• Title/Summary/Keyword: subjective symptom

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A study on the work environment and accident exposure status of Tower Crane workers (타워크레인 작업 근로자의 작업환경과 사고 노출 실태에 관한 연구)

  • Choi, Seo-Yeon;Cho, Kee-Hong;Park, Dong-Hyun;Choi, Byung-Gil
    • Journal of the Korea Safety Management & Science
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    • v.17 no.3
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    • pp.115-123
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    • 2015
  • The study conducted statistical analysis of survey on the 239 workers participating in national Tower Crane installation/dismantlement in order to identify work environment and health hazard exposure of Tower Crane workers. Consequently for work related safety status of Tower Crane workers, the number of installation/dismantlement work was the highest at 15-20 times per month, and safety equipments were not arranged at work and they felt highly anxious when boarding on the Tower Crane. Furthermore, it is found that they feel anxious working in the influence of the weather, noise, vibration, wind, the sun ray, and structure characteristic. They have very low satisfaction in the insecureness of workplace and the work environment, and recognizes that their work affect highly on the health. 81.6% of workers have experienced accident at work, the cause of accidents were mainly due to poor work environment, and the health abnormality they have experienced were mostly fatigue and concentration reduction. For job stress, job demand and conflict in relationship were the highest sections. Total 66.5% of workers complained of musculoskeletal disorder related subjective symptom, and back pain patients were the highest of all groups.

A Case Report on Korean Medical Treatment for a Patient with Chronic Nausea and Vomiting Syndrome (만성 오심 구토 증후군 환자의 한의치료 1례)

  • Kim, Hakkyeom;Park, Jiyoon;Moon, Jiseong;Kim, Yeseul;Min, Seonwoo;Ahn, Lib;Lim, Seong-woo
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.967-975
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    • 2021
  • This study investigated the case of a nineteen-year-old female patient with chronic nausea, vomiting, and abdominal distension, who was diagnosed with CNVS and Spleen-Qi deficiency. Subjective symptoms were recorded with the Numerical Rating Scale (NRS) every morning, and the Gastrointestinal Symptom Rating Scale (GSRS) was used on the days of admission and discharge. For eleven days following admission, she took Bojungikki-tang-gagam and received acupuncture and moxibustion therapy. After three days of treatment, her nausea and vomiting ceased, and abdominal distension improved from NRS 3 to 0 after seven days of treatment. The GSRS score for the specific symptoms improved from 3 to 2; however, the total score remained largely unchanged (from 20 to 21). This case suggests that Korean medical treatment may improve CNVS.

Chuna Manual Therapy for Lymphedema: A Systematic Review and Meta-analysis (림프부종에 대한 추나요법의 효과: 체계적 문헌고찰과 메타분석)

  • Chung, In-Che;Kim, Ye-eun;Ahn, Jeong-hoon;Han, In-sik;Park, In-hwa;Cha, Yun-Yeop
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.2
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    • pp.15-24
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    • 2021
  • Objectives Purpose of our study is to investigate the preventive and therapeutic effect of Chuna manual therapy (CMT) for lymphedema. Methods A study search of 10 databases was performed. We included the randomized controlled trials (RCTs) which performed CMT for lymphedema in this study. The keywords used were 'chuna' or 'tuina' and 'lymphedema'. Two independent authors rated study quality and risk of bias using the Cochrane risk of bias tool. Results 9 appropriate RCTs were remained after screening. The therapeutic effects of the experimental group was statistically higher than that of the control group with functional exercise or taking western medicine. Subjective symptom score was also lower in the CMT group. Conclusions These results suggests that CMT has sufficient evidence that it is more effective in prevent or alleviating symptoms of lymphedema than conventional treating methods. However, due to the high risk of bias of included studies, further researches are needed with higher quality of evidence.

