• 제목/요약/키워드: Symptom Discrimination

검색결과 19건 처리시간 0.028초

송(宋)·금(金)·원(元) 시대 광의의 삼초변증(三焦辨證) (Extended Type of Symptom Discrimination for Triple Energizers (三焦) in Song (宋), Jin (金) and Yuan (元) Dynasty)

  • 조학준
    • 한국의사학회지
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    • 제28권1호
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    • pp.61-79
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    • 2015
  • Objectives : In order to prove the extended type of symptom discrimination for triple energizers in Song, Jin and Yuan Dynasty. Methods : Extract the topic-related contents from the books, with key words, triple energizers. After arraying them from this sources according to time order, analyze the data. Results : Analyzing its history from symptom, prescription, and discrimination proved the fact that the extended type of symptom discrimination for triple energizers had been developed continually, and assured that it did not play an important role in forming the narrow type of its symptom discrimination for Wen Bing (溫病) in Qing (淸) Dynasty, but also had been advanced separately from its type for Wen Bing. Conclusions : Symptom discrimination for triple energizers in Song, Jin and Yuan Dynasty gradually went far to become its extended type which widely used for Za Bing (雜病), Wen Bing, and diseases for pediatrics and dermatology.

당대(唐代) 이전(以前)의 '삼초이론(三焦理論)에 기초한 변증(辨證)'의 연혁(沿革) (History of Symptom Discrimination based on Theory of Triple Energizers(三焦) before Tang Dynasty(唐代))

  • 조학준
    • 대한한의학원전학회지
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    • 제28권2호
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    • pp.87-102
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    • 2015
  • Objectives : I intended to find out the origin and development of symptom discrimination based on theory of triple energizers before Tang Dynasty(唐代). Methods : I extracted the topic-related contents from books in this era. After arraying them in a chronological order, I analyzed the materials. Results : The author in Zhong Zang Jing(中藏經) first mentioned that symptom of Huo Luan(霍亂) was deeply related with triple energizers. Ge Hong(葛洪) did not only come out with some symptoms and mechanisms for Shang Han(傷寒) and Za Bing(雜病), but also applied them to their usages for herb medicine. Chao Yuan Fang(巢元方) suggested its symptoms were more closely related with Shang Han and Za Bing than before. For the first time, Chao subdivided its symptoms to both cold-heat and weakness-strength sides. Sun Sai Miao(孫思邈) supplemented its discrimination invented by Chao(巢元方), adding more symptoms and prescriptions for triple energizers. Wang Tao(王燾) showed more prescriptions for triple energizers than before, and initially designed the discrimination for Huo Luan, diabetes(消渴), and epidemic Wen Bing(溫病). Conclusions : Before Tang dynasty, the symptom discrimination based on theory of triple energizers had been originated and developed for the purpose of repairing Za Bing, not just treating Wen Bing.

탈북여성들의 남한사회에서의 차별 경험과 트라우마 경험의 재현에 관한 탐색적 연구 (North-Korean-Refugee Women's Experience of Discrimination in South Korea and Reemergence of Trauma Experience)

  • 성정현
    • 한국콘텐츠학회논문지
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    • 제14권5호
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    • pp.117-131
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    • 2014
  • 본 연구는 외상사건을 경험한 탈북여성들이 남한생활에서 경험하는 어려움과 남한에서의 부정적 경험으로 그들이 갖고 있는 트라우마의 재현을 탐색하는데 목적이 있다. 이를 위해 외상후 스트레스 장애를 경험하는 5명의 탈북여성을 대상으로 초점집단면접과 서면조사를 실시하였다. 조사결과, 참여자들은 굶주림, 투옥, (성)폭력, 인신매매, 가족관계의 단절, 죽음의 목격 등 극단적 사건을 경험하였으며, 이로 인해 과거 기억의 회상과 회피, 악몽에 시달리는 것으로 나타났다. 또 외상후 스트레스를 겪는 상황에서 이들은 남한에서 차별과 부당한 대우, 낙인, 적과의 동침 상황, 끝나지 않는 빈곤, 용서불가, 그리고 자살의도 등과 같은 트라우마 경험의 재현을 겪고 있었다. 이런 트라우마 경험의 재현 경험으로 인해 연구 참여자들은 남한 입국에 대한 후회와 분노, 그리고 타인과의 관계 철회와 무희망 등의 부정적 정서를 경험하는 것으로 나타났다. 이런 부정적 정서의 근간에는 부정적인 사회적 인식과 편견이 자리 잡고 있어 이에 대한 국가적 차원의 사회적 노력이 뒷받침되어야 하며, 지속적인 취업 및 고용지속을 위한 장기적인 서비스 등을 위해 지역사회복지관이나 민간기관과의 연계망을 확보하고, PTSD 및 그 외상경험의 재현에 대한 사례관리를 해야 할 필요성이 큰 것으로 나타났다.

