• 제목/요약/키워드: Symptom change

검색결과 462건 처리시간 0.026초

화병환자의 불안증 해소에 대한 침치료의 유효성 평가를 위한 단일군, 공개, 단일기관 임상시험 (The clinical trial for the significant effects of acupuncture on decreasing anxiety symptom of Hwa-Byung in a single institute- single-arm with Hwa-Byung, open lable)

  • 정덕진;이재혁
    • 동의신경정신과학회지
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    • 제23권1호
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    • pp.49-58
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    • 2012
  • Objectives : The purpose of this research is to investigate the effects of acupuncture on the anxiety symptoms regarding Hwa-Byung. Methods : Acupuncture was applied on 15 participants, 4 males and 11 females. Hwa-Byung was diagnosed by Hwa-Byung Diagnostic Interview Schedule(HBDIS). Then clinical research STAI, BDI, VAS, HRV was carried out for investigation to analyze the change of each symptom between pre-acupuncture and post-acupuncture. Results : STAI, VAS were all significantly decreased. BDI decreased, but the decrease was not significant. All physical and psychological scores of HBDIS were significantly decreased excluding A2, B2, B3, B5, C1, C5. Subjects of HRV were different between pre-acupuncture and post-acupuncture, but the difference was not significant. Conclusions : The results suggest that acupuncture has positive effects on anxiety and other symptom of Hwa-Byung.

데이터 마이닝을 이용한 대변과 약물간의 연관성 분석 -방약합편을 중심으로- (A study of relationship between excrement and materia medica in Bangyakhappyeon based on the data mining analysis)

  • 송영섭;양동훈;박영재;박영배
    • 대한한의진단학회지
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    • 제16권2호
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    • pp.33-46
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    • 2012
  • Purpose : Nowadays excrement-related disease that repeats constipation and diarrhea is on the increase due to the change of dietary and lack of exercise, etc. We analyzed Bangyakhappyeon in order to find out the materia medica which is used for the excrement patterns. Methods : The database used in present thesisis consist of disease pattern, nature of medicinals and materia medica from Bangyakhappyeon was constructed. We analyzed the nature of medicinals of excrement patterns(or symptom) by frequency analysis and network analysis, and also searched main materia medica of excrement patterns(or symptom) by frequency analysis and rule mining. Results : We analyzed the nature of medicinals of excrement patterns(or symptom) in Bangyakhappyeon. And we researched the high frequency materia medica, high specificity materia medica and high frequent paired-drugs as main materia medica of excrement patterns(or symptom). Conclusion : This study found the information about frequency relationship between excrement patterns(or symptoms) and materia medica.

중년기 여성의 우울증에 관한 연구 (A study on the Depression of the Middle aged Woman)

  • 장하경;서병숙
    • 가정과삶의질연구
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    • 제10권2호
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    • pp.263-276
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    • 1992
  • The middle aged woman today have met discord of unbalance in gender role identity due to change in cultual situation and view of value of our country since 1960. Under the promise that there is a relationship between depression which is a psychological characteristic and gender role traits of middle aged woman, and in consideration that the depression of middle-aged woman may be differentiated depend upon the expressive manner of gender role, this research was trying to find out the relationship between the gender role traits and the depression of middle aged women. The purpose of his research is to provide data to be helpful for marital hygirne of middle-aged women by presenting a plan to reduce depression of middle-aged woman by the desirable gender role. In order for such studying purpose, the gender role, physical symptom and socio-demographic feature were researched using the scale which was by this researcher. The questionnaire sheets of 327 use form middle-aged woman of 39 years to 59 years old in full with their last child is 10 years or order. The summerized results of study are as follows. In consolidation of the foregoing it have known that the socio-economic position and recognition of physical symptom and the masculinity feature has shown less depression as she feels less physical symptom due to there is relationship between recondition of physical symptom and he masculity feature, and also, it has known that the depression of middle-aged women may be reduced when such extroversive and expressional gender role features are developed as 'aggressiveness and ' fraternity, and the depression may be prompted due to such introvert and easy to be impacted by grudge as 'impression'

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발열 증상 클러스터 - 응급실 내원 성인 환자를 대상으로 (The Clusters of Fever-Related Symptoms among Patients at the Emergency Room)

