• Title/Summary/Keyword: Symptom group

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Changes in the Cross-Sectional Area of Multifidus and Psoas in Unilateral Sciatica Caused by Lumbar Disc Herniation

  • Kim, Wook-Ha;Lee, Sang-Ho;Lee, Dong-Yeob
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.201-204
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    • 2011
  • Objective : To quantitatively evaluate the asymmetry of the multifidus and psoas muscles in unilateral sciatica caused by lumbar disc herniation using magnetic resonance imaging (MRI). Methods : Seventy-six patients who underwent open microdiscectomy for unilateral L5 radiculopathy caused by disc herniation at the L4-5 level were enrolled, of which 39 patients (51.3%) had a symptom duration of 1 month or less (group A), and 37 (48.7%) had a symptom duration of 3 months or more (group B). The cross-sectional areas (CSAs) of the multifidus and psoas muscles were measured at the mid-portion of the L4-5 disc level on axial MRI, and compared between the diseased and normal sides in each group. Results : The mean symptom duration was $0.6{\pm}0.4$ months and $5.4{\pm}2.7$ months for groups A and B, respectively (p<0.001). There were no differences in the demographics between the 2 groups. There was a significant difference in the CSA of the multifidus muscle between the diseased and normal sides (p<0.01) in group B. In contrast, no significant multifidus muscle asymmetry was found in group A. The CSA of the psoas muscle was not affected by disc herniation in either group. Conclusion : The CSA of the multifidus muscle was reduced by lumbar disc herniation when symptom duration was 3 months or more.

Comorbid Psychiatric Symptom Associated With Oppositional Defiant Symptom in Community School-Age Children

  • Yong Hun Kim;Duk-Soo Moon;Na Ri Kang
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.34 no.3
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    • pp.169-174
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    • 2023
  • Objectives: Oppositional defiant disorder (ODD) is often comorbid with other psychiatric disorders in childhood. This study aimed to investigate comorbid psychiatric symptoms and associated factors in elementary school children with symptoms of ODD. Methods: The participants consisted of 205 mother-offspring pairs. Psychiatric symptoms were measured using the Diagnostic Predictive Scales and Korean Child Behavior Checklist. Psychiatric comorbid symptoms were compared between children with ODD symptom and those without ODD symptom. Multivariate logistic regression analysis was used to estimate the odds ratio of psychiatric symptom on ODD. Results: ODD group had a significant association with internalizing and externalizing problem (p=0.001, p<0.001, respectively). ODD group were more comorbid with anxiety disorder, depressive disorder, attention-deficit/hyperactivity disorder, and conduct disorder. Among psychiatric disorder, generalized anxiety disorder (GAD) (adjusted odds ratio [AOR]=18.620, p<0.001) and conduct disorder (AOR=9.529, p=0.014) were associated with ODD symptom. Conclusion: These findings suggest that children with ODD symptom had significantly higher rates of comorbid psychiatric symptoms. And GAD and conduct disorder are related to ODD symptom.

Effects of Foot Reflexology Massage on Climacteric Symptom, Fatigue and Physiologic Parameters of Middle Aged Women (발반사마사지가 중년여성의 갱년기 증상, 피로 및 생리지수에 미치는 효과)

  • Lee, Yun Mi
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.284-292
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    • 2006
  • Purpose; This study was aimed to identify the effect of foot reflexology massage on climacteric symptom, fatigue and physiologic parameters of middle-aged women. Method; A non-equivalent pretest-posttest experimental design was used. Participants were recruited from the Community Health Center in Busan, Korea. Forty participants were assigned to either an experimental group(20) or a control group(20). Foot reflexology massage was administered twice a week for 6 weeks in the participant in experimental group. Results: There were statistically significant differences in climacteric symptom, fatigue, total cholesterol and cortisol level. However, there were no statistically significant differences in triglyceride, high density lipoprotein and low density lipoprotein. Conclusion; These results suggest that foot reflexology massage could be utilized as an effective nursing intervention to reduce climacteric symptom and fatigue in middle-aged women.

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A study on TMD and stress of first children (첫째 아이의 스트레스와 측두하악장애에 관한 연구 - 고등학생을 중심으로 -)

  • Kim, Myung-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.683-693
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    • 2010
  • Objectives : The purpose of this study was to examine the relation between stress and temporomandibular disorder(TMD) of first the child. Methods : 500(the first child -250, non first child -250) high school students living in Jecheon city, form November 4th to 5th 2009, were the subjects of this questionnaire. The questionnaire was made up of three contests: sociodemographic characteristic, symptom & dysfunction of TMD and stress of high school students. The data were analyzed by chi-square test, two sample t-test and Pearson correlation. Results : Only 443(the first child -209, non first child - 234) students were evaluated due to inadequate responses. The obtain results was as follow. 1. Subjective symptom of TMD reported by 443 students were joint sound(63.5%), pain on chewing(55.1%), pain on opening the mouth(55.1%). 2. Analysis of subjective symptom of TMD showed the first child group was statistical significantly higher on joint sounds and TMJ pain than non first child group(<0.05). 3. Analysis of bad habit and dysfunction showed the first child group was statistical significantly higher on clenching of the teeth, difficulties of bite, headache than non first child group(<0.05). 4. Analysis of stress showed the first child group was statistical significantly higher on stress with parents than non first child. especially on marks and disagreement(<0.05). 5. Stress were partly related to subject symptom of TMD(<0.05, <0.01). 6. Analysis of relation stress and bad habit & dysfunction showed stress were partly related to bad habit & dysfunction(<0.05, <0.01). 7. bad habit were partly related to TMD(<0.05, <0.01). Conclusions : The first child stress and symptom of TMD were higher than non-first child, also stress and symptom of TMD was positively associated. therefore management of the first child' stress is necessary and related study is necessary in the future.