현훈을 동반한 이명 환자들의 임상적 특성 (Clinical Characteristics of Patients with Tinnitus accompanied Vertigo)

  • 김경준
    • 한방안이비인후피부과학회지
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    • 제37권2호
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    • pp.27-36
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    • 2024
  • Objectives : This study is to find out clinical characteristics of patients with Tinnitus and Vertigo. Methods : 28 patients were recruited in this study who were ill with tinnitus accompanied vertigo. They told me the aspects of tinnitus and wrote out the Tinnitus Handicap Inventory(THI). Also, they were divided into central and peripheral vertigo. Through symptoms of tinnitus and vertigo, the discrimination of Heo-sil(虛實) was based on the specific aspect of tinnitus along with Zhuang fu bian zheng(臟腑辨證). Results : In tinnitus, high-narrow tone group is more than low-wide tone group and the rate of Heo symptom(虛證) group is higher than Sil symptom(實證) group. In vertigo, the rate of peripheral group is higher than central group. Conclusions : It is expected that this survey will help patients with both tinnitus and vertigo in their treatment progress and prognostic judgment.

동부(Vigna sinensis)의 국부병반을 이용한 Cucumber mosaic virus와 Broad bean wilt virus 2의 구별 (Discrimination of Cucumber mosaic virus and Broad bean wilt virus 2 Using Local Lesions on Vigna sinensis)

  • 배선화;김미순;정민영;권순배;류기현;김국형;최장경
    • 식물병연구
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    • 제12권3호
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    • pp.221-225
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    • 2006
  • 용담에서 전형적인 모자이크 증상을 나타낸 바이러스 이병주 및 황화증상을 보이는 식물체를 채집하였다. 이들 중, 모자이크 증상의 잎을 접종하여 전신감염된 Nicotiana benthamiana로부터의 접종원을 동부의 초생엽에 접종하였을 때, 2가지 형태의 괴사 국부병반이 형성되었다. 즉 하나는 작은 크기 pinpoint 형태의 국부 괴사병반(SNS)이며, 다른 하나는 SNS보다 약간 큰 halo 형의 국부 괴사 병반(LNS)으로 뚜렷하게 구분되었다. 한편 황화 병징의 용담으로부터 증식된 접종원은 동부의 초생엽에 LNS만 형성하였다. 동부에 형성된 SNS 및 LNS형 병반을 각각 단일병반 분리하여 N. bentamiana에 접종하였다. 그 결과 SNS를 접종한 N. bentamiana에서는 접종엽에 무병징, 상위엽에는 전형적인 모자이크 증상이 발현되었다. 반면 LNS를 접종한 식물체에서는 접종엽에 퇴록 윤문이 형성되었으며, 상위엽에는 괴저를 동반한 모자이크 증상이 발현되었다. 이들 SNS 및 LNS 병반으로부터 분리한 바이러스를 dsRNA, RT-PCR 및 혈청학적 유연관계 분석을 통하여 SNS 병반은 CMV에 의해서, LNS는 BBWV2에 의해서 유도된다는 것을 확인하였다. 이 연구의 결과로부터 자연계에서 CMV와 BBWV2가 복합감염되어 병징의 구분이 어려운 경우, 동부에 접종하여 유도된 병반을 이용하여 두 바이러스의 감염을 쉽게 구분할 수 있는 방법으로 활용할 수 있을 것으로 생각되었다.

가속도계를 이용한 진전현상의 분석을 통한 파킨슨병과 본태성 진전의 판별 (Discrimination of Parkinson's Disease from Essential Tremor using Acceleration based Tremor Analysis)

  • 이홍지;이웅우;전효선;김상경;김한별;전범석;박광석
    • 대한의용생체공학회:의공학회지
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    • 제36권4호
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    • pp.103-108
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    • 2015
  • Discrimination of Parkinson's disease (PD) from Essential tremor (ET) is often misdiagnosed in clinical practice. Since tremor is time-varying signal, and dominant and harmonic frequencies are shown in tremor only with moderate or severe symptom, there are some limitations to use frequency related features. Moreover, patients with PD or ET can suffer from both resting tremor and postural tremor. In this study, 28 patients with PD and 17 patients with ET were enrolled. Tremor was measured with accelerations on the more affected hand during resting and postural conditions. The ratio of root mean square (RMS) of resting tremor to RMS of postural tremor, the mean coefficients of autocorrelation function (ACF), and the mean of differences of two adjacent coefficients of ACF at resting and postural were calculated and compared between PD and ET. The performance showed 98% accuracy with support vector machine and leave-one-out cross validation. In addition, the method accurately differentiated the patients with tremor-dominant PD from patients with ET, with 100% accuracy. Therefore, the developed algorithm can assist clinicians in diagnosing and categorizing patients with tremor, especially, patients with mild symptom or the early stage of a disease, for proper treatment.

