• Title/Summary/Keyword: High frequency symptom

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Clinical Review of Total Thyroidectomy (갑상선 전절제술의 임상분석)

  • Kno Yoon-Hoi;Kim Cheong-Hoon;Ahn Byung-Kweon;Kim Joong-Kyu
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.1
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    • pp.45-50
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    • 1997
  • Total thyroidectomy has been advocated as the treatment of choice for most well differentiated thyroid carcinomas. Many surgeons have an aversion to total thyroidectomy, however, because of an allegedly high frequency of complications as compared with those resulting from other operation methods. In this report we reviewed our experience with 37 consecutive total thyroidectomy(January 1995 to December 1996). The clinical features are similar to other studies. The sex ratio is 1 : 3.1(M : F), third decade occupies 33% of cases. The anterior neck mass is the most frequent symptom(95%). In the duration of symptom, 35% of patients was within 3 months. Thirty five cases are cancer, and two cases are Hashimoto's thyroditis. The papillary carcinoma is the most common pathologic type(86%). Total thyroidectomy was done in 20 cases, and total thyroidectomy with modified neck dissection was done in 17 cases. The five postoperative complications occurred in 3 patients among 37 patients: postoperative bleeding in 1, transient hoarseness in 2, transient hypoparathyroidism in 2. Thirty four cases received $I^{131}$ scan and therapy, two cases received thyroid hormone replacement, and one case received chemotherapy. We think that total thyroidectomy can be done without additional risk compared with other thyroid operation methods, with meticulous and careful surgical technique.

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A Study on the Widal Test (Widal Test에 관한 연구)

  • Cho, Yong-Chu
    • Journal of Environmental Health Sciences
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    • v.2 no.1
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    • pp.17-19
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    • 1975
  • Widal Test has been performed on the patients of 1052 admitted with suspicious typhoid for 5 years (Jan. '68 Dec. '72) White blood cell count, Hematocrit and Bacterial cultures are compared with widal titer and found a slight atypical variation from the characteristic pattern of it. 1. There is frequency distribution on the age of 20-40 yrs. as far as social activity concerned. (Table 1) 2. A slight leukopenia exists on the high titer of it but no definite pattern has been found. 3. S. Typhi has been grown on the low titer of it but no growth on the high titer. 4. It ia the most important in public health view point (no definite clinical symptom, Hematological, Serological, Microbiological characteristics.)

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Review of Bladder cancer (방광암의 이해)

  • You, Hyun Wook
    • The Journal of the Korean life insurance medical association
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    • v.33 no.2
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    • pp.18-24
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    • 2014
  • Bladder cancer is one of the most common cancers affecting men and women and thus has a profound impact on health care. The majority of patients (75%) with newly diagnosed urothelial tumors have non-muscle invasive disease confined to the bladder mucosa or the lamina propria. The most important risk factors for the development of bladder cancer are smoking and occupational exposure to toxic chemicals. Painless visible hematuria is the most common presenting symptom of bladder cancer. Cystoscopy and urine cytology are currently the recommended tools for diagnosis of bladder cancer. Excluding muscle invasion is an important diagnostic step, as outcomes for patients with muscle invasive bladder cancer (MIBC) are less favorable. For non-muscle invasive bladder cancer (NMIBC), the high rate and frequency of recurrence and the concern for disease progression - especially in patients with high-risk tumors - mandate careful strategies for tumor surveillance. The surveillance strategies should be based on available prognostic factors and in particular data from the EORTC risk tables.

