• 제목/요약/키워드: abnormal symptoms

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Which Alarm Symptoms Are Associated With Abnormal Gastrointestinal Endoscopy Among Thai Children?

  • Anundorn Wongteerasut
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제27권2호
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    • pp.113-124
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    • 2024
  • Purpose: Alarm symptoms (red flag signs) are crucial indications for management decisions on pediatric gastrointestinal endoscopy. We aimed to identify items in the alarm symptoms and pre-endoscopic investigations that predict abnormal endoscopy results. Methods: A retrospective descriptive study was conducted among children aged under 18 years undergoing endoscopy. The patients were classified into normal and abnormal endoscopic groups. The incidence of alarm symptoms and pre-endoscopic investigations were compared between the groups. Univariate and multivariate logistic regression analyses were performed to determine independent risk factors for abnormal endoscopy. Results: Of 148 participants, 66 were classified in the abnormal endoscopy group. Compared with the normal group, the abnormal group had a significantly higher prevalence of alarm symptoms. Moreover, hematemesis/hematochezia, anemia, low hemoglobin level, hypoalbuminemia, rising erythrocyte sedimentation rate, increased serum lipase, and blood urea nitrogen/creatinine ratio were significantly higher in the abnormal endoscopy group than in the normal group. Multivariate logistic regression analysis indicated that hematemesis/hematochezia and low hemoglobin level were independent risk factors for abnormal endoscopy. Conclusion: The alarm symptoms and pre-endoscopic investigations were evaluated using predictive factors for abnormal pediatric endoscopic findings. According to multivariate logistic regression analysis, hematemesis/hematochezia and low hemoglobin levels were independent risk factors for abnormal endoscopy.

정신분열병 환자에서 갑상선기능과 기분증상 및 신체증상 (Thyroid Dysfunctions Associated with the Mood Symptoms and the Psychosomatic Symptoms in Patients with Schizophrenia)

  • 김세희;한덕현;나철;민경준;주소연
    • 정신신체의학
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    • 제17권1호
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    • pp.30-36
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    • 2009
  • 연구목적 : 갑상선기능은 기분, 인지기능, 불안, 수면 등의 증상과 관련된다. 갑상선기능이상 시에 정신분열병 환자에서 음성증상, 기분, 신체증상에 어떤 차이가 있는지, 또 각각의 증상 변화와 어떻게 연관되는지를 연구하였다. 방법 : 정신분열병으로 입원했던 환자 65명을 입원 당시의 갑상선호르몬 수치에 따라 갑상선기능불안정 군과 갑상선기능정상 군으로 나누었다. 두 군의 입원 당시와 8주 후에 평가했던 음성증상평가척도(Scale for the Assessment of Negative Symptoms ; 이하 SANS), 양성증상평가척도(Scale for the for the Assessment of Positive Symptoms ; 이하 SAPS), 벡우울증척도(Beck Depression Inventory ; 이하 BDI), 신체감각증폭척도(Somatosensory Amplication Scale ; 이하 SSAS)의 변화를 비교하였다. 각 환자들은 항정신병약물 치료를 포함한 입원 치료를 받았으며, 갑상선기능이 불안정했던 경우 4주 후에 갑상선호르몬의 정상화를 확인하였다. 결과 : 8주 뒤에 갑상선기능정상 군과 갑상선기능불안정 군에서 SANS, BDI, SSAS 변화 차이가 의미 있게 나타났다. 갑상선기능정상 군에서 갑상선기능불안정 군에 비해 척도 점수가 크게 낮아졌는데, SANS는 23.3%(F=57.0, p<0.01), BDI는 19.6%(F=12.9, p<0.01), 신체감각증폭척도는 16.2%(F=17.1, p<0.01) 더 변화가 컸다. SANS, BDI, SSAS 세 지표 간에 유의한 상관관계는 없었다. 결론 : 정신분열병 환자들에게서 갑상선기능이 음성증상, 우울감, 신체증상에 관련된 예후에 표지가 될 수 있을 것이다.

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궁귀교애탕(芎歸膠艾湯) 투여로 호전된 비정상 자궁출혈환자 2례에 대한 증례보고 (Clinical Report of Two Patients with Abnormal Uterine Bleeding Treated by Kungkwikyoae-tang)

  • 백동기
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.953-959
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    • 2012
  • The purpose of this study is to report the hemostatic effects of Kungkwikyoae-tang for abnormal uterine bleeding. Kungkwikyoae-tang has been known as a useful herbal medication for uterine bleeding. We treated patients who had been suffering from abnormal uterine bleeding with herb-medication, acupuncture therapy, pharmacopuncture therapy and moxa therapy. We prescribed Kungkwikyoae-tang three times a day. The improvement of symptoms were measured by checking patient bleeding volume, frequency and other physical signs. After Kungkwikyoae-tang was given, abnormal uterine bleeding volume and frequency was reduced and other physical symptoms were improved. This case study shows that Kungkwikyoae-tang has a hemostatic effects against the abnormal uterine bleeding.