고등학생의 정신건강 상태에 관한 연구 -SCL-90을 이용, 서울시 인문계 1 . 3학년을 중심으로- (A STUDY ON MENTAL HEALTH STATE OF HIGH SCHOOL STUDENTS)

  • 김은주
    • 보건교육건강증진학회지
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    • 제5권2호
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    • pp.110-141
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    • 1988
  • This study was conducted to find out the mental health state of high school students. First-year students and third-year students af liberal high schools is Seoul were subject to this study. Questionnaire of Symptom Checklist-90 and various factors was adopted for the survey. A total of 916 questionnaires was sellected for the analysis, and the results are obtained as follows; 1) The characteristics in responses to mental health scale showed that obsessive-compulsive scale score was the highest, followed by interpersonal-sensitivity, depression, hostility, and anxiety. The subject group of the students showed higher scores in nine symptom dimensions except somatization than other normal group. 2) Girl-students showed higher scores than boy-students in somatization, depression, and anxiety, whereas the opposite was true in hostility. 3) Third-year students got high scores, in somatization, anxiety and Depression. 4) Parental marriage state of the repondents showed significant differences in nine symptom dimensions of mental health. Scores of the students with parents was the lowest, followed by those of students with only mother, only father and the rest(no parents, divorced, sepaerated, step-parent) in increasing order. 5) Smoking students showed high score in obsessive-compulsive, depression, hostility, paranoid ideation, and psychoticism. Especially in hostility, they got much higher score. 6) Students with poor record at school got higher scores in every symptom dimension than those with good record at school, especially in obsessive-compulsive and depression scale. 7) Parents' attitude toward student showed significant effect on every scale. Students under over-expectation or indifference from parents were in bad mental health state. 8) Students who have advisor proved to be in better mental health state than those who never consult their personal problems with others. 9) He who has family history got higher scores in some scales. 10) Respondents who looked upon what they have learned in high school as being rather an obstacle to sound social life got high scores in all the symptom dimensions and next came those of the students who answered that there were a lot of unnecessary things in their learning. 11) Those for whom it would not quite necessary to enter college if there were little formal schooling discrimination in society got high scores in obsessive-compulsive, interpersonal sensitivity, depression, hostility, and in psychoticism, especially higher in obsessive-compulsive scale. 12) Mental health state of the students who are influenced by the social surroundings, mass media, and the home environments showed high score in 8 symptom dimensions. 13) Abnormal response frequency of this sample is as follows; 24.0% of boys, 23.8% of girls, 22.5% of the first-year students, and 26.9% of the third-year students. There were significant difference among the grades. 14) The factors of distinctive correlation between the dimensions of SCL-90 and 16 factors were the father's negative attitude and depression, negative responses on teaching contents and anxiety, and smoking and hostility. In conclusion, mental health state of liberal highschool students on the whole showed worse than other normal groups. It had close terms with relation with their parents, schoolwork, smoking, teaching contents, the social surrounding, mass media, and the home environments. Thus I believe there need not only mental health education of students, training of teachers, counceling of parents, but also changes in teaching contents, and the improvement of educational system and the social surroundings under the national support.

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성별을 고려한 중풍 변증진단 판별모형개발(V) (Discriminant Model V for Syndrome Differentiation Diagnosis based on Sex in Stroke Patients)