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Accurate Evaluation and Treatment of Dyspnea in Patients with Gastrointestinal Cancer (소화기 암환자 호흡곤란의 정확한 평가와 치료)

  • Jong Yoon Lee
    • Journal of Digestive Cancer Research
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    • v.11 no.2
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    • pp.108-113
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    • 2023
  • Dyspnea is a common symptom among patients with gastrointestinal cancer, and a comprehensive evaluation of their respiratory function is essential. Self-reporting aids in the assessment of the degree of dyspnea, while objective examination methods are performed to identify the potential underlying causes when subjective symptoms are present. Standard treatment protocols should be followed for potentially reversible and common causes of dyspnea, such as pleural effusion, pneumonia, airway obstruction, anemia, asthma, exacerbation of chronic obstructive pulmonary disease, pulmonary thromboembolism, or drug-induced interstitial lung disease. Careful and close monitoring is required due to the high frequency of pulmonary thromboembolism and the risk of cardiovascular accidents, drug-induced interstitial lung disease, or other complications from some anticancer drugs. In case of hypoxemia with an oxygen saturation of 90% or less, palliative treatment should comprise standard oxygen therapy such as nasal cannula, mask, or high-flow nasal cannula. If non-pharmacological oxygen therapy is not effective, pain control through systemic narcotic analgesics and anti-anxiety therapy with benzodiazepines may be helpful.

Effects of Bu-Hang Therapy on Sore as Immediate Nursing Intervention (직접간호중재로서 부항요법이 욕창에 미치는 효과)

  • Kim, Kwuy-Bun;Chae, Jeong-Sook
    • Journal of East-West Nursing Research
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    • v.5 no.1
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    • pp.7-18
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    • 2000
  • This study was experienced study of one group pretest-posttest design to confirm the effects of Bu-Hang therapy on sore and the study of subjects were high-danger group of developing sore that were instituted in Chung-Book A area. The data collection was conducted 11 subjects of high-danger group on developing sore as participants agreed in study after assessing sore danger-degree of 30 subjects with institute administrator. The duration of study was carried out between March, 1999 and September, 2000. The instrumental tool of study was assessing tool of modified sore danger-degree that was based on Braden Scale(1985) by developing of Bergstorm. The subjects of study were applied on sore site or easily developing site by Geon-Hang technique, one time for one day. The assess of sore duration treatment period were measured area of sore, assessed state of skin by Bergstrom, Braden, Lanquzza & Holman(1987). The analysis of collected data were showed by frequency, percentage on demographic characteristics. And effects of Bu-Hang therapy on sore were confirmed by contrast comparison of signal-test or case studies. The results of study were described below. 1. Bu-Hang therapy effected to inhibit of developing sore and decrease of sign and symptom on sore in 11 subjects, all(P=.010). 2. Bu-Hang therapy decrease of sign and symptom on sore in 6 subjects of case studies, all(P=.031). Conclusively, Bu-Hang therapy will facilitate for nursing intervention on sore. But this study was difficult to confirm effects of Bu-Hang therapy pretest-posttest design. Therefore, Bu-Hang therapy is high enable to decrease for sore but, yet is needed to monitor affectively for nursing intervention.

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Comparative study on oral symptoms in middle school and high school students of multicultural and ordinary families in Korea (우리나라 다문화가족과 일반가족 중·고등학생의 구강질환증상 비교)

  • Park, Kyung-Hwa;Lee, Mi-Ra
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.2
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    • pp.193-202
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    • 2017
  • Objectives: The purpose of this study was to compare oral symptoms in middle school and high school students of multicultural and ordinary families in Korea. Methods: We used data from the web-based survey of the National 2014 Korean Youth Risk Behavior of Korean Center for Disease Control. A total of 71,174 subjects responded about their father or mother's Korean nationality. We classified a subject as an adolescent of a multicultural family if aparticipant's father or mother's nationality was not Korean. Data was analyzed using SPSS Ver. 19.0. Results: High school students of multicultural families have experienced more oral disease symptoms, compared to high school students of ordinary families. After adjusting general characteristics and oral health behaviors, high school students of multicultural families experienced 1.78 times higher frequency of oral disease symptoms compared to high school students of ordinary families. Conclusions: The family type and age characteristics of adolescents should be considered when establishing policies and institutions targeting adolescents to improve oral health.

