• 제목/요약/키워드: Symptom indicator

검색결과 51건 처리시간 0.027초

사상의학의 표리변증에 대한 소증 진단지표 개발연구: 소음인, 소양인, 태음인을 중심으로 (Development of Diagnostic Indicator for the Sasang Constitution Exterior-Interior Disease Based on Original Symptom)

  • 박민영;이민정;황민우
    • 사상체질의학회지
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    • 제32권4호
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    • pp.65-85
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    • 2020
  • Objectives The aim of study was to suggest diagnostic indicator according to Exterior-Interior disease for the Sasang Constitution based on original symptom. Methods We investigated the literature(『Dongeuisusebowon sinchukbon』) and another study(Clinical Practice Guideline for Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm). As a result, we developed diagnostic indicator of original symptom for Exterior-Interior disease in Sasang Constitutional Medicine. Results and Conclusions Diagnosis of Exterior-Interior disease in Sasang Constitution was decided by heat and cold of original symptom. Detailed indicators of diagnosis in Exterior-Interior disease were heat/cold sensitivity, the degree of sweating, the amount of drinking water, thirst, face color and somatalgia.

피부전기저항측정기(ABR-2000)의 맥진기(3D-MAC) 및 한방진단시스템(DSOM)과의 상관성 연구 (Study for Correlation of 3D-MAC and DSOM with ABR-2000)

  • 송정오;김민애;이인선
    • 대한한방부인과학회지
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    • 제31권1호
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    • pp.57-83
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    • 2018
  • Purpose: This research has been carried out to find out correlation between test results of ABR-2000 and other diagnostic equipments to enhance significance of accurate diagnosis and clinical usage of ABR-2000. Methods: Duration of the 31 months from December 2012 to June 2015, records of 564 outpatients at gynecology department have been selected. The 564 patients were tested, using all 3 different test equipments of ABR-2000, DSOM, and 3D Blood Pressure Pulse Analyzer (3D-MAC) without test errors or mis-recordings. Correlation between 3D Blood pressure Pulse Analyzer, DSOM and ABR-2000 were analyzed by frequency & ratio factor of statistic data records of patients groups devided by 8 different disease symptom and by comparison of the groups in the form of Regulation and Graph presented on ABR-2000 equipment. Results: 1. The indicator L in all 1, 2, and 3 quadrant in the graph means the activity and reactivity of the upper body biodynamics detection rate is low and which result is very common symptom among gynecological patients. 2. The portion of patients with hypermenorrhea, endometritis, and menstrual pain symptom among the indicator L group in the reactivity 1-3 quadrantin is significantly high. 3. When 3D Mac analyzer indicates H, diastole decreases while systole increases and tachycardia increases then the blood circulation is expected to increase. In case of indication L, diastole increases and systole decreases then, the blood circulation is expected to decrease.

한방진단시스템을 이용한 여성불임(女性不姙)의 한의학적 인자(因子) 연구 (A Study on Association of DSOM Symptom Scores for Women infertility in Oriental Medicine)

  • 조혜숙;엄윤경;유주희;강종근;김규곤;이인선
    • 대한한방부인과학회지
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    • 제20권1호
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    • pp.214-238
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    • 2007
  • Purpose : We have carried out this study to investigate association of DSOM scores and women infertility in oriental medicine for systematization diagnosis and treatment of women infertility. Methods : We analyzed the results of medical records for 151 patients who were diagnosed as women infertility. We investigated the possession of symptom index of women infertility, recognition association of DSOM. Results : 1. In comparison with 151 clinical trial's data. deficiency of Yin(陰虛), coldness(寒), spleen(脾) are associated positively and deficiency of Yang(陽虛), phlegm(痰) are associated negatively. 2. In pathogenesis(病機) indicator of average, cold inside the body is associated positively and diarrhea, kidney are associated negatively. 3. In pathogenesis five score-point of value, Heat(熱), kidney(腎) are associated negatively. 4. In pathogenesis(病機) indicator. constipation(便秘) is associated positively and hardness of lower abdomen, tingly weakness of lower back and knee question are associated negatively. 5. In 140 questions, nine questions are associated positively and ten question are associated negatively.

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말기 암환자의 임종 전 48시간 동안의 임상증상 (Symptom Experience in Terminal Cancer Patients during the Last 48 Hours of Life)