  • 나선경;신현아;오의금
    • 임상간호연구
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    • 제23권1호
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    • pp.20-29
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    • 2017
  • Purpose: The purpose of this study was to investigate symptoms experienced by patients who reported fever at the emergency room (ER) and to identify any existing cluster of symptom related to fever. Methods: The study used a retrospective and descriptive design with secondary data analysis. Data were abstracted from 665 medical records of patients with fever who visited ER from September 1, 2015 to August 31, 2016 at a tertiary hospital. Results: The most frequently reported symptoms included cold (43.9%), myalgia (24.1%), headache (16.2%), general weakness (15.3%), respiratory symptoms (12.3%), gastrointestinal (GI) symptoms (12.0%), mental change (4.5%), sweating(1.8%), and warmth (0.9%). Analysis of the symptoms related to fever revealed seven symptom clusters; Cluster 1 (n=190) included cold (100%) and myalgia (28.9%); Cluster 2 (n=37), headache (100%) and myalgia (32.4%); Cluster 3 (n=33), GI symptoms (100%), general weakness, headache, and cold; Cluster 4 (n=34), cold (100%), myalgia, headache, and respiratory symptoms; Cluster 5 (n=241), respiratory symptoms (10.8%); Cluster 6 (n=76): myalgia (75.0%) and general weakness, and Cluster 7 (n=54), cold (87.0%), general weakness, and respiratory symptoms. Conclusion: The results of this comprehensive symptom assessment are hoped to be helpful in developing better symptom management for ER patients with fever than before. Further research is warranted to verify the symptom clusters of this study in different clinical settings.

Psychological Assessment of Patients with Iatrogenic Trigeminal Nerve Injury Using Symptom Checklist-90-Revised

  • Park, Mi-Sun;Roh, Byung-Yoon;Ahn, Jong-Mo;Yoon, Chang-Lyuk;Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • 제40권1호
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    • pp.35-40
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    • 2015
  • Purpose: This study aims to assess the psychological characteristics of patients with iatrogenic damage of the trigeminal nerve using Symptom Checklist-90-Revised (SCL-90-R). Methods: A total of 22 patients who visited the clinic of Department of Oral Medicine, School of Dentistry, Chosun University were evaluated in the months from December 2012 to December 2014. Patients were included in the study if they presented with reported sensory changes due to iatrogenic trigeminal nerve injury. A total of 37 control group who has no symptoms of pain and sensory change were included in the study. All participants filled out the SCL-90-R instrument to assess psychosocial symptoms. Results: The T-scores of most of the SCL-90-R symptom dimensions were within normal range (less than 55) in the patients and the control group. The patients group showed higher T-scores of SCL-90-R than those of the control group, with statistically significance of somatization, anxiety, psychoticism, and positive symptoms distress. Female patients group had higher Tscores of SCL-90-R than those of male patients group, but there was no statistical difference, except for the positive symptom global index. The chronic patients group showed higher Tscores of SCL-90-R than those of the acute patients group, but there was no statistical difference, except for the Positive symptom global index. Conclusions: According to the psychological assessment of iatrogenic trigeminal nerve injury patients using SCL-90-R, the patients group, as compared to the control group shows a significantly higher score for somatization, anxiety, and psychoticism. Therefore, assessment of psychological state would be considered to treat patients with iatrogenic trigeminal nerve injury.

음주노인의 주관적 건강인식이 우울 변화 궤적에 미치는 영향 (Influence of elderly drinkers' subjective health perception on the change in the trajectory of depression)

  • 박규희;허원구
    • 한국산학기술학회논문지
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    • 제17권10호
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    • pp.509-519
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    • 2016
  • 본 연구는 음주노인의 종단자료를 사용하여 주관적 건강인식의 변화가 우울 변화 궤적에 미치는 영향을 분석한 서술조사 연구이다. 본 연구는 고령화연구패널조사 1차(2006), 2차(2008), 3차(2010), 4차(2012) 자료를 모두 통합하여 균형패널를 구축하였으며, 최종 분석대상자는 네 시점 모두에서 응답한 음주노인 총 543명의 자료를 분석하였다. 연구방법으로는 기술통계와 변인들 간의 관계성을 검증하기 위하여 잠재성장모형을 이용하였다. 그 결과 첫째, 주관적 건강인식의 초기값이 우울수준 초기값에 미치는 영향이 부적(-)인 관계로 통계적으로 유의미하였다. 둘째, 한 주관적 건강인식 초기값이 우울의 변화율에 미치는 영향은 정적(+)인 관계가 있는 것으로 나타났으며, 초기 주관적 건강인식이 높은 음주노인은 우울 수준 변화율도 높다는 것을 의미하나 통계적으로 유의미하지 않았다. 셋째, 주관적 건강인식 변화율이 우울 변화율에 미치는 영향은 부적(-)인 관계가 있는 것으로 나타나 통계적으로 유미한 결과를 보였다. 즉 주관적 건강인식 변화율이 높을수록 우울의 변화율이 낮은 것으로 나타나, 주관적 건강인식의 증가속도가 빨라지면 음주노인의 우울은 증가속도가 느려진다고 할 수 있다. 이상을 토대로 지역사회에서 노인의 음주예방과 건강을 위한 프로그램을 개발하여 우울증과 자살을 예방하는 실효성 있는 정책과 시행이 요구된다.

