• 제목/요약/키워드: premonitory symptom

검색결과 6건 처리시간 0.015초

심근경색증 환자의 증상발현과 치료추구행위에 관한 연구 (Treatment-seeking Behavior among those with Signs and Symptoms of Acute Myocardial Infarction)

  • 김조자;김기연
    • 대한간호학회지
    • /
    • 제29권3호
    • /
    • pp.605-613
    • /
    • 1999
  • The main purposes of this study were to determine the time interval between the onset of symptoms of myocardial infarction and treatment-seeking time and to identify the factors related to the interval time. This study used a retrospective design. The sample consisted of 45 patients aged over 30 who were diagnosed with an acute myocardial infarction at two large university affiliated medical center from September 1, 1997 to June 30, 1998. Data was collected by using questionnaries, which included demographic data, permonitory clinical signs and symtoms of myocardial infarction, and a measure of the severity of the signs and symptoms. Also semi-structured interviews and chart reviews were used to obtain information related to treatment-seeking time. The results of this study are summarized as follows ; 1. The most frequent premonitory clinical symptom was chest pain(92.9%), the second, was perspiration(81.0%), and the next were nausea(40.5%) and dyspnea(38.1%). Thirty two patients reported having more than four premonitory signs and symtoms. Patients described the characteristics of chest pain as “somethings very heavy pressing down”(26.2%), “felt like my chest would burst”(24.4%), or “sharp pain”(16.7%), Over 95% of the sample reported having chest pain. 2. Twenty two (52.4%) patients reported to have “very severe” premonitory pain. 3. The mean time interval between the onset of signs and symptoms and the arrival at the medical center was 6.39$\pm$10.80 hours in 42 samples, the mean time from the onset to arrival at a local hospital was 3.27$\pm$5.39 hours and for transfer from a local hospital to the medical center was 4.75$\pm$9.87 hours in patients who had arrived at medical center via local hospital. 4. The severity of premonitory signs and symptoms did not differ significantly according to existence of premonitory signs and symptoms. 5. There was no significant relationship between treatment-seeking time and age, gender, marital status, economic status, occupation, or residence. But education had significant relationship(r=-0.51, p=0.01). Analysis of difference of the time interval according to the premonitory signs and symptoms showed that the time was shorter in patients who experienced nausea or dyspnea(U=115.50, p=0.01, U=132.00, p=0.04), however the severity of premonitory signs and symptoms did not have statistical significance.

  • PDF

VCTF와 IV전선의 반단선에 의한 화재위험성 평가를 위한 열적특성 해석 (Analysis of Thermal Characteristics for the Fire Risk Assessment According to Partial Disconnection on the VCTF and IV Electric Wire)

  • 김두현;김성철;이종호;박종영;박영호;이형준
    • 한국안전학회지
    • /
    • 제23권4호
    • /
    • pp.47-52
    • /
    • 2008
  • Many researches on fire risk for normal electric wiring have been pursued in advanced countries such as the USA and Japan, but comparative studies of the partial disconnection and normal state of electric wires have not been conducted. Detection system for the cause of partial disconnection is not developed and prevention countermeasure for electrical fire by the cause is not effective. Therefore, in this paper, partial disconnection characteristics on electric wires were derived and analyzed by experiment and electrical-thermal finite element method(Flux 3D) on the model wires which consist of VCTF(PVC insulated PVC sheathed Cap Tyre Flexible Cord, KS C 3304) and IV(lndoorwire PVC, KS C 3302). VCTF is used in wiring portable electric appliances and the IV is used indoors. Interrelationships between partial disconnection premonitory symptom and current were derived and analyzed by the characteristics based on experiments and thermal analysis for electric wire according to current under normal state and 200% overload state of rated current.

뚜렛 증후군에서 보툴리눔 톡신의 임상 효과 : 증례보고 및 고찰 (The Clinical Effect of Botulinum Toxin in a Patient with Tourette's Syndrome: A Case Report and Review)