악관절증에 관한 방사선학적 연구 (RADIOGRAPHIC STUDY ON TEMPOROMANDIBULAR JOINT ARTHROSIS)

  • 유동수
    • 치과방사선
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    • 제10권1호
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    • pp.47-55
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    • 1980
  • The author analysed the routine radiographic changes and clinical symptoms of 205 cases of temporomandibular joint arthrosis. The clinical symptoms of the patients were classified and the morphological ylar head, articular eminence, and articular fossa were analized and discussed view point. The positional changes of condylar head and articular fossa relatation in TMJ arthrosis were observed. The frequencies of coincidence between the site of complaints and the site of the abnormal images which could be detected were examined. The results were obtained as follows; 1. Bone erosion, deformity, marginal proliferation and sclerosis were selected from many abnormal images as the radiographic diagnostic criteria of TMJ arthrotic lesions. 2. Abnormal radiographic findings were revealed in 150 cases (73.9%) of 205 total TMJ arthrosis cases and site with abnormal findings coincided with the site of complaints in 106 cases (70.7%) of 150 cases and coincidence rates were higher above fourth decades than below third decades. 3. Sclerosis of the abnormal radiographic findings could be found more often below third decades than above fourth decades. 4. The positional changes of condylar head were revealed in 176 cases (85.9%) of 205 total cases. 5. Pain complaints were revealed in 170 cases(82.9%) and clicking sounds were revealed in 120 cases (58.6%) of clinical symptoms of TMJ arthrosis. 6. No tendency was found so far the differential diagnosis between pain dysfunction syndrom and osteoarthrosis of TMJ.

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자궁내막증으로 인한 소음인(少陰人) 붕루(崩漏)환자의 온백원(溫白元)을 이용한 치험1례 (A Clinical Case of Soeumin Abnormal Uterine Bleeding from Endometriosis with Onbaek-won)

  • 이필재;김성기;송은영;임은철;서영민
    • 사상체질의학회지
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    • 제22권2호
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    • pp.108-114
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    • 2010
  • 1. Objectives: The purpose of this case is to report the effect of Onbaek-won(溫白元) which is based on Sasang Constitutional Medicine for abnormal uterine bleeding from Endometriosis in Soeumin. 2. Methods: We treated Soeumin patient that had abnormal uterine bleeding from endometriosis. We prescribed Onbaek-won(溫白元) for her physical symptoms. The improvement of her disease was checked her bleeding volume and other physical symptoms. 3. Results: After the Sasang constitutional medication of Onbaek-won(溫白元) was given, her bleeding volume and her physical symptoms was improved. 4. Conclusions: This case study show an efficient result of using Onbaek-won(溫白元) in abnormal uterine bleeding from endometriosis of Soeumin. Onbaek-won(溫白元) was used instead of Semen Tiglii(巴豆).

도서지역 여성의 요실금 및 하부요로증상에 관한 연구 (A Study of Urinary Incontinence and Lower Urinary Tract Symptoms of Women on an Island)

  • 신경림;박선영
    • 성인간호학회지
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    • 제13권2호
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    • pp.305-316
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    • 2001
  • The purpose of this study was to identify the frequency of Urinary Incontinence and lower urinary tract symptoms, to identify life style problems for UI of Women in anIsland. The sample consisted of 88 women in an island, a urinary symptom questionnaire developed by Jackson, et. al. and a demographic questionnaire were used to collect the data. The results of study were as following. 1. It was reported that the subjects have experienced UI and various lower urinary symptoms such as stress incontinence, nocturia, intermittency, abnormal stream, feeling of incomplete emptying and also they have experienced some degree of 'bother' 2. It was reported that the subjects have experienced various life style problems for UI 3. There was significant relationship between age and urgency (p=0.0262), bladder pain (p=0.0268), abnormal strength of stream (p=0.0074), inability to stop midstream (p=0.0026), and ability to perform daily tasks (p=0.0488), 4. There was a significant relationship between the number of discharges and urgency (p=0.0273), abnormal strength of stream (p=0.0307), and inability to stop midstream (p=0.0122). 5. There was a significant relationship between menopause and bladder pain (p=0.0020), abnormal strength of stream (p=0.0245), and inability to stop midstream (p=0.0002). 6. There was a significant relationship between the degree of experiences for lower urinary tract symptoms and life style behavior. Therefore, based on the results, a developing and carrying out of adequate UI care program is needed.

