• 제목/요약/키워드: Subjective symptom

검색결과 409건 처리시간 0.026초

듀센.베커 근이영양증 아동 부모의 우울과 삶의 질 (Depressive Symptoms and Subjective Quality of Life in Parents of Boys with Duchenne/Becker Muscular Dystrophy)

  • 황준원;구영진
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제21권2호
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    • pp.103-109
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    • 2010
  • Objectives : The purpose of the current study was to evaluate subject quality of life in depressed parents of boys with Duchenne/Becker muscular dystrophy (DMB/ BMD). In addition, a specific relationship between subject quality of life and the severity of depressive symptom was explored. Methods : The participants were 15 depressed parents who had moderate to severe depressive symptoms and 35 nondepressed parents of boys with DMD/BMD. All participants completed the World Health Organization Quality Of Life Scale, Brief Version and the Beck Depression Inventory. Other instruments included the Family Relationship Scale and the Child Behavior Checklist. Results : Among various model predictors, only higher score on the Beck Depression Inventory predicted lower scores on all domains of the World Health Organization Quality Of Life Scale, Brief Version. In addition, depressed parents had significantly lower scores on all domains of the World Health Organization Quality Of Life Scale, Brief Version including physical health, psychological health, social relationships, and environment, relative to non-depressed parents. Conclusion : Findings of the current study suggest that all domains of subjective quality of life may be influenced by depressive symptoms in parents of boys with DMD/BMD.

뇌졸중 환자에서의 Brovincamine의 임상효과 (Clinical Evaluation of Bromovincamine for Cerebral Stroke)

  • 김준석;서홍석;오동주;임도선
    • 약학회지
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    • 제37권1호
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    • pp.84-88
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    • 1993
  • Brovincamine is a selective cerebral vasodilator that was apparently produced via a slow calcium blockade. Brovincamine has been shown to increase ATP production and glucose and oxygen consumption in brain, improving energy metabolism. Also brovincamine inhibited platelet aggregation induced by ADP and collagen in vivo and in vitro via an increase of cAMP concentration, promoting therapeutic effects on cerebral circulatory disorders. So we investigated and represented the clinical effects and safety of brovincamine in patients with cerebral stroke. Thirty patients of cerebral stroke that was older than 2 months, who were 22 cases of cerebral infarction, 6 of cerebral embolism that originated from carebral infarction, 6 of cerebral embolism that originated from cardiac diseases, and 2 of cerebral embolism that originated from cardiac diseases, and 2 of cerebral hemorrhage, were administered of 20 mg of oral brovincamine three times daily for 8 weeks. Improvement rates of each symptom after 8 week administration were 30.8% for subjective symptoms, 76% for psychiatric symptoms and 65.6% for neurologic symptoms. In final global improvement rates, much improvement was 10%, improvement was 23.3% slight improvement is 36.7%, and no change was 30%. So global improvement rate including slight improvement was 70%. As for side effects, there were 3 cases of mild gastrointestinal symptoms, but there were no other subjective side effects and significant fluctuation in laboratory examination. Conclusively throughout the present study, brovincamine is judged to be well tolerated and effective in patients with cerebral stroke.

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장애인의 건강검진 수검에 영향을 미치는 요인 분석 (Determinants analysis of affecting to Health screening among Persons with Disabilities)

  • 김예순;김선용;남영희
    • 한국학교ㆍ지역보건교육학회지
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    • 제20권2호
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    • pp.25-36
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    • 2019
  • Purpose: The purpose of this study was to examine the factors affecting of health screening among persons with disabilities. Method: The study examines the factors affecting of health screening using over 20 years of age who participated in the 2017 National survey of the disabled data. Subjects were 6,332 person with disabilities over 20 years of age. Data were analyzed using descriptive statistics, X2-test, multiple logistic regression with the SPSS win 21.0 program. Results: Health screening among persons with disabilities is differentiated with education level, marital status, Subjective House economic status, Health insurance, Economic activity, Type of disability, Grade of disability, Stress recognition, Depressive symptom, Suicidal thinking, Suicidal attempt, and grade of disability. The significant predictors of the health screening were age, Subjective House economic status, Economic activity, and Grade of disability. Conclusion: We should consider age, disability level, and economic level when developing a screening program for people with disabilities. Especially, the development and promotion of the health screening program for persons with disabilities and related education are required.