A literatural study on the symptom and treatment of gastrointestinal cacer (소화기(消化器) 암(癌)의 증후(證候)와 치료(治療)에 관한 문헌적(文獻的) 고찰(考察))

  • Kim, Hyun-Ah;Lim, Seong-Woo;Yoon, Sang-Hyub;Lee, Won-Chel
    • The Journal of Dong Guk Oriental Medicine
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    • v.6 no.2
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    • pp.109-133
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    • 1998
  • In these days, the outbreak rate of a malignant tumor is gradually increasing, and the frequency digestive organ's cancer is so high that the remedy is being studied in the Oriental Medicine World. I made a consideration the Erlgyuk, the Panwue(反胃), the Juckchui(積聚), the Jangdok(臟毒), on the symptom and treatment of gastrointestinal cancer, with the successsive literatures of the Myung and Chung Dynasty. In consequence, these are similar to the symptom of malignant tumor in abdominal cabity, and the treatment is divided into three stages each period. The Geosa-method(祛邪法) is used in the early stage, and in the middle the Gongbokyumsi-method(攻補兼施), and in the latter stage the Pujung-method(扶正法) is used. The successive literatures shows the prescription of gastrointestinal cancer in variety. Therefore, I think the various prescription will be applied to gastrointestinal cancer on forward.

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Study for Correlation of 3D-MAC and DSOM with ABR-2000 (피부전기저항측정기(ABR-2000)의 맥진기(3D-MAC) 및 한방진단시스템(DSOM)과의 상관성 연구)

  • Song, Jung-Oh;Kim, Min-Ae;Lee, In-Seon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.1
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    • pp.57-83
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    • 2018
  • Purpose: This research has been carried out to find out correlation between test results of ABR-2000 and other diagnostic equipments to enhance significance of accurate diagnosis and clinical usage of ABR-2000. Methods: Duration of the 31 months from December 2012 to June 2015, records of 564 outpatients at gynecology department have been selected. The 564 patients were tested, using all 3 different test equipments of ABR-2000, DSOM, and 3D Blood Pressure Pulse Analyzer (3D-MAC) without test errors or mis-recordings. Correlation between 3D Blood pressure Pulse Analyzer, DSOM and ABR-2000 were analyzed by frequency & ratio factor of statistic data records of patients groups devided by 8 different disease symptom and by comparison of the groups in the form of Regulation and Graph presented on ABR-2000 equipment. Results: 1. The indicator L in all 1, 2, and 3 quadrant in the graph means the activity and reactivity of the upper body biodynamics detection rate is low and which result is very common symptom among gynecological patients. 2. The portion of patients with hypermenorrhea, endometritis, and menstrual pain symptom among the indicator L group in the reactivity 1-3 quadrantin is significantly high. 3. When 3D Mac analyzer indicates H, diastole decreases while systole increases and tachycardia increases then the blood circulation is expected to increase. In case of indication L, diastole increases and systole decreases then, the blood circulation is expected to decrease.

Studies on Symptom, Pathology, Composition and Clinical Applications of Woman-related Disease Prescriptions in Bang Yahk Hap Peun (방약합편 중 부인과에 관련된 방제의 활용에 대한 고찰)

