정보의 정확성과 일관성은 매우 취약하여 부모들이 정보의 근원으로 인터넷 사이트를 활용할 때 주의를 기울여야 함을 알 수 있었다. 건강관리자들은 발열관리 인터넷 사이트 정보의 현황을 인식하고 임상실무와 부모 교육 시 정확하고 일관성 있는 정보를 활용하기 위해 노력을 하여야 할 것이며, 아동 발열관리에 대한 인터넷 사이트 정보의 질을 향상시킬 필요성이 있다.

• 부모자녀건강학회지
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• 제11권2호
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• pp.105-114
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• 2008

Purpose: The purpose of this study was to identify parent's knowledge and cope with their child's fever. Confirmed data provide source and it based on parent's education program and nursing intervention. Method: The research design was a descriptive study by questionnaire. Data were collected from July, 16, 2007 to August, 6, 2007. A total 165 parents who visited the children's hospital in Gwangju. Data were analysed using the SPSS WIN 12.0 program. Results: The results of this study were as follows: 1. Fever was major cause which to visit hospital among children(50.3%). 2. Parents main concerned by child fever were convulsion(52.7%) and brain injury(46.7%). 3. When cause fever most parents checking interval are 30 minutes (38.8%), the most fever management was used antipyretics with tepid water massage(59.4%). 4. Antipyretics used interval was 4hours(56.4%). 5. When visit to hospital by fever, most treatment was antipyretics. 6. The method to get fever information, first by doctor(68.5%), second by family-relative(41.8%) and last by nurse(22.4%). Conclusion: It is necessary to provide information about management of fever. Development and distribution for effective education program for child fever at home are also necessary. Therefore we suggest the education program on the internet.

• 동의생리병리학회지
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• 제23권4호
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• pp.772-778
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• 2009

Gageum annotated the text of Sanghannon - Rigor with fever comes from yang and rigor without fever comes from yin. - that 'comes from yang' was the state already shown the fever and 'comes from yin' was the state not yet shown the fever, so he told that yang disease without fever belonged in 'comes from yin' and yin disease with fever belonged in 'comes from yang'. And he annotated the text - If one purges the disease comes from yang, the fever goes into the inside and it becomes Gyeolhyung. And if one purges the disease comes from yin, it becomes Bijjeung. - that yin meant the inside and yang meant the outside. That is to say, he distinguished two texts independently. And he presented the pathological reason that cold medicines such as sorts of Sasim-tang were used to cure Bijjeung.

• Clinical and Experimental Pediatrics
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• 제50권2호
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• pp.127-131
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• 2007

Fever of unknown origin (FUO) has been a convenient term used to classify patients who warrant a particular systemic approach to diagnostic evaluation and management. The greatest clinical concern in evaluating FUO is identifying patients whose fever has a serious or life-threatening cause when a delay in diagnosis could jeopardize successful intervention. Thorough history and complete physical examination are critical to uncover the etiologic diagnosis. Most cases of FUO in children are caused by atypical presentations of common diseases rather than by typical manifestations of rare disorders. Selection of diagnostic tests and speed of investigation should be guided by a knowledge of the disease severity, patient age, epidemiologic and geographic information, and any positive findings from a detailed history and physical examination. The three most common causes of FUO in children are infectious diseases, connective tissue diseases, and malignancy. In general, the prognosis of FUO in children is better than that of adults. Although the outcome is dependent on the primary disease process, fever abates spontaneously in most cases in whom the cause of fever remains unclear.

• 대한한방소아과학회지
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• 제14권1호
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• pp.189-196
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• 2000

Recently, By the climatic change and increased resistance to antibiotics, diseases with atypical fever are increasing. FUO(Fever unknown origin) is defined' as fever persisting for $1{\sim}3weeks$ which origins are not found. through the reports of two clinical cases presenting FUO, I pretend to show the orient-medical and west-medical approachs to FUO.