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신체이상증상 측정을 위한 장치개발 설계 (Device development for measurement of abnormal physical symptom)

  • 이해인;신성윤;이현창
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2018년도 추계학술대회
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    • pp.166-167
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    • 2018
  • 정보통신기술 발전에 따라 일반 사용자들의 생활의 편리성이 많이 향상되고 있다. 또한, 정보통신 기술에 의한 건강 측정과 관리가 인간의 수명을 증가시켜주고 있다. 이에 따라 건강에 대한 관심 증가와 함께 이상 증상에 관한 일반인들의 관심도도 증가되어지고 있다. 이에 본 연구에서는 신체 이상증상에 따른 건강을 관리하기 위하여 다리의 이상증상에 관한 연구를 진행한다. 특히, 하지정맥류 이상증상을 측정하기 위한 장치개발에 관한 내용에 관하여 살펴본다.

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동(動)의 의미에 대한 고찰 - 사전적 의미, 문헌적 의미, 임상사례를 중심으로- (On Definition of Dong(動) based on Literal Meaning, Literature written by Todo Yoshimasu and Case Reports)

  • 정선영
    • 대한상한금궤의학회지
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    • 제4권1호
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    • pp.83-92
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    • 2012
  • Objective : The purpose of study is to define the term Dong(動) in diagnosis view. Method : To define term Dong(動), I refer to Korean, Chinese, Japanese dictionary and Todo Yoshimasu (吉益東洞)'s writing, Yakucho(藥徵) Houkyoku(方極). Next, I search for the diagnosis definition of Dong(動) in 11 case reports. Results : The diagnosis definitions of Dong(動) are two meanings. One is objective symptoms which are doctor can examine, trembling, movement, etc. The other is subjective symptoms which are patient's feeling, emotional problems, etc. It seperates 6 meanings concretely. Conclusions: (1) visible moving of a focus, (2) movement of a focus, (3) appearance of abnormal secretion, (4) abnormal change of focus, (5) feel like moving, (6) change of emotion beyond patient's control. 1~4 are objective symptoms which are doctor can examine, and 5~6 are subjective symptoms which are patient's feeling.

RGP콘택트렌즈 착용 시 나타날 수 있는 증상과 관련된 안경사의 교육에 관한 연구 (The study for the Education of Optometrists Related a Symptoms which can Show as Wearing RGP Contact Lens)

  • 주경복
    • 한국안광학회지
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    • 제12권4호
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    • pp.71-76
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    • 2007
  • 본 연구의 목적은 RGP콘택트렌즈 착용 시 나타날 수 있는 증상에 관한 안경사의 이해도를 조사하는 것인데, RGP 콘택트렌즈 착용 시의 나타날 수 있는 증상에 대한 이해도가 높다면 적응증상과 이상증상을 구분하고 해결하여 RGP콘택트렌즈의 착용성공률을 보다 높여 줄 것이기 때문이다. 96명의 안경사를 대상으로 설문지를 통해 RGP콘택트렌즈 처방에 사용되는 기기 사용방법 및 경험, RGP콘택트렌즈 착용 시 나타날 수 있는 증상 등에 대한 이해수준을 조사하였다. 결과는 RGP콘택트렌즈 착용 시 증상에 대한 정확한 이해력이 상당히 낮은 수준으로 조사되었고, 정확한 처방을 위해 이론교육 및 실습교육 등이 더 강화되어야 한다.

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형방도적산가미방(荊防導赤散加味方) 투여로 치료한 소양인 결흉증(少陽人 結胸證)으로 변증된 간기능 수치 이상 소견을 보인 환자 증례 보고 3례 (Three Cases of Patients Who Showed Abnormal Liver Function Values in Soyangin Gyolhyungjeung Treated with Hyeongbangdojeok-san-gami)

  • 손경우;박수아;이흔주;백지영;남우진
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.166-175
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    • 2016
  • Objectives: This case study reports on improvements after treating patients who had abnormal liver function values in Soyangin gyolhyungjeung with Soyangin hyeongbangdojeok-san-gami.Methods: The study was carried out with three patients who showed abnormal liver function values in Soyangin gyolhyungjeung. Liver function tests (LFT) and numerical rating scales (NRS) were used to evaluate symptoms.Results: After we treated three patients with Soyangin hyeongbangdojeok-san-gami, their symptoms and LFT results had improved considerably.Conclusions: Soyangin hyeongbangdojeok-san-gami appears to have a useful effect on abnormal liver function values in Soyangin gyolhyungjeung. Further clinical studies are needed to verify these findings.