• Title/Summary/Keyword: Mental symptom

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Depression in family members of a patient with asthma: The Korean national health and nutrition examination survey 2007-2012

  • Lee, Kyoung Won;Kim, Hyekyeong;Choi, Jung Mi
    • Korean Journal of Health Education and Promotion
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    • v.33 no.2
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    • pp.47-55
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    • 2016
  • Objectives: We investigated whether the rate of depressive symptom is higher among family members of asthmatic patient compared to people who had no asthmatic family member. Methods: This study used data from the fourth and fifth Korea National Health and Nutrition Examination Survey (2007-2012). In this cross-sectional study, 15,987 men (mean age 46.4) and 20,906 women (mean age 47.4) were included. To compare the rate of depressive symptoms in individuals who had a family member with asthma and those who did not have, we analyzed data using survey logistic regression. Results: Diagnosed depression was reported by 3.0% of the study population, by 4.2% of asthmatic patient's family member, and by 3.0% of individuals who did not have a family member with asthma. Family members of asthmatic patient increased odds of diagnosed depression compared with those who did not had an asthmatic family member (odds ratio = 1.56, p = 0.008). Conclusions: To prevent depression among family members of asthmatic patient, health education for entire family of asthmatic patient need to be considered. Also, government and policy makers should give more attention to caregivers who had a family member with asthma.

Critical Pathway of Home Healthcare for COPD clients (COPD 대상자의 가정간호를 위한 Critical pathway)

  • Cho, Won-Jung;Han, Mi-Kyung
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.329-337
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    • 2001
  • Purpose: This study was to develop a critical pathway for COPD clients in home health care. Method: Review of literature. Analysis of 10 cases of home health records of COPD clients without other major chronic illness, and Contents validity test Results 1. Vertical axis(l4 activities) physical and mental assessment, family assessment. environment assessment, rights and duties of client, oxygen use and safety, education of disease process and symptom, medication, nutrition and elimination, tests, activities, respiratory exercise, sleeping pattern. consultations and discharge planning. 2. Horizontal axis was set by the number of visits(average number of visits is 6.4) and vertical axis was set with 14 activities and the contents which should have occurred, according to the time frames of the horizontal axis. 3. According to the contents validity test, among the total of 234 items, 176 items showed over 83% agreement and 58 items showed less than 83% agreement. Those items with less than 83% agreements were either deleted or revised. Conclusion this critical pathway is applicable to the home health care of COPD clients to provide quality home nursing care services at lower cost.

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A case report of Hypoxic ischemic encephalopathy (저산소성 허혈성 뇌손상 환아의 치험 1례)

  • You, Han-Jung;Koh, Duck-Jae;Cho, Hyung-Jun;Lee, Jin-Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.2
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    • pp.143-160
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    • 2004
  • Objective: There were few reports on the treatment of Hypoxic ischemic encephalopathy. We treated a hypoxic ischemic encephalopathic patient after accident with Oriental medical approach, and get a significant result. this treatment shows the possibility of healing Hypoxic ischemic encephalopathy, So we are reporting that case. Method : The acupuncture, herb medication. rehabilitation therapy was applied for treting patient's chife symptom(involuntary movement, dystonia, aphasia, dysuria, constipation) Results : 1. Generally patients with Hypoxic ischemic encephalopathy show language impairment and cognition disorder for several weeks to months. After coma stage, first they recover consciousness but have various degree of confusional mentality, visual agnosia, extrapyramidal stiffness and motor disturbance. 2. Consciousness loss in acute stage of Hypoxic ischemic encephalopathy can be considered as Mental Confusion due to Phlegm(Dammisimgyu) in veiw point of Oriental medicine. 3. After oriental medical treatment, patient's chief symptoms were improved. Conclusion: We treated a hypoxic ischemic encephalopathic patient with Oriental medical approach and patient's chief symptoms were improved. this treatment shows the possibility of healing Hypoxic ischemic encephalopathy.