구강건조증 환자에 대한 척추 약침 및 한약 치료 1례 (A Case Report of Spinal Pharmacopuncture and Herb Medicine for Dry Mouth)

  • 진준수;민백기;이도은;서호석;김진원
    • 대한한방내과학회지
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    • 제40권2호
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    • pp.262-269
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    • 2019
  • Xerostomia is a symptom of subjective complaints due to decreased salivary secretion or various other causes, which is common in about 30% of elderly people. Parasympathetic stimulants or artificial saliva are used as remedies, but this has side effects, and there are limitations in completely resolving symptoms. In this study, an 88-year-old woman with subjective dry mouth syndrome for the previous two to three years was treated with spinal pharmacopuncture and herbal medicine (Yookmigihwang-tang). The patient received pharmacopuncture at the thoracic 3rd, 6th, and 10th level twice a day and took herbal medicine three times daily for seven days. Both the degree of oral dryness and behavior were improved after treatment of Korean medicine, especially in the case of pharmacopuncture for inner core muscles.

한의치료 후 증상이 호전된 노인성 어지럼 환자 1례 - 가미보익탕 복용 및 현훈검사를 중심으로 - (A Case of Presbystasis Patient Improved after Korean Medicine Treatment - Focusing on Taking Gamiboik-tang and Body Balance Test)

  • 박중군;이효경;남혜정
    • 대한한의학회지
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    • 제45권1호
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    • pp.233-239
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    • 2024
  • Objectives: We would like to report improvement in symptoms after performing Korean Medicine treatment including Gamiboik-tang administration to patient with presbystasis that lasts for more than a decade. Methods: An 83-year-old male patient diagnosed with presbystasis was administered Gamiboik-tang for 4 weeks and acupuncture was performed. The degree of improvement is evaluated based on the body balance test and the patient's subjective symptom change. Results: Both the body balance test and the patient's subjective symptoms improved after administration of Gamiboik-tang and Korean Medicine treatment Conclusions: Korean Medicine treatment, including Gamiboik-tang administration and acupuncture treatment, is thought to be effective for presbystasis.

근업시 자각 증상과 양안시 기능의 관계 (Relationship Between Subjective Symptoms with Near Work and Binocular Function)

  • 신진아;이옥진
    • 한국안광학회지
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    • 제12권3호
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    • pp.125-130
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    • 2007
  • 이 논문은 중고등학생 41명(12-17세)의 근업시 자각 증상과 양안시 기능의 관계를 알아보고자 한 연구이다. CISS 설문 평가, 조절력검사, 조절 용이성검사, Negative relative accommodation(NRA)/Positive relative accommodation (PRA), 폭주 근점(NPC)검사, 사위검사, 그리고 AC/A(A, accommodation; C, convergence) 비를 측정하였다. 이들 검사의 결과는 정상 기댓값과 비교하여 정상 군과 이상 군으로 분류하였다. 폭주 부족보다는 조절 부족이 더 많았고 외사위보다는 내사위가 많았다. NRA/PRA는 높게 나타났고 AC/A 비는 낮게 나타났다. CISS 검사 결과는 다음과 같다; 근업시 가장 흔한 증상은 피로감이었고, 전체 증상의 점수에 대한 평균은 $16.63{\pm}7.49$이었고, 평균적인 증상의 수는 $10.07{\pm}3.04$이었고 중증 증상 수의 평균은 $1.98{\pm}2.13$이었다. 증상의 점수, 증상의 수, 증상의 심한 정도에 따라 4개의 그룹으로 분류한 후 양안시 검사의 결과와 비교하여 상관성을 분석하였다. 그룹과의 상관성은 NRA가 가장 높게 나타났고 증상의 점수는 조절 용이성, 증상의 수는 NRA, 그리고 중증 증상의 수는 근거리 사위 량이 가장 높게 나타났다. NRA는 근업 증상과 관련하여 모든 부분에서 가장 상관성이 높은 것을 보여주었다.