  • 심윤수;김도연;남은미;이순남
    • Journal of Hospice and Palliative Care
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    • 제10권4호
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    • pp.190-194
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    • 2007
  • 목적: 말기 암환자의 여명을 예측하는 것은 환자와 가족들에게 '평안한 임종'을 맞기 위한 준비를 할 수 있도록 하고, 의료진에게는 적극적 증상완화와 전인간적 돌봄을 가능하게 할 수 있다. 이에 본 연구는 말기 암환자에서 임종 전 48시간 동안의 임상증상을 파악하고 임종을 예측하는 임상증상을 확인하여 환자 가족 및 의료진에게 이 시기에 나타나는 변화들을 이해하여 준비된 평안한 임종을 맞는데 도움이 되고자 한다. 방법: 2003년 7월부터 2006년 3월까지 한 대학병원에 입원하여 사망한 말기 암환자 89명을 대상으로 하여 임종 전 48시간 동안의 임상증상을 조사하였고 입원 시, 임종 48시간-24시간전, 임종 24시간전$\sim$임종시까지 시간대별 증상의 빈도 변화를 분석하였다. 결과: 전체 대상 환자의 중앙 연령은 62세(범위, $16{\sim}97$세)였다. 임종 48시간전 임상증상의 빈도는 의식혼탁(57%)이 가장 흔하였으며 이외 통증(30%), 발열(22%), 호흡곤란(19%)의 순이었다. 원발암에 따른 임종 48시간전 임상증상도 유사한 빈도를 보였으나 담도계암환자에서 발열의 빈도가 다른 암종에 비해 유의하게 높았다(P=0.012). 임종이 임박할수록 입원 시에 호소하던 전신 쇠약감과 식욕부진은 감소한 반면 의식혼탁은 유의하게 증가하였다(P<0.001). 결론: 말기 암환자에서 의식혼탁은 임종이 임박했음을 나타내는 가장 중요한 임상 지표로 생각된다.

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음양변증(陰陽辨證)의 정의와 기능 및 판별방법 연구 (Definition, Role and Method of Yinyang Pattern Differentiation)

  • 지규용;박신형
    • 동의생리병리학회지
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    • 제35권2호
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    • pp.47-55
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    • 2021
  • In order to ensure the fact that eight principle pattern differentiation is used clinically as a basic guideline for Korean medicine practice, the definition, role and method of yin-yang pattern differentiation with its case report were explored at first. Yinyang Pattern Differentiation is a method of discriminating human tendencies or morbidity based on the yin and yang characteristics expressed in living bodies. And yin and yang are the two contrasting characteristics and aspects of the interaction when certain physical conditions that have a lasting effect on the human physiological metabolic function are correlated with the morbidity. Specific methods of yinyang pattern differentiation can be divided into several types of yin and yang indicators. First, time and space factors like day and night, hot and cold seasons, above and below, topographical districts. Second, colors and pulse and their/or relative clearness and muddiness, hardness and softness, moving and resting. Third, diagnose yin and yang patterns through distinguishing the true and false of a fever and cold in an emergency phase such as increase of brain pressure and shock state. Fourth, general characteristics of the propensity and constitution of a subject such as body type, speech, behavior, and physiological metabolism. And for clinical use, these were summarized again as a symptom indicators of physical signs and color, pulse, tongue and questionnaire indicators of propensity, body type, and space-time characteristics. Conclusively, it was confirmed that yinyang pattern differentiation has its own diagnostic significance which is distinct from exterior-interior, cold-heat and deficiency-excess pattern differentiation.

유방암 환자의 림프부종 유무에 따른 신체적 및 심리사회적 상태 (Comparisons of Physiological and Psychosocial Symptoms for Breast Cancer Patients with and without Lymphedema)

  • 박진희
    • 성인간호학회지
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    • 제18권3호
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    • pp.357-366
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    • 2006
  • Purpose: The purpose of this study were to examine the incidence of lymphedema and to compare to physiological and psychosocial symptoms between breast cancer patients with lymphedema and without lymphedema. Method: Four hundreds fifty women with breast cancer receiving mastectomy were recruited from two out-patient breast clinics of A and S university hospitals in Seoul, Korea from October, 2004 to May, 2005. Lymphedema was defined by circumferential measurement. Differences greater than 2cm between the affected arm and normal arm were considered to be lymphedema. A descriptive design was used for this study and data was collected using a structured questionnaire. The data were analyzed using descriptive statistics and independent t-test. Results: Lymphedema developed in 112(24.9%) of the 450 subjects. Subjects with lymphedema reported more severe sensation change of arm and more depression and confusion than subjects without lymphedema. Range of motion of shoulder as a physical indicator and social support, however, were not significantly different between the two groups. Conclusion: Lymphedema is recognized as an unpleasant and uncomfortable consequence of breast cancer-related treatment. Therefore, more research is needed to evaluate the impact of lymphedema on quality of life in patients with lymphedema and the efficacy of nursing intervention.

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실내식물의 오존 반응 (Ozone Response on Indoor Landscape Plants)

  • 허정희;방광자;설종호
    • 한국조경학회지
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    • 제28권5호
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    • pp.87-92
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    • 2000
  • The purpose of this study is to investigate Ozone which we have to contact in our daily lives. Recently Ozone becomes a serious pollutant in the inside and outside. To select th indicator plants or the purifier plants for air pollution caused by ozone, this stud has been conducted with interior landscape plant of 10 species. The results are as follows; 1) The visible demage by Ozone was firstly observed on Viburnum awabuki among 10 species, and it occurred after the lapse of 10, 8 and 4 hours on 0.5, 1.0 and 2.0 ppm ozone treatment, respectively. The first symptom of visible demage appeared on chlorosis or blotting of leaves, then progressed on necrosis of leaves. 2) On the other hand, Litsea japonica and Ardisia japonica were so resistant against Ozone fumigation that they were not demage independently of Ozone concentration till the lapse of 60 hours. 3) Chlorophyll contents were decreased by the increased Ozone concentration. At this time, grana destruction was observed. The most sensitive plant to ozone was Viburnum awabuki, and we suggest that Viburnum awabuki would be possible one to use for the indicator plant. The most resistance plant to Ozone was Litsea japonic and Ardisia japonica, we suggest that Litsea japonica and Ardisia japonica would be possible to use for the purifier plant for Ozone pollution.