화학요법을 받는 부인암환자의 구강불편감에 관한 연구 (A study on oral discomfort in gynecological cancer patients undergoing chemotherapy)

  • 정재원
    • 대한간호학회지
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    • 제25권2호
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    • pp.372-389
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    • 1995
  • The frequency with which administration of chemotherapy for gynecological cancer treatment is used has increased along with the use of surgery and radiotherapy Among the various side effects of chemotherapy, stomatitis causes a problem of function and sensation in the oral cavity. This oral discomfort can be categorized into two components ; perceived oral symptoms and observed oral symptoms. If the oral problem continues, it may cause infection, bleeding and nutritional deficiencies. As a result of this condition, compliance with the treatment process can be affected as well as the prognosis for the cancer patients. But as the oral discorrfort usually appears after chemotherapy, it is often not reported to the health care personnel as a patient problem. Without problem identification of the oral discomfort and ability to assess the problem, effective intervention cannot be planned. Therefore, this study was conducted to identify the pattern and the degree of oral discomfort due to cancer chemotherapy and thus to provide data for identification of the patient problem and for nursing assessment. The design of this study was a longitudinal de-scriptive study The subjects were in - patients who received chemotherapy under the diagnosis of gynecological cancer between Mar. 15, 1994 and May 15, 1994 at a general hospital in Seoul, Korea. The number of subjects was 64 and they were divided into two groups, one of 41 (A : 5FU & Neoplatin), the other of 23(B : Neoplatin, Cytoxan, Adriamycin), according to the treatment regimen. The data were collected for 24 days using self-re-port instruments. The instruments were the 「Perceived Oral Symptom Assessment Tool」 and 「Observed Oral Symptom Assessment Tool」 developed by this researcher. Data were analyzed using the SPSS-PC program, ANOVA, t-test, paired t-test and the Pearson Correlation Coefficient were applied. The results of this study are as follows : 1. In A regimen the peak time for perceived oral symptom scores was the fifth day after chemotherapy, and the tenth day for observed oral symptom scores. Both of the problems started on first day of chemotherapy and were not resolved completely until the 24th day after treatment. 2. In B regimen, the peak time for perceived oral symptom scores was on the seventh day after chemotherapy, and the eighth day for observed oral symptom scores. It was noted that perceived oral symptom scores were higher than observed oral symptom scores consistently for 24 days. Both also started on first day of chemotherapy, and were not resolved completely until the 24th day after chemotherapy. 3. There were no differences statistically in perceived oral symptom scores between A and B regimen. The loss of appetite and xerostomia caused the most severe discomfort in both of these two groups. 4. The were no differences statistically in observed oral symptom scores between the A and B regi moil. In the A regimen, the highest observed symptom scores were the lips, gingiva, tongue and buccal membrane in that order. But in the B regimen, the highest observed symptom scores were tongue, lips, buccal membrane and gingiva in that order. 5. In A regimen, the patients who had gingival edema and dentures had significantly higher perceived oral symptom scores. And those who had gingival edema and bleeding, foul odor and aphthous stomatitis had significantly higher observed oral symptom scores. 6. In B regimen, the patients who had the experience of stomatitis in the last course of chemotherapy had significantly higher perceived oral symptom scores. Those who had gingival edema had significantly higher observed oral symptom scores. 7. In the A regimen there was no correlation between lab values for lymphocytes and albumin with perceived oral symptom scores and observed oral symptom scores. In the B regimen, there was a significant negative correlation between lymphocytes and albumin with the observed oral symptom scores, but not between perceived oral symptom scores and lymphocytes and albumin values. In conclusion, the nurse should expect that the patient undergoing chemotherapy will complain severely about subjective discomfort and before objective physical change is observed. Also the patients who have chronic oral problems such as dentures, gingival edema and bleeding, foul odor, aphthous stomatitis will complain of severe oral discomfort due to chemotherapy.

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Symptom Determinant as RNA3 of Lily Isolates of Cucumber mosaic virus on Zucchini Squash

