• 제목/요약/키워드: Representative Symptoms

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Women's Knowledge, Attitudes, and Practices about Breast Cancer in a Rural District of Central India

  • Gangane, Nitin;Ng, Nawi;Sebastian, Miguel San
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권16호
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    • pp.6863-6870
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    • 2015
  • Background: Breast cancer accounted for almost 25% of all cancers in women globally in 2012. Although breast cancer is the most prevalent cancer in India, there is no organised national breast cancer screening programme. Local studies on the burden of breast cancer are essential to develop effective context-specific strategies for an early detection breast cancer programme, considering the cultural and ethnic heterogeneity in India. This study examined the knowledge, attitudes, and practices about breast cancer in rural women in Central India. Materials and Methods: This community-based cross sectional study was conducted in Wardha district, located in Maharashtra state in Central India in 2013. The sample included 1000 women (609 rural, 391 urban) aged 13-50 years, selected as representative from each of the eight development blocks in the district, using stratified cluster sampling. Trained social workers interviewed women and collected demographic and socio-economic data. The instrument also assessed respondents' knowledge about breast cancer and its symptoms, risks, methods of screening, diagnosis and treatment, as well as their attitudes towards breast cancer and selfreported practices of breast cancer screening. Chi-square and t-test were applied to assess differences in the levels of knowledge, attitude, and practice (the outcome variables) between urban and rural respondents. Multivariable linear regression was conducted to analyse the relationship between socio-demographic factors and the outcome variables. Results: While about two-thirds of rural and urban women were aware of breast cancer, less than 7% in rural and urban areas had heard about breast self-examination. Knowledge about breast cancer, its symptoms, risk factors, diagnostic modalities, and treatment was similarly poor in both rural and urban women. Urban women demonstrated more positive attitudes towards breast cancer screening practices than their rural counterparts. Better knowledge of breast cancer symptoms, risk factors, diagnosis, and treatment correlated significantly with older age, higher levels of education, and being office workers or in business. Conclusions: Women in rural Central India have poor knowledge about breast cancer, its symptoms and risk factors. Breast self-examination is hardly practiced, though the willingness to learn is high. Positive attitudes towards screening provide an opportunity to promote breast self-examination.

Morphine 과량복용 후 중독증상을 보인 환자의 지연된 Naloxone 치료 1례 (A Case of Delayed Administration of Naloxone for Morphine Intoxicated Patient)

  • 김건배;박원녕;구홍두
    • 대한임상독성학회지
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    • 제10권1호
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    • pp.33-36
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    • 2012
  • Opioids are the one of the most commonly used drugs to control cancer pain all over the world. But, we should not overlook the potential risk of opioid intoxication because they have well-known detrimental side effects. The opioid intoxication can be diagnosed thorough various clinical manifestations. The altered mental status, respiratory depression, and miosis is very representative clinical features although these symptoms don't always appear together. Unfortunately the opioid-toxidrome can be varied. A 42 years old man came to our emergency room after taking about 900 mg morphine sulfate per oral. He was nearly alert and his respiration was normal. Even though his symptoms didn't deteriorated clinically, serial arterial blood gas analysis showed increase in PaCO2. So we decided to use intravenous naloxone. Soon, he was fully awaked and his pupils size was increased. After a continuous infusion of intravenous naloxone for 2 hours, PaCO2 decreased to normal range and his pupil size also returned to normal after 12 hours. Though the levels of serum amylase and lipase increased slightly, his pancreas was normal according to the abdominal computed tomography. He had nausea, vomit, and whole body itching after naloxone continuous infusion, but conservatively treated. We stopped the continuos infusion after 1 day because his laboratory results and physical examinations showed normal. As this case shows, it is very important to prescribe naloxone initially. If you suspect opioid intoxication, we recommend the initial use of naloxone even though a patient has atypical clinical features. In addition, we suggest intranasal administration of naloxone as safe and effective alternative and it's necessary to consider nalmefene that has a longer duration for opioid intoxication.