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우리나라 사업장의 건강증진 프로그램 유형 분석 - 사업장 건강증진운동 우수사례집을 중심으로 - (Analysis of Worksit Health Promotion Programs)

  • 김영임;정혜선;김숙영;이종은
    • 한국직업건강간호학회지
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    • 제13권2호
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    • pp.140-147
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    • 2004
  • Purpose: The purpose of this study is to identify the types of worksite health promotion programs. Method: Data were collected from the excellent 35 cases chosen at the contest for worksite health promotion held by Korea Occupational Safety and Health Agency. Result: Out of all the health promotion programs, the exercise program recorded 35.0%, the nutrition program 29.4%, the smoking cessation program 28.0%, and the alcohol reduction program 7.6%. The major element of worksite health promotion programs were awareness raising intervention. Behavior change intervention and supportive environment intervention occupied a small portion of the health promotion programs. Evaluation of health promotion programs was made mainly by indicators of health behavior change and clinical symptom. Yet economical indicator was not used at all. Conclusion: Use of various evaluation indicator and development of various interventions including behavior change and supply of supportive environment are required to encourage worksite health promotion program.

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First Report of Zucchini yellow mosaic virus on Hollyhock (Althaea rosea)

  • Park, Won-Mok;Park, Seung-Kook;Yoon, Ju-Yeon;Ryu, Ki-Hyun;Park, Jang-Kyung
    • The Plant Pathology Journal
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    • 제18권3호
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    • pp.121-125
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    • 2002
  • This study was conducted to determine the causal virus that naturally infected hollyhock (Althaea rosea) plant showing mild mosaic symptom in 1999. Flexuous virus particles were found in the cytoplasm of plant tissue from infected hollyhock under transmissible electron microscopy. A virus from the genus Potyvirus under the family Potyviridae was isolated and was maintained on Chenopodium quinoa for three passages. Chlorotic local legions were used to inoculate 20 species of indicator plants. The virus infected all the tested cucurbit plants, but failed to infect Nicotiana benthamiana. Based on the host range test and RT-PCR analysis, the potyvirus was identified as a strain of Zucchini yellow mosaic virus-A (ZYMV-A), one of the major pathogens of cucurbits. Infectivity analysis showed that ZYMV-A induced faster systemic symptom than ZYMV-Cu on squash and other cucurbit plants, suggesting that ZYMV-A was a more severe strain. To better characterize ZYMV-A, Western blot assay was carried rout to the coat protein (CP) of the virus using ZYMV-specific antiserum with ZYMV-Cu and other potyviruses. The CP of the virus reacted strongly with the antiserum against ZYMV, and other tested antisera did not react with the CP of ZYMV-A. Results strongly suggest that the potyvirus infecting hollyhock was a novel strain of ZYMV. This is the first report on ZYMV as the causal virus infecting hollyhock in Korea.

급, 만성 요천추부 신경근병증 환자의 신체진찰과 근전도의 임상적 의미 (Clinical Value of Physical Examination and Electromyography in Acute and Chronic Lumbosacral Radiculopathy)

  • 정유형;정하목;강석;윤준식
    • Clinical Pain
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    • 제19권2호
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    • pp.90-96
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    • 2020
  • Objective: To investigate the diagnostic accuracy of two physical examinations (straight leg raise [SLR] and Bragard test) and electromyography (EMG) in patients with lumbosacral monoradiculopathy in acute and chronic state on confirmation of different diagnostic criteria (MRI vs MRI and diagnostic selective nerve root block [DSNRB]). Method: We identified 297 participants retrospectively from the departmental database. MRI evidence of L5 or S1 nerve root compression and a positive result in diagnostic SNRB served as reference standards. They were divided into two groups by the symptom duration: lasting more than 12 weeks in the chronic group and less than 12 weeks in the acute group. The diagnostic value of clinical tests and EMG were compared. Results: The clinical tests (SLR and Bragard test) done in acute stage on detection by MRI and DSNRB had the highest sensitivity (68%) compared to the chronic stage (63%), but sensitivity was low (57%) on confirmation of MRI alone. However, there was no significant difference on sensitivity and specificity of EMG regardless of reference standards and symptom duration. Electromyography was a significant predictor of neuropathic abnormalities on both acute (OR, 6.3; 95% CI, 2.4 to 16.7; p<0.01) and chronic (OR, 6.8; 95% CI, 2.9 to 16.3; p<0.01). Conclusion: In general, individual physical tests are easy to do and a combination of those tests could be a sensitive indicator of L5 or S1 radiculopathy. Furthermore, the use of provocation tests could provide useful information, especially in proceeding therapeutic selective nerve root block.