The Effects of Foot Reflexology on Peripheral Neuropathy, Symptom Distress, Anxiety and Depression in Cancer Patients Treated with Oxaliplatin (발반사요법이 항암화학요법 관련 말초신경병증, 증상 디스트레스, 불안 및 우울에 미치는 효과)

  • Lee, Se Young;Ham, Yun Hee;Ok, Oh Nam;Kim, Eun Ji;Kwon, In Gak;Hwang, Moon Sook;Cho, Myung Sook
    • Asian Oncology Nursing
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    • v.12 no.4
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    • pp.305-313
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    • 2012
  • Purpose: This study was done to clarify the effects of foot reflexology on peripheral neuropathy, symptom distress, anxiety and depression in cancer patients treated with oxaliplatin. Methods: A quasi-experimental design was employed. Changes in the variables were evaluated to test the effects of foot reflexology. Participants were cancer patients treated with oxaliplatin (experimental group 14 and control group 17). Peripheral neuropathy, symptom distress, anxiety and depression were measured before and after reflexology. Data were collected from October, 2010 to April, 2011. ${\chi}^2$-test, Fisher's exact test, t-test, Wilcoxon signed rank test and the Mann-Whitney U test were used to analyze the data. Results: The experimental group who received foot reflexology experienced less peripheral neuropathy and symptom distress than the control group. There was no difference in anxiety and depression between the experimental and control group. Conclusion: The foot reflexology program adopted in this study was found to be an effective method to reduce peripheral neuropathy and symptom distress. We recommend foot reflexology for patients with chemotherapy induced peripheral neuropathy.

Continuous Antiemetic Effects of Single Intravenous Injection of Antiemetics during Postoperative Pain Control with Morphine (Morphine 정주를 이용한 술후 통증 조절시 진토제 일회 정주의 지속적 항오심 및 항구토 효과)

  • Choi, Gi-Sun;An, Chi-Hong;Park, Sung-Sik;Lim, Dong-Geon;Baek, Woon-Yi;Park, Jin-Woong
    • The Korean Journal of Pain
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    • v.10 no.1
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    • pp.42-47
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    • 1997
  • Background : This study was designed to evaluate the continuous effects of single intravenous injection of antiemetics on nausea and vomiting during continuous morphine injection for postoperative pain control. Methods : Prior to the study, we divided patients into two major groups according to the type of surgery performed intra-abdominal(Open: O) and non intra-abdominal(Close: C). When patients regained orientation after routine general anesthesia, enflurane-$O_2-N_2O$, we injected bolus dose of morphine and started continuous injection of morphine for postoperative pain control(Group I; Control). After bolus injection and just before continuous injection, we injected single dose of droperidol(Group II) or ondansetron(Group III). Mean arterial blood pressure, heart rate, pain score and symptom-therapy score were checked at 10 minutes, 4, 8, 16, 24, 36 hours after continuous morphine injection. Results : The pain score of group III was lower than group II(10 min.) and group I(24, 36 hours) in the open group. Symptom-therapy score of group III(10 min., 4, 24 hours) and group II(10 min.) were lower than group I in the open group. In the close group, symptom-therapy score of group III(8 hours) was lower than group I. Conclusions : Single intravenous injection of antiemetics have a tendency of lowering symptom-therapy score for 36 hours in spite of their relatively short elimination half-life.

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The Effectiveness of Traumatic Symptom Checklist for Children(TSCC) - Comparisons of Sexually Abused Children and Nonabused Normal Children - (아동용 외상관련 증상 평가척도의 효용성 - 성폭력 피해 아동과 일반 아동의 비교 -)

  • Son, So-Young;Kim, Tae-Kyoung;Shin, Yee-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.18 no.1
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    • pp.49-57
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    • 2007
  • Objectives : The research is designed in order to know how much Traumatic Symptom Checklist fur Children(TSCC) is effective in the case of child abuses, especially in the estimation of the psychopathology of child sexual abuse. Methods : A sample includes a group of thirty children of 4th, 5th and 6th grade whose sexual abuse have confirmed and also a group of thirty four normal kids who have no abuse. Along with TSCC, Children's Depression Inventory (CDI) and Revised Children's Manifest Anxiety Scale (RCMAS) were used to children and child behavior checklist (K-CBCL), sexual behaviors (CSBI), and Kiddie-Schedule for Affective Disorder and Schizophrenia-Present and Lifetime version (K-SADS-PL) record sheets were used to kids' parents. Results : In case of the sexual abuse group, the most meaningful difference from the analyzed result is shown at sexual concerns scale which is one of the clinical scale in TSCC (p<.01). Also, the sexual abuse group has the meaningful higher score than the general group's one in the stress scale after the other anxiety, depression, anger and dissociation (p<.01). Conclusion : The scale of TSCC has relatively shown the characteristic symptom and severity which were gained from the children who have experienced trauma, especially sexual abuse.