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선박근무자의 승선경력이 정신피로 및 체력특성에 미치는 영향 (The Effects of Seaman's on Board Service Career on Physical Fitness Characteristics and Mental Fatigue)

  • 하해동;김재호
    • 한국항해학회지
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    • 제25권4호
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    • pp.347-360
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    • 2001
  • The purpose of this study is to find out the subjective and objective fatigue level and the characteristics of seamen's physical strength with the service period on board, to have a new understanding of the vocation, and to explore a physical exercising program for the seamen. The questionnaire survey for the seamen who had been in service on the ocean going vessels was conducted and the results are fumed out as the followings. Total number of seamen who had answered the questionnaire was 64 persons and the distribution status of service period group was identified as 16 persons for each of 4 groups; the group was classified as the group of less than 5 years, 5 - 10 years, 10 - 15 years, and more than 15 years. 1. Working conditions Working hours in a week was identified as 44-56 hours(45.3%) and the number of 45.3% of the seamen answered the working hours in week is more than 56 hours. The seamen of 25.0% are unsatisfied or very unsatisfied with their vocation. The seamen of 65.6% are smoking, and 45.3% of them drink. The seamen of 44.,3% drink once or more in a week. And the seamen of 67.2% do not take any exercise in a week. 2. Contribution to the seamen's fatigue and subjective symptom The most contributive factor to the seamen's fatigue was identified as the short of sleeping(21.5%), overwork(19.2%), poor working conditions (18.6%), and the friction in human relations also becomes one the contribution to the fatigue(14.0%). The subjective symptom by fatigue was identified as the feeling of languid, sleepy and tiredness of eyes. 3. Characteristics of the seamen's physical strength and Interrelations The grip strength and back strength of the seamen whose service period is less than 5 years were measured as 40.44kg and 127.8kg. The sit ups in the group of service period less than 5 years was measured as 36.84 times, and the vertical jump for the seamen in this group was measured as 46.55cm. The closed-eyes foot balance was measured as 33.64 seconds in the group of service period between 5 and 10 years, and side-step was measured as 35.31 times in the group of service period less than 5 years. The standing trunk flexion was measured as 10.54cm for the seamen whose service period is between 10-15 years, and the trunk extension was measured as 50.70cm for the seamen whose service period is less than 5 years. And the step test of the seamen whose service period is between 10-15 years was measured as 54.44 numbers, and the number of flickers of the seamen whose service period is less than 5 years was measured as 32.94.

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아토피피부염 소아 청소년에서의 정신병리와 양육태도 연구 (A STUDY ON CORMORBID PSYCHOPATHOLOGY AND PARENTING ATTITUDE IN CHILDREN AND ADOLESCENTS WITH ATOPIC DERMATITIS)

  • 정재석;김규한;홍강의
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제10권1호
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    • pp.34-42
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    • 1999
  • 본 연구는 정서 행동적 문제를 자주 동반하는 것으로 알려진 아토피피부염 소아 청소년에 대해, 정신과적 문제의 정도와 병변 심각도에 영향을 미칠 수 있는 심리 사회적요인을 알아보고자 하였다. 서울대학교병원 아토피 크리닉을 방문한 아토피피부염 환자 70명(평균 나이 9.9세, 범위:$4{\sim}15$세)과 그 어머니를 대상으로 병력조사설문지, CBCL, MBRI, CDI, STAI을 주어 완성하도록 한 후, 정신과적 면담을 시행하였다, 환자의 피부 병변에 대해 SCORAD index를 이용하여 침범부위, 병변의 경중도, 주관적 증상으로 나누어 평가하였다. 16명(22.9%)이 임상적으로 유의한 정서 행동적 문제가 있을 것으로 예측되었으며 이들은 우울, 특성 불안, 어머니의 통제적 태도, 부정적평가 척도에서 다른 아토피 군보다 점수가 높았다. 병변의 경중도는 특성불안이나 우울정도와, 주관적 증상은 우울, 특성불안, 가족영향, 사회능력, 내재화 및 외현화 문제, 성문제, 아이에 대한 부정적 평가와 관련이 있었다. 아토피피부염을 가진 소아 청소년은 정신과적 문제의 고위험군이며 이러한 정신과적 문제는 양육태도와 함께 피부증상의 주관적 지각에 영향을 미칠 가능성이 높다고 할 수 있다. 향후 이에 대한 정신과적 개입이 필요할 것으로 생각된다.