  • 현정근;이준형;이창민;임명호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제24권2호
    • /
    • pp.90-95
    • /
    • 2013
  • Botulinum toxin, a neurotoxin, is known to be an inhibitor of cholinergic neuromuscular transmission. Recently, it was reported that the administration of botulinum toxin is effective for the treatment of focal neurological motor disorders such as cervical dystonia, blepharospasm, hemifacial spasm, spasmodic dysphonia, and writer's cramp. Several case studies reported that the botulinum toxin was administered for the treatment of motor tic or vocal tic. It was found that this toxin reduces the frequency and severity of the tic as well as the premonitory urge and symptoms. In our case study, a noticeable decrease of motor tic symptom was observed after an intramuscular injection of 300mg of botulinum toxin in an 18-year-old patient with Tourette's disorder who showed only a little improvement of motor tic and vocal tic symptoms after treatment with antipsychotic drugs for several years. This case is reported in our study and literature survey was undertaken for reviewing similar cases. In our study, an 18-year-old boy diagnosed with Tourette's disorder based on Diagnostic and Statistical Manual of Mental Disorders, fourth edition presented with the following scores : the Clinical Global Impression scale, Yale Global Tic Severity Scale (motor/vocal/severity), Premonitory Urge Score, Korean Attention-Deficit Hyperactivity Disorder Rating scale, and Kovac Depression scale which were performed prior to the treatment were 5, 21/5/50, 100, 17, and 18 points, respectively. Two weeks after the injection of botulinum toxin, the scores were 4, 17/5/40, 50, 16, and 19 points, respectively. Eight weeks after the injection of botulinum toxin, they had become 3, 15/5/30, 25, 16, and 20 points, respectively, which clearly indicates a noticeable decrease of motor tic symptom.

지표변위 감지 센서를 활용한 사면 안전감지 시스템 (Tension Wire Sensor of shallow failure detection for the real time slop stabilization)

  • 장기태;윤기재;정성윤;유병선;김경태;이원효
    • 한국지반공학회:학술대회논문집
    • /
    • 한국지반공학회 2001년도 정보화시공 학술발표회
    • /
    • pp.19-27
    • /
    • 2001
  • Early detection of premonitory symptom of slope movement ensures tremendous saving of lives and repair costs from catastrophic disaster. Therefore, it is essential to constantly monitor the performance and integrity of both reinforced and un-reinforced cut slopes. We developed a novel monitoring system by using tension wire sensors. It's advantages are highly sensitivity, simple installation, large displacement measurement, durability of system, capability of remote sensing. Real-time measurement of slope surface movement is shown graphically and it gives a warning when the monitored value exceeds a given threshold level so that any sign of abnormal slope movement can be easily perceived.

  • PDF

지표변위 감지 센서를 활용한 사면 안전감지 시스템 (Tension Wire Sensor of shallow failure detection for the real time slop stabilization)

  • 장기태
    • 지구물리
    • /
    • 제8권3호
    • /
    • pp.137-143
    • /
    • 2005
  • Early detection of premonitory symptom of slope movement ensures tremendous saving of lives and repair costs from catastrophic disaster. Therefore, it is essential to constantly monitor the performance and integrity of both reinforced and un-reinforced cut slopes. We developed a novel monitoring system by using tension wire sensors. It's advantages are highly sensitivity, simple installation, large displacement measurement, durability of system, capability of remote sensing. Real-time measurement of slope surface movement is shown graphically and it gives a warning when the monitored value exceeds a given threshold level so that any sign of abnormal slope movement can be easily perceived.

  • PDF

치성 협부 봉와직염의 증상으로 발현된 Sweet 증후군; 증례 보고 (SWEET SYNDROME INITIALLY MANIFESTING ODONTOGENIC BUCCAL CELLULITIS; REPORT OF A CASE)

  • 김용진;변수환;김준영;안강민;전주홍;이부규
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제29권6호
    • /
    • pp.538-542
    • /
    • 2007
  • Sweet syndrome is characterized by acute onset of fever. neutrophilic leukocytosis, painful erythematous plaque on the face and extremities, infiltration of mature neutrophils in the dermis. Cutaneous lesion and clinical symptoms rapidly improve after treatment with systemic corticosteroids. The cause of sweet syndrome is unknown but the associations with hypersensitivity to bacteria, virus, or tumor antigen have been reported. Sweet syndrome itself can be a premonitory manifestation of malignancy, so diagnostic work up for other internal malignancy is recommended. Because of fever and leukocytosis, cutaneous infections are important differentials. Sweet syndrome can be divided into 4 categories according to associated disease and symptom. (Idiopathic Sweet syndrome, Parainflammatory Sweet syndrome, Paraneoplastic Sweet syndrome, Pregnacy associated Sweet syndrome.) Sweet syndrome is relatively rare disease and the association with myelodisplastic syndrome has been reported. We report a case of Sweet syndrome associated with myelodisplastic syndrome which has initial manifestation of odontogenic buccal cellulites.