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오정요법(五正療法)에 에 의한 파킨슨병 치료종결 1례에 대한 고찰 (A study on a case of treatment termination of Parkinson's disease treated by 5 upright life cure regulations therapy)

  • 박병준;김동희
    • 혜화의학회지
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    • 제19권2호
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    • pp.57-64
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    • 2011
  • Parkinson's disease is a degenerative disease of a cranial nerve and has a main symptoms of irregular movement of muscle, stiffening, trembling which occurred by about 1% of population in the age of over 65. Moreover, the and prevalence rate and attack rate are soaring according to increase of elderly population. However, allopathy and surgery were done through dopamine and anticholinergic medicine for treatment but it developed a lot of complications due to medicine and progress since it makes slow progress or can't stop the treatment. Hereupon, I report that there is a case on one of the patients Young Jin Oriental Medical Clinic. The patient who is in state of treatment termination who doesn't need any further remedy and no worsening of symptoms after conduction of therapies of dialectic and 5 upright life cure regulations. 5 upright life cure regulations means five practive way for improvement of nature healing power. Upon undertaking the 5 upright life cure regulations, there were found significant results in such tests as Unified Parkinson Disease Rating Scale (UPDRS), Hoehn & Yahr Staging Scale, and Activity of Daily Living (ADL), and the ingestion of Benztropine 1mg and Requip 0.25mg was decreased from 3 times to 0 times. The study offers objective clinical data on Oriental Medicine treatment for Parkinson's disease which is one of representative neuro-degenerative diseases and thus broadens the application range of Oriental Medical treatment and presents the fundamental data on the clinical research on Parkinson's disease by adopting evidence-based medicine (EBM).

Xanthomonas axonopodis pv. eucalyptorum pv. nov. Causing Bacterial Leaf Blight on Eucalypt in Brazil

  • Ferraz, Helvio Gledson Maciel;Badel, Jorge Luis;da Silva Guimaraes, Lucio Mauro;Reis, Bruna Paolinelli;Totola, Marcos Rogerio;Goncalves, Rivadalve Coelho;Alfenas, Acelino Couto
    • The Plant Pathology Journal
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    • 제34권4호
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    • pp.269-285
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    • 2018
  • Bacterial leaf blight is a major disease of eucalypt, especially under nursery conditions. Different bacterial species have been associated with the disease in several countries, and despite its importance worldwide, it is not clear to date whether similar disease symptoms are caused by the same or by different etiological agents. In this study, 43 bacterial strains were isolated from blighted eucalypt leaves collected in different geographic areas of Brazil and inoculated onto a susceptible eucalypt clone. Polyphasic taxonomy, including morphological, physiological, biochemical, molecular, and pathogenicity tests showed that only certain strains of Xanthomonas axonopodis caused symptoms of the disease. Strains varied in their aggressiveness, but no correlation with geographic origin was observed. MLSA-based phylogenetic analysis using concatenated dnaK, fyuA, gyrB and rpoD gene sequences allocated the strains in a well-defined clade, corresponding to Rademarker's group RG 9.6. Inoculation of nineteen plant species belonging to seven botanical families with representative strain LPF 602 showed it to be pathogenic only on Eucalyptus spp, and Corymbia spp. Based on distinct biochemical and pathogenic characteristics that differentiate the eucalypt strains from other pathovars of the X. axonopodis species, here we propose their allocation into the new pathovar X. axonopodis pv. eucalyptorum pv. nov.

온라인 커뮤니티 웹사이트에 나타난 임신과 출산에 대한 여성들의 관심사 (Analysis of Women's Concern about Pregnancy and Child Birth in the Internet Community)

  • 박선화;우민수;전경자;유정옥
    • Perspectives in Nursing Science
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    • 제17권1호
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    • pp.49-60
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    • 2020
  • Purpose: The purpose of this study is to describe women's concern for pregnancy and child birth in the internet community. Methods: One representative in the internet community was selected and questions regarding pregnancy and child birth were collected for 2 weeks in October 2019. A total of 8,005 questions were analyzed by frequency and proportion after categorizing theme into pregnancy, delivery, and postpartum care. Results: The most frequent questions were on preparedness for pregnancy (26.2%), followed by questions on infertility (23.3%), and on postpartum care (20.2%). Among the questions on preparedness for pregnancy, the most frequent questions were related to the follicle and ovulation. More than half of the questions on infertility (68.3%) were about diagnosis and treatment. Questions on abortion included symptoms, abortion procedure, post abortion care, and the support system. Among the questions on delivery, the most were about the delivery method (67.2%). Finally, questions on postpartum care were related to the physical changes/symptoms, daily life after delivery, postpartum care support, etc. Conclusion: As these results reflect women's need for information and support, it is suggested that more specific and targeted nursing practices for pregnancy and child birth should be developed.