  • 강병갑;이정섭;고미미;권세혁;방옥선
    • 동의생리병리학회지
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    • 제25권1호
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    • pp.138-143
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    • 2011
  • In spite of abundant clinical resources of stroke patients, the objective and logical data analyses or diagnostic systems were not established in oriental medicine. As a part of researches for standardization and objectification of differentiation of syndromes for stroke, in this present study, we tried to develop the statistical diagnostic tool discriminating the 4 subtypes of syndrome differentiation using the essential indices considering the sex. Discriminant analysis was carried out using clinical data collected from 1,448 stroke patients who was identically diagnosed for the syndrome differentiation subtypes diagnosed by two clinical experts with more than 3 year experiences. Empirical discriminant model(V) for different sex was constructed using 61 significant symptoms and sign indices selected by stepwise selection. We comparison. We make comparison a between discriminant model(V) and discriminant model(IV) using 33 significant symptoms and sign indices selected by stepwise selection. Development of statistical diagnostic tool discriminating 4 subtypes by sex : The discriminant model with the 24 significant indices in women and the 19 significant indices in men was developed for discriminating the 4 subtypes of syndrome differentiation including phlegm-dampness, qi-deficiency, yin-deficiency and fire-heat. Diagnostic accuracy and prediction rate of syndrome differentiation by sex : The overall diagnostic accuracy and prediction rate of 4 syndrome differentiation subtypes using 24 symptom and sign indices was 74.63%(403/540) and 68.46%(89/130) in women, 19 symptom and sign indices was 72.05%(446/619) and 70.44%(112/159) in men. These results are almost same as those of that the overall diagnostic accuracy(73.68%) and prediction rate(70.59%) are analyzed by the discriminant model(IV) using 33 symptom and sign indices selected by stepwise selection. Considering sex, the statistical discriminant model(V) with significant 24 symptom and sign indices in women and 19 symptom and sign indices in men, instead of 33 indices would be used in the field of oriental medicine contributing to the objectification of syndrome differentiation with parsimony rule.

Usefulness of four commonly used neuropathic pain screening questionnaires in patients with chronic low back pain: a cross-sectional study

  • Gudala, Kapil;Ghai, Babita;Bansal, Dipika
    • The Korean Journal of Pain
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    • 제30권1호
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    • pp.51-58
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    • 2017
  • Background: Recently symptoms-based screening questionnaires have gained attention for screening for a neuropathic pain component (NePC) in various chronic pain conditions. The present study assessed the usefulness of four commonly used NePC screening questionnaires including the Self-completed douleur neuropathique 4 (S-DN4), the ID Pain, the painDETECT questionnaire (PDQ), and the Self-completed Leeds Assessment of neuropathic Symptoms and Signs (S-LANSS) questionnaire in patients with chronic low back pain (CLBP) to assess the presence of NePC. Methods: This is a single-center cross-sectional study where patients with CLBP, with or without leg pain, were included. Participants were initially screened for NePC presence by a physician according to the regular practice, and later assessed using screening questionnaires. The diagnostic accuracy of these questionnaires was compared assuming the physician-made diagnosis as the gold standard. Results: A total of 215 patients with CLBP of which 164 (76.3%, 95% CI, 70.2-81.5) had a NePC were included. S-DN4, ID Pain, and PDQ have an area under the curve (AUC) > 0.8 indicating excellent discrimination. However, S-LANSS has an AUC of 0.69 (0.62-0.75), indicating low discrimination. S-DN4 has a significantly higher AUC as compared to ID Pain (d(AUC) = 0.063, P < 0.01) and S-LANSS (d(AUC) = 0.197, P < 0.01). But the AUC of S-DN4 does not significantly differ from that of PDQ (d(AUC) = 0.013, P = 0.62). Conclusions: S-DN4, ID Pain, and PDQ, but not S-LANSS, have good discriminant validity to screen for NePCs in patients with CLBP. Despite using all the tests, 20-30% of patients with an NePC were missed. Thus, these questionnaires can only be used as an initial clue in screening for NePCs, but do not replace clinical judgment.

안저골절재건 시 Medpor®의 맞춤조작에 따른 안와아래신경의 기능 (Infraorbital Nerve Function Following Tailoring of Medpor® in Reconstruction of Inferior Orbital Wall Fracture)

  • 권용석;김명훈;이장호;허정;이근철;김석권
    • Archives of Plastic Surgery
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    • 제35권6호
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    • pp.675-679
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    • 2008
  • Purpose: In the orbital floor fracture, sensory impairment due to the damage of the infraorbital nerve is one of the most common symptom and complication. In this report, we have the assumption that tailoring of $medpor^{(R)}$ for decompression may have correlations to the damage and regeneration of the nerve. Methods: Among patients who had open reduction for pure orbital floor fracture in our hospital from March 2005 to March 2008, we selected 80 cases. In 40 cases, we inserted tailored $medpor^{(R)}$, and in other 40 cases, non-tailored $medpor^{(R)}$ was inserted. Patient's reports were obtained and analyzed, and the pin-prick test and the 2-point discrimination test on the infraorbital nerve regions were done for testing the sensory impairments. Results: The results show that the patients who adopted sculpture of $medpor^{(R)}$ showed higher tendency of recovery of sensory impairments in the patient's subjective report, static touch sensation, static two point discrimination using. And in postoperative 3 months, there are statistically significant recovery of sensory symptoms, signs and the result of sensory tests. Conclusion: From these results, tailored $medpor^{(R)}$ in reconstruction of orbital wall fracture may improve recovery of sensory impairments for decreasing of compression of infraorbital nerve.