  • Cho, Seung-Kook;Ahn, Hong-Il;Kim, Min-Jea;Choi, Jang-Kyung;Ryu, Ki-Hyun
    • The Plant Pathology Journal
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    • 제20권3호
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    • pp.212-219
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    • 2004
  • Three isolates of Cucumber mosaic virus (CMV) from lily plants showing mosaic and distortion symptoms were detected by reverse-transcriptase polymerase chain reaction (RT-PCR) using primers specific to Cucumovirus genus namely, LK-CMV, LK4-CMV, and LKS-CMV. Restriction enzymes patterns of the RT-PCR products revealed that the lily isolates belonged to subgroup IA of CMV. In terms of biological properties, the lily isolates have highly similar but distinct pathogenicity as reported in other lily strains and ordinary strains of CMV. To characterize the molecular properties, cDNAs containing coat protein (CP) gene and 3' non-coding region (NCR) of RNA3 for the isolates were cloned and their nucleotide sequences were determined. The CP similarity (218 amino acids) was highly homologous (>97%) with that of subgroup I CMV strains. However, an additional 20-nulcleotide long segment was only present in 3' NCR of lily isolates, which form an additional stem-loop RNA structure. By using chimeric construct exchange cDNA containing 3'NCR of LK-CMV into the full-length cDNA clone of RNA3 of Fny-CMV, this additional segment may prove to be significant in the identification and fitness of the virus in lily plants. The pathology of zucchini squash infected by F1F2L3-CMV, a pseudorecombinant virus was showed to change drastically the severe mosaic and stunting symptom into a mild chlorotic spot on systemic leave, compared with Fny-CMV. To delimit the sequence of RNA3 affected the pathology, various RNA3 chimeras were constructed between two strains of CMV. The symptom determinants of F1F2L3-CMV were mapped to the positions amino acid 234, 239, and 250 in 3a movement protein (MP). RNA3 chimeras changed the sequences encoding three amino acids were resulted in alteration of systemic symptom.

가미음천이진탕(加味陰喘二陳湯) 투여환자(投與患者) 33례(例) 분석보고(分析報告) (The Clinical Report about 33 Patients who Administrated Gami-Eumcheonyijintang with the Symptom of Coughing)

  • 최해윤;최영아;전연이;김종대
    • 대한한의학방제학회지
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    • 제8권1호
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    • pp.213-224
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    • 2000
  • Objectives: We intented to find out the effect of Gami-Eumcheonyijintang to patients who complain with coughing and to make it useful for treating the patients with the symptom. Materials and Methods: We examined the medical of 33 patients who visited with the symptoms of coughing, sputum in Kyungsan University, Hospital of Oriental Medicine from April, 1996 to February, 1999. and we collected the result of the administration with Gami-Eumcheonyijintong. We aimed to find any change in the symptoms, reappearance after recovery, and any special facts with the medicine surveying by telephoning to the patients. Results : the results are as follows, 1. It showed that patients who were under thirties showed higher rate of recovery(75.00%) than who were over thirties(52.94% ). 2, The acute-stage patients who were recovered in less than four weeks showed higher rate of recovery than those chronic-stage patients who were recovered in more than eight weeks. 3. The patients who didn't have the symptoms of sputum or had less serious problems of it with severe coughing showed relatively the highest rate of recovery(73.91% ). 4. The patients who showed the coughing symptom right after URI without any past constitutional history showed the highest rate of recovery(73.68% ). Conclusion : From the above result, we found that Gami-Eumcheonyijintang is more effective in early coughing symptom after URI than chronic stage coughing symptom. It is thought that more studies about medicine composition are needed in the further.

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스트레스에 의한 구강안면증상의 발혀에 관한 역학적 연구 (An Epidemiologic Study on the Frequency of Stress Symptoms in the Orofacial Region)

  • 오민정;한경수
    • Journal of Oral Medicine and Pain
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    • 제22권2호
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    • pp.359-371
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    • 1997
  • Stress is recognized as a major predisposing and/ or precipitating factor in long-lastig intractable chronic pain, such as temporomandibular disorders, headache, and other psychophysiological disorders. So it is necessary to detect physical and psychological changes induced by stress as soon as possible for positive treatment outcome. This study was performed to investigate the occurrence rate of stress symptoms according to anatomic region, type of symptom, and other personal and social factors. 859 subjects from general population answered the stress symptom questionnaire devised by the author and composed of 50 items. Data from the questionnaire were analyzed statistically with SPSS program and the results obtained were as follows : 1. Oral symptom which showed the highest frequency rate of 38.8% was vesicular lesion of the lip and cheek. The other symptoms with more 20% occurrence rate were ulcerative leion of lip and cheek, toothache, paresthesia of teeth, eruption of tongue, tongue coating and taste change in descending order. 2. In extraoral symptoms, ?데 disturbance was the item which showed the highest frequency rate of 62.0%, and the items for stiffness of suboccipital region and neck, headache, facial swelling, furuncle of face were answered more than 45% of the subjects whereas only 14.0% of the subjucts complained jaw pain under stress. 3. The better one who thought his or her health status was, the fewer items were answered and the difference of symptom frequency by dwelling place and by having hobby were shown in extraoral symptoms only. 4. For relief of stress symptoms, 79.2% of the subjects replied only to take a rest whereas not more than 13, 5% of the subjects visited dental clinic. Correlationship between symptom sites were very high.

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