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Comparison of Clinical Characteristics Between Respiratory and Non-Respiratory Subtypes of Panic Disorder (공황장애 호흡기 아형과 비호흡기 아형의 임상 특성 비교)

  • Ha, Ju-Won;Lim, Se-Won;Oh, Kang-Seob
    • Korean Journal of Biological Psychiatry
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    • v.16 no.1
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    • pp.46-52
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    • 2009
  • Objectives : The goal of this study was to compare the clinical characteristics of panic disorder respiratory subtype(PD-R) and non-respiratory subtype(PD-NR). Methods : 84 patients with panic disorder were enrolled and divided into 2 groups, 29 PD-R and 55 PD-NR. Diagnosis of panic disorder was evaluated using Diagnostic and Statistical Manual of Mental Disorders $4^{th}$ edition and Mini International Neuropsychiatric Interview. They were also measured with Hamilton Rating Scale for Anxiety(HAM-A), Hamilton Rating Scale for Depression(HAM-D), and Panic Disorder Severity Scale (PDSS). Results : PD-R group showed significantly higher scores in PDSS than those of PD-NR group(p=.027). After controlling for the severity of panic disorder and gender, PD-R group showed higher HAM-D and somatic anxiety subscale of HAM-A than those of PD-NR group. Furthermore, results of logistic regression analysis suggested that the somatic anxiety was a possible risk factor of PD-R(OR=1.404,p=0.009). Conclusion : These results suggest that somatic anxiety and depressive symptom would be important clinical characteristics of PD-R.

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The development of the anomia assessment battery based on the psycholinguistic processing (언어심리학을 기반으로 한 명칭성 실어증 평가도구 개발)

  • Jung, Jae-Bum;Pyun, Sung-Bom;Sohn, Hyo-Jung;Gee, Sung-Woo;Cho, Sung-Ho;Nam, Ki-Chun
    • Proceedings of the KSPS conference
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    • 2007.05a
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    • pp.158-162
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    • 2007
  • Anomia, word finding difficulty, is one of the most common feature in aphasia. Previous studies support that the process of picture naming consists of three stages, in the order of the object recognition, semantic, and phonological output stages. Anomic patients have many symptoms and it means that anomia can be sub-divided into several symptom groups. Our anomia assessment battery consists of several parts: (1) picture naming set, (2) picture-word matching task, (3) lexical decision task for mental lexicon damage, (4) naming task for phonological lexicon damage, and (5) semantic decision task. Pictures and words were selected on the basis of usage frequency, semantic category, and word length. We administered this anomia evaluation battery to many anomic aphasics and we subdivided patients into several groups. We hope that our anomia evaluation set is useful and helpful for evaluation anomic aphasics

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Spontaneous Intracranial Hemorrhage in Children: Analysis of Clinical Characteristics

  • Lee, Bang-Hoon;Song, Shi-Hun;Choi, Seung-Won;Kim, Seon-Hwan;Koh, Hyeon-Song;Youm, Jin-Young
    • Journal of Korean Neurosurgical Society
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    • v.37 no.1
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    • pp.34-38
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    • 2005
  • Objective: Spontaneous intracranial hemorrhage in children is not common and very different compared to adults. We analyze the etiology, hemorrhagic type, clinical features, and outcome of spontaneous intracranial hemorrhage in children. Methods: Twenty-nine patients under 17years of age with nontraumatic intracranial hemorrhage were analyzed retrospectively. Neonates were excepted. We reviewed their medical records in regard to their age, symptoms, radiologic findings, treatment, and prognosis. Results: Among 29 patients, there were 17boys and 12girls. The average age was 10.2years. The most common presenting symptom was mental deterioration, and the most common cause was arteriovenous malformation. Spontaneous intracranial hemorrhage in children showed a better prognosis than in adults. Conclusion: Spontaneous intracranial hemorrhage in children resulted mainly from vascular malformation and the prognosis is relatively good. More careful follow-up studies and active management are needed for better outcomes.

Hypoesthesia after IAN block anesthesia with lidocaine: management of mild to moderate nerve injury

  • Moon, Sungjoo;Lee, Seung-Jong;Kim, Euiseong;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
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    • v.37 no.4
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    • pp.232-235
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    • 2012
  • Hypoesthesia after an inferior alveolar nerve (IAN) block does not commonly occur, but some cases are reported. The causes of hypoesthesia include a needle injury or toxicity of local anesthetic agents, and the incidence itself can cause stress to both dentists and patients. This case presents a hypoesthesia on mental nerve area followed by IAN block anesthesia with 2% lidocaine. Prescription of steroids for a week was performed and periodic follow up was done. After 1 wk, the symptoms got much better and after 4 mon, hypoesthesia completely disappeared. During this healing period, only early steroid medication was prescribed. In most cases, hypoesthesia is resolved within 6 mon, but being aware of etiology and the treatment options of hypoesthesia is important. Because the hypoesthesia caused by IAN block anesthesia is a mild to moderate nerve injury, early detection of symptom and prescription of steroids could be helpful for improvement of the hypoesthesia.