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Food Habits & Gastric Symptoms of Career Women (직장여성의 식습관과 위증상)

  • Chung, Hee Shim
    • Korean Journal of Occupational Health Nursing
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    • v.6 no.2
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    • pp.128-135
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    • 1997
  • This study was carried out to describe the relationship between food habit and gastric symptom. Five hundreds ten women working more than 6 months were chosen for samples among the residents in Seoul and Kyungki provinces. This survey was done by questionnaire from the 5th September to the 5th October 1996. The results was followed : 1. The average score of the food habit in the career women was 9.6 among the total score. 20 2. The food habit of the career women appeared worse to whom were younger, single, and having loss educational backgrounded and living apart from family, When the average score of food habit was compared between groups, nurses group was lower than the other group, and shift workers. 3. The average score of gastric symptom was 8.1 among the total score 30. 4. The average gastric symptom score of the career women was resulted in less high among the younger, single, technical college graduated and living separately from the family. In the group comparison, the nurse group showed higher score than teachers and shift worker group showed higher score than nonshift worker. 5. There were negative correlation between food habit and gastric symptom. From the research point of view, the food habit of career women resulted differently depending on their occupations and invidual characteristics. Therefore, education and guidence for appropriate ate diet and food habit will be considered as necessary for health of the working women.

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Effects of a Stress Management Program on Perceived Stress, Depression and Somatic Symptom in the Elderly (스트레스 관리 프로그램이 노인의 지각된 스트레스, 우울 및 신체화 증상에 미치는 효과)

  • Lee, Young-Hee;Park, Chai-Soon
    • Journal of Home Health Care Nursing
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    • v.17 no.2
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    • pp.127-134
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    • 2010
  • Purpose: This study was done to identify the effects of stress management program on perceived stress, geriatric depression, and somatic symptom in elderly Korean subjects. Methods: A pre-post test design with a nonequivalent control group was used. Fifty elderly Korean subjects with mild depression were recruited from the registerants at four public senior citizen centers within S-gu in Seoul. They were randomly allotted to the experimental group(n=25) and control group(n=25). The intervention was performed for one hour each week at each center for 5 weeks. The effects were measured by Perceived Stress Scale, Geriatric Depression Scale-Korean, and Patient Health Questionnaire-15. Results: Perceived stress and depression were significantly reduced in experimental group. The somatic symptom was not significantly different in the experimental group. Conclusion: The stress management program may have merit in improving mental health of elderly Koreans, although this conclusion is equivocal pending further well-controlled studies that include mediation techniques such as conversion therapy and health gymnastics.

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A Study on the Development of Diagnostic Index for the Ordinary Symptom of Soyangin (소양인 소증 진단평가지표 개발 연구)

  • Cho, Young;Lee, Jun-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.32 no.4
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    • pp.45-64
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    • 2020
  • Purpose This study was to develop and study 'Diagnostic Index for the Ordinary Symptom of Soyangin'. Methods The main diagnosis and evaluation index symptoms of Soyangin were extracted based on 『Donguisusebowon』 and Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology; CPG for soyangin. The selected ordinary symptoms were divided into 4 categories such as Exterior-Cold ordinary symptom (表寒素證), Exterior-Disease unfavorable's ordinary symptom (表病逆證素證), Interior-Heat ordinary symptom (裏熱素證), Interior-Disease unfavorable's ordinary symptom (裏病逆證素證) of Soyangin and translated into Korean. And the inclusion, importance and translation validity of major diagnosis and assessment indicators of Soyangin were surveyed online by a group of Sasang constitutional experts. Results & Conclusions 29 ordinary symptoms and pathological mechanism were selected from references and translated into 51 Korean symptoms. After inclusion yes or no survey by expert group, 45 symptoms were selected. The importance survey showed that 'Have a soft stool' of Exterior-Cold ordinary symptom indication, '(If you're stressed, if you're not in good health) Have a soft stool or diarrhea' of Exterior-Disease unfavorable's ordinary symptom, 'The feces harden easily' of Interior-Heat ordinary symptom and '(If you're stressed, if you're not in good health) Have an upset stomach' of Interior-Disease unfavorable's ordinary symptom were the most important. Finally, [Diagnostic Index for the Ordinary Symptom of Soyangin] was completed after survey of translation validity, reflection of individual opinions by the expert committee, and application of weighted value calculated from the importance survey.