  • Cho Dae Yeon;Kim Young Il;Lee Young Sook;Kang Sung Hyun;Park Jong Chan;Rho Euy Joon;Yun Young Gab
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.6
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    • pp.1543-1547
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    • 2004
  • In this study, symptoms, pathologies, compositions and clinical applications of 52 prescriptions for woman-related disease treatment descripted in Bang Yahk Hap Peun were investigated. The results were same as following; Classification of prescriptions for woman-related disease treatments was 23 prescriptions in high-chepter, prescriptions in 16 medium-chepter, and prescriptions in 13 low-chepter prescriptions and the frequency of clinical applications for high-chepter, medium-chepter and low-chepter prescriptions was 44%, 31% and 25%, respectively. Clinical applications of woman-related disease prescriptions were identified aocording to pre-pregnancy and post-birth, uterus, breast disease, before pregnancy. Infertile, emmeniopathy, uterus Blooding made practical application to high frequency in the treatments. Oriental Medical Pathology applied with prescriptions were Biheo(脾虛), Ganbinoyool(肝脾怒鬱), Infirmity(虛弱), 熱入血室, Jungpung(中風), Gihyulguheo(氣血俱虛), hyulheo(血虛), Aeohyul(瘀血) etc. Prescriptions applied with the most frequency in woman-related disease were Samuoltang(四物湯), Sagunjatang(四君子湯), Gungkuitang(芎歸湯), Boanbaekchuolsan(保安白朮散), Dangguibohyeltang(當歸補血湯), Sanhyointang(酸棗仁湯), Dohongsamuoltang(桃紅四物湯), Jipeisan(芷貝散), Silsosan(失笑散).

Correlation Between Knowledge and Educational Needs Related to Recurrent in Coronary Artery bypass graft patients (관상동맥 우회술환자의 수술 후 재발 관련 지식과 교육요구도와의 상관관계)

  • 김희승;박민정
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.549-559
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    • 2000
  • The purpose of this study was to investigate the correlation between the knowledge and educational needs related to recurrent in coronary artery bypass graft patients as a basis to provide an individual nursing education for the population. The subjects consisted of 110 patients who had coronary artery bypass graft(CABG) at Asan Medical Center in Seoul and Sechong hospital in Buchon. Data was obtained from a knowledge questionnaire and a learning needs questionnaire between November 1998 and February 1999. Data were analyzed using SAS program for Wilcoxon rank sum test and Spearman correlation coefficient. The results were as follows : 1. With regard to the 18 items to measure knowledge, the mean (median) of items 'don't know' was 4.9(4) items. The mean (median) of items answered wrong was 3.2(3) items. The number of items answered 'don't know' tend to show higher in those who had less education, blue color jobs and myocardiac infarction history than in their counter parts. There were higher frequency of items answered 'don't know' in those who had no hypertension 2. With regard to the level of knowledge by questionnaire about CABG, The most "I dont know" (59.1%) highly response was 'He has to be treated with anticoagulant drug to prevent revasculized vessel from obstructing.' The seond highest response (56.4%) was 'If you were hypotensive, the coronary attack would collapse. 'During the hospitalized day, the patient has complete bedrest.' The highest error probability was cholesterol has not to intake.', 'After surgery, the sexual life is need controlled for 1 year. 3. The mean of educational needs was 3.38. With regard to the level of learning needs by sentence about CABG, 'Food that benefit heart disease', 'Recurrence possibility of heart disease', 'Management method of operation site', 'Risk symptom that visit hospital or report immediately' were higher than other sentenses. With regard to the level of learning needs by factor 'food(5 items)', 'disease(9 items)' and 'exercise(3 items)' showed the highest than other factors. The educational needs by patients characteristics tend to show higher in males, under the age of 49, middle or high school degree, previous experience of admission with coronary artery disease, history of myocardial infarction, expierience of PTCA, history of cerebro-vascular accident, previous expierience of smoking than in their counter parts. 4. The number of items answered 'don't know', wrong and correct weren't correlated with the level educational needs. As the results, the number of items answered 'don't know' tend to show higher in those who had less educated, blue color jobs and myocardiac infarction history than in their counter parts. There were higher frequency of items answered 'don't know' in those who had no hypertension .There were higher frequency of items answered 'don't know' on anti-thrombolitic theraphy, hypotension and pain relief. Also there were higher frequency of items answered wrong on bed rest period, cholesterol intake, and sexual life. Educational needs were higher in young age group, had previous experience of procesure and history of other disease. And when we educate CABG patients, education for diet, recurrence possibility of disease, management methods of operation site and risk symptom should be emphasized.

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