A Study on Health Hazards to Employees near Main Streets

  • Choi, Dal-Woong
    • Toxicological Research
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    • v.28 no.3
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    • pp.201-207
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    • 2012
  • In order to evaluate the physical and psychological health effects from automobile air pollution, 99 employees who worked near a main street were given a general health questionnaire, and the prevalence of their subjective complaints was measured. The collected data were classified according to gender, sleep time, degree of regular exercise, self-consciousness of symptoms, length of employment, work time, rest time, and smoking status. The results obtained were summarized as follows: The scores related to health complaints regarding physical and psychological items were higher in females than in males. THI scores were higher for the < 4 hour sleep time group. The health complaint scores for physical items were higher in the regular exercise group, whereas most scores for mental items were higher in the irregular exercise groups. The health complaints scores for physical and psychological items were higher in the unhealthy symptom group than in other groups. Those employees who had worked for > 4 years showed significantly higher rates of complaints regarding the eyes and skin. THI scores were higher for the < 6 hour working time group. The smoking group showed higher scores regarding health complaints related to physical items. The THI scores of the respiratory organs, mouth, anus, and digestive organs were significantly higher for the smoking group than for the non-smoking group. In summary, this study shows that the health complaint scores regarding physical and psychological symptoms tended to be higher among the unhealthy group, the less sleep time group, the less work time group, smokers, and females. These results can be used to improve the psychosomatic health status and working environments of employees who work near a main street.

Literature consideration on pain theory (통증학설에 대한 문헌적 고찰)

  • Kim, Sung-Won
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.153-158
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    • 2002
  • Pain, which is the most significant issue for the physical therapist, is the cause of various diseases until it disappears, and results in a lot of obstructions to treatment. Pain is very complicated. It is a subjective symptom that informs of a pathologic condition in the body, and one of the unpleasant experiences that people have. It is accompanied with anxiety and fear. Many researchers including Krause(1987) have identified the pain mechanism based on pain perception for many centuries and they have suggested many theories as they believed that pain management was possible. Reviewing the contents of psychoanalysis, uncontrollable pain that can't be explained is described as a defense mechanism to an unconscious psychological conflict. That is, mental pain is transferred to the body and the pain becomes unbearable. What is important is, like Keefe(1992) said, that the pain experience itself is primary stress and one should cope with it, whatever the cause of the pain. This paper investigates the background of the psychological theory of pain. Based on the efforts of previous studies, the next research generation will understand the treatment process for pain more dearly and will contribute to the prevention and protection from pain that humans undergo.

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The Study on the Factors Related to the Existence of Neck Pain in Female Office Workers (사무직 여성 근로자의 경부 통증 유무와 관련된 요인 연구)

  • Nam, Ki-Bong;Chung, Seok-Hee;Kim, Sung-Su
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.2
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    • pp.213-225
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    • 2009
  • Objectives : The purpose of this study was to investigate the factors related on pain in female office workers. Methods : Neck pain group of 31 female subjects complained of neck and arm discomfort. Normal group of 20 female subjects had no complaints or minimal discomfort. Cervical curvature and muscle tone were assessed by whole spine x-ray, meridian-electromyography(MEMG), craniovertebral angle, and Moire. Neck pain was evaluated by Neck Disability Index(NDI) and Visual Analog Scale(VAS). The emotional and other physical factors that could effect neck pain were checked by questionnaires including Beck Depression Index(BDI), Stress Reaction Index(SRI), Holmes & Rahe Social Readjustment Rating Scale(SRRS), International Physical Activity Questionnaire(IPAQ), and Gastrointestinal Symptom Rating Scale(GSRS). Results : The contraction and fatigue of upper trapezius by MEMG was significantly higher in the neck pain group. And BDI, SRI, SRRS, and GSRS were significantly higher in the neck pain group (p<0.05). However, there was no significant difference in the Jackson's angle, Cobb's method, craniovertebral angle, and moire between two groups. Conclusions : The results suggest that neck pain is related to mental stress rather than physical stress and physical stress does not change cervical curvature significantly.