중풍치료(中風治法)에 있어서 청열사화법(淸熱瀉火法)에 대(對)한 문헌적(文獻的) 고찰(考察) (A Bibliographic investigation in the method of Chong-Yol-Sa-Hwa(淸熱瀉火) on the treatment of Cerebro Vascular Attack (C.V.A.))

  • 박종양;변일
    • 대한한방내과학회지
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    • 제12권1호
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    • pp.155-165
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    • 1991
  • On the treatment of C.V.A, I obtain the results through the bibliographic investigation in the method of Chong-Yol-Sa-Hwa as follows ; 1. The method of Chong-Yol-Sa-Hwa on the treatment of CVA. is used for the occation of flaming fire in the heart caused by fire emotions in excess (五志過極), difficiency of Yin, flaming up of excessive in liver and plegm-heat. 2. The representative symptoms which can be used by the method of Chong-Yol-Sa-Hwa are firerishness, redness on face, foul breath, fidgets, angry, high fever, constipation slimy and greasy yellow coat of the tongue, and the pulse shaped on full-rapid (洪數), tautsmaooth and rapid (弦滑血數). 3. The general prescription on the method of Chong-Yol-Sa-Hwa are Bang pung tong sung-San, Yangkyuk-San, Backho-Tang, Sosiho-Tang, Samhwa-Tang, Chibo-Tan and Woohwang chongsim-Hwan on excessive symptom-complex, Yookmichihwang-Tang-Kakam, Samool-Tang-Kakam and Youngyangkak-Tang on insufficency symptom complex. 4. The most frequently dosed medicinal plants are Seok-ko, Chi-mo, Dae-Hwang, Mang-cho, Hwang-kewm, Hwang-back, Chi-ja, Si-ho, Han-Su-Seok, Yong-Tam-Cho, Mok-Tan-Pi and Saeng-Chi-Hwang. 5. The method of chong-Yol-Sa-Hwa might be expressed good medicinal effects adopted on the symptoms or flaming evil fire (火旺) after awakend and ‘Yang’ occlusion of Chung-Chang-Pu (中臟脈) which is accompanied with the method of purgation, break through the plegm, resuscitate and nourishing the Yin.

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왕륜(王綸)의 삼기론 및 그 관련 논의들에 대한 고찰 (A Study of Wang Lun (王綸)'s Assertion on Ginseng and Astragali Radix and Its Related Arguments)

  • 은석민
    • 한국의사학회지
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    • 제28권2호
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    • pp.47-58
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    • 2015
  • Objectives : The purpose of this study was to investigate Wang Lun (王綸)'s assertion on Ginseng and Astragali Radix and its related arguments that had shown critical or advocative point of views about Wang lun's theory. It was expected that this study would help understand the history of arguments on the usage of Ginseng and Astragali Radix that had been triggered by Wang lun's assertion. Methods : In the process of investigation, this study first looked into the assertions of Wang Lun and the representative arguments about it, which includes Yu Tuan, Wang Ji (汪機), Sun Yikui (孫一奎). And secondly, this study also examined the other following additional arguments that had shown the conclusional aspects of this disputes. Results & Conclusions : Wang Lun (王綸)'s assertion on Ginseng and Astragali Radix proclaimed that in the symptoms of fevers in lung or lack of blood (血) the use of Ginseng and Astragali Radix must be prohibited. This assertion later faced severe criticism by opposers like Yu Tuan, Wang Ji. These opposers asserted that Yang (陽) has the ability of creating Yin (陰), and Ginseng and Astragali Radix could be the right drugs to the symptoms by lack of Yin. But a few approvers like Sun Yikui (孫一奎) had tried to advocate Wang Lun's assertion and casted the question of true meaning of Wang Lun. And In the other following arguments, it could be said that the influence of Wang Lun's assertion had gradually waned but could have been reciprocally accepted in the opposite point of view.