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이하선 절제술 후 요오드-녹말 검사를 이용한 Frey 증후군의 발생 빈도 및 임상 양상 (Incidence and Characteristics of Frey's Syndrome after Parotidectomy by Minor's Starch-Iodine Test)

  • 강태욱;송창면;김홍대;고석화;장연일;지용배;태경
    • 대한두경부종양학회지
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    • 제32권1호
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    • pp.1-5
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    • 2016
  • Objectives: Frey's syndrome is an infrequent complication after parotidectomy and its incidence varies from 23.5% to 50.8% in the literature. The objective of this study was to evaluate the actual incidence and clinical characteristics of Frey's syndrome. Methods: We analyzed 31 patients who underwent parotidectomy and serial Minor's starch-iodine test. The mean follow-up period was $66{\pm}26.1$ months (range, 24-118 months). The Frey's syndrome was analyzed using a questionnaire for the assessment of the subjective symptom and Minor's starch-iodine test for the objective measurement at 1, 3, 6, and 12 months after the surgery and then every 6 or 12 months. Minor's starch-iodine test was graded from 0 to 3 according to the area of discolorization. Results: Frey's syndrome occurred in 11 patients (35.5%) on the Minor's starch-iodine test. The mean onset of Frey's syndrome on the starch-iodine test was $13.6{\pm}10.4$ months after parotidectomy. Sixteen patients (51.6%) complained about gustatory sweating and flushing. The onset of the subjective symptom was $11.27{\pm}6.96$ months after the surgery. There was a significant correlation between the grade of the starch-iodine test and the severity of subjective symptoms (P <0.001). Various factors including size and location of tumor, incision method, and extent of parotidectomy did not correlate with the Frey's syndrome. Conclusion: The incidence of Frey's syndrome was 35.5% on the Starch-Iodine test, and the onset was about postoperative 13.6 months.

미용사들의 작업환경과 호흡기 자각증상과의 관련요인 (The Related Factor on a Work Environment of Hairdressers and a Subjective Symptom of Respiratory Organ)

  • 이계숙;이명희
    • 한국생활과학회지
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    • 제17권6호
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    • pp.1215-1224
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    • 2008
  • This research has measured the indoor environment of thirty hair salons, which are located on Gunsan-Si, Jeonlabbuk-Do, from April 1st to April 30th 2005, to examine the related factors on a work environment of hairdressers and a revelation of respiratory symptom, and has polled 260 hairdressers and 350 office workers. After measuring the physical environment of hair salons, the room temperature, the relative humidity and the illumination was in an agreeable range, and 60 percent of hair salons depended on the natural ventilation through the windows. The levels of acetone, toluene and xylene, which were measured at the hair salons, were all under the safety standards (p<0.05), but these are still harmful and volatile matters, so they can be bad for your health by the contact of skin and respiration. The harmful factors that affect a revelation of respiratory symptom were the group who has many exposures of permanent wave or bleaching/dyeing and not many experiences of hairdressing work, the group who smokes every day, and the group who never exercises at all (p<0.05). This result shows that there are possibilities of health problem for hairdressers from the constant and repeating hairdressing works with the exposure of chemicals such as the permanent, bleaching and dyeing. so that hairdressers recognize that they need appropriate ventilation facilities for their agreeable indoor-environments. And also, to prevent the direct exposure of chemicals as much as they can, they need to have an active management of an individual health care by wearing gloves, mask or something like that.