Korean Guidelines for Diagnosis and Management of Interstitial Lung Diseases: Part 5. Connective Tissue Disease Associated Interstitial Lung Disease

  • Koo, So-My;Kim, Song Yee;Choi, Sun Mi;Lee, Hyun-Kyung;Korean Interstitial Lung Diseases Study Group
    • Tuberculosis and Respiratory Diseases
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    • 제82권4호
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    • pp.285-297
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    • 2019
  • Connective tissue disease (CTD) is a collection of disorders characterized by various signs and symptoms such as circulation of autoantibodies in the entire system causing damage to internal organs. Interstitial lung disease (ILD) which is associated with CTD is referred to as CTD-ILD. Patients diagnosed with ILD should be thoroughly examined for the cooccurrence of CTD, since the treatment procedures and prognosis of CTD-ILD are vary from those of idiopathic interstitial pneumonia. The representative types of CTD which may accompany ILD include rheumatoid arthritis, systemic sclerosis (SSc), Sjogren's syndrome, mixed CTD, idiopathic inflammatory myopathies, and systemic lupus erythematous. Of these, ILD most frequently co-exists with SSc. If an ILD is observed in the chest, high resolution computed tomography and specific diagnostic criteria for any type of CTD are met, then a diagnosis of CTD-ILD is made. It is challenging to conduct a properly designed randomized study on CTD-ILD, due to low incidence. Therefore, CTD-ILD treatment approach is yet to been established in absence of randomized controlled clinical trials, with the exception of SSc-ILD. When a patient is presented with acute CTD-ILD or if symptoms occur due to progression of the disease, steroid and immunosuppressive therapy are generally considered.

영화에 나타난 번아웃 양상과 해결방식 연구: <꾸뻬씨의 행복여행>과 <잠깐만 회사 좀 관두고 올게>를 중심으로 (A Study on Burnout Aspects and Solutions in Movies: Focusing on and )

  • 권상정
    • 한국콘텐츠학회논문지
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    • 제22권6호
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    • pp.184-193
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    • 2022
  • 최근 빈번히 사용되고 있는 '번아웃'은 치열한 경쟁 속에 사는 현대인들의 심리를 대변하는 대표적인 표현 중 하나다. 본 고에서는 직장인들의 힐링 영화로 손꼽히는 '꾸뻬씨의 행복여행'과 '잠깐만 회사 좀 관두고 올게' 두 편을 번아웃 관점에서 접근, 분석했다. 작품에서 나타난 번아웃의 증상은 무기력증, 짜증, 분노, 불면, 우울, 자살 충동 등이었으며, <꾸뻬씨..>의 경우 반복적인 상담업무에서 오는 가치 충돌이, <잠깐만..>의 경우 업무 과부하와 실적 압박, 동료 커뮤니티의 부재 등이 원인으로 작용하고 있었다. 이러한 번아웃 상태는 등장인물의 대사나 표정은 물론 다양한 사이즈의 부감쇼트와 낮은 조명, 주인공 앞쪽에 물건 배치 등을 통해 시각적으로 표현, 진단이 어려운 번아웃의 심리상태를 직관적으로 표현하고 있었다. 특히 번아웃의 진단 척도인 취미 생활이나 신체활동, 동료 커뮤니티의 유무 등이 번아웃에서 벗어나는데 도움이 된다는 것을 영화를 통해서도 확인할 수 있었다.

VR매체에서의 뇌인지와 사이버 멀미의 상관관계 (Correlation between Brain Cognition and Cyberdisease in VR Media)

  • 김민서;김균호;김유리;김은서;허원회
    • 문화기술의 융합
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    • 제8권5호
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    • pp.603-611
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    • 2022
  • 메타버스의 시대가 다가옴에 따라 해결해야 하는 난제가 있다. 그 중 '사이버 멀미'는 VR 기술이 주목받기 시작한 2016년부터 현재까지 VR의 대표적인 문제점이다. 감각 갈등이론에 따르면 멀미는 지각되는 운동 방향 정보와 기댓값이 같지 않을 때 유발한다. 본 논문은 뇌인지와 사이버 멀미의 상관관계에 대해 이론적으로 탐구하고, 이를 바탕으로 사용자의 몰입도가 멀미 증상에 미치는 영향에 관하여 연구하였다. SSQ 실험을 통해 카메라의 회전 값이 시청자의 사이버 멀미 증상을 악화시킨다는 점과 시청자가 해결해야 할 시각적·변속적 미션을 줌으로써 게임의 몰입도를 높여 사이버 멀미를 완화할 수 있다는 사실을 입증하였다. 본 연구는 VR 리듬 게임인 "beatale"을 개발하는 과정 중 사이버 멀미 문제를 해결하고자 진행되었으며, 해당 프로젝트 개발뿐만 아니라 향후 VR 콘텐츠 제작 시 사이버멀미를 개선하기 위한 기반이 될 것으로 기대된다.