The Relationship between Sleep Quality and Depressive Symptoms among University Students : Moderating Effect of the Positive Psychology (대학생들의 수면의 질과 우울증상과의 관계 : 긍정심리의 조절효과)

  • Jung, Soo Hyun;Park, Jung Hyun;Yoon, Hyung Jun;Kim, Jung Ho;Kim, Nam Cheol;Kim, Sang Hoon
    • Journal of the Korean society of biological therapies in psychiatry
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    • v.24 no.3
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    • pp.173-183
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    • 2018
  • Objectives : The aim of study was to estimate the prevalence of poor sleep quality and depressive symptoms as well as to examine the moderating effect of positive psychology on the relationship between poor sleep quality and depressive symptoms among Korean university students. Methods : A total of 2,338(1,071 male and 1,267 female) university students at seven universities of four cities in Korea were randomly selected to participate in a survey. Data were collected by self-report questionnaires, including Pittsburgh Sleep Quality Index(PSQI), Beck Depression Inventory(BDI), Satisfaction with Life Scale(SWLS), Positive Psychotherapy Inventory(PPTI), and sociodemographic characteristics. Results : The prevalence was 44.8% for poor sleep quality and 14.4% for depressive symptoms among Korean university students. By moderated regression analysis, the results showed that poor sleep quality(${\beta}=0.453$, p<0.001) aggravated depressive symptoms of university students, and life satisfaction(${\beta}=-0.087$, p<0.001) and happiness(${\beta}=-0.145$, p<0.001) respectively buffered the negative effect of the poor sleep quality on depressive symptoms. Conclusion : This study showed very high prevalence of poor sleep quality and depressive symptoms among Korean university students. Overall, these findings demonstrates that positive psychology can be effective in the enhancement of subjective and psychological well-being and may help to reduce depressive symptom levels. In the context of public health, positive psychology can be used as preventive, easily accessible and non-stigmatizing tools.

Associations of nerve conduction study variables with clinical symptom scores in patients with type 2 diabetes

  • Park, Joong Hyun;Park, Jae Hyeon;Won, Jong Chul
    • Annals of Clinical Neurophysiology
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    • v.21 no.1
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    • pp.36-43
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    • 2019
  • Background: Diabetic peripheral polyneuropathy (DPN) is associated with a variety of symptoms. Nerve conduction studies (NCSs) are considered to be the gold standard of nerve damage assessments, but these studies are often dissociated from the subjective symptoms observed in DPN patients. Thus, the aim of the present study was to investigate the correlations between NCS parameters and neuropathic symptoms quantified using the Michigan Neuropathy Screening Instrument (MNSI). Methods: Patients with type 2 diabetes mellitus (T2DM) with or without symptoms of neuropathy were retrospectively enrolled. Demographic data, clinical laboratory data, MNSI score, and NCS results were collected for analysis; DPN was diagnosed based on the MNSI score (${\geq}3.0$) and abnormal NCS results. Pearson's correlation coefficients were used to evaluate the relationships between MNSI score and NCS variables. Results: The final analyses included 198 patients (115 men and 83 women) with a mean age of $62.6{\pm}12.7$ years and a mean duration of diabetes of $12.7{\pm}8.4$ years. The mean MNSI score was 2.8 (range, 0.0-9.0), and 69 patients (34.8%) were diagnosed with DPN. The MNSI score was positively correlated with the median motor nerve latency and negatively correlated with the median motor, ulnar sensory, peroneal, tibial, and sural nerve conduction velocities (NCVs). When the patients were categorized into quartiles according to MNSI score, peroneal nerve conduction velocity was significantly lower in the second MNSI quartile than in the first MNSI quartile (p = 0.001). A multivariate analysis revealed that the peroneal NCV was independently associated with MNSI score after adjusting for age, sex, and glycosylated hemoglobin A1c (HbA1c) levels. Conclusions: The present results indicate that a decrease in peroneal NCV was responsible for early sensory deficits in T2DM patients.

The Mediating Effect of Anxiety in the Relationship between the Oral Health Status and Oral Health Quality of Life of Workers Participating in Self-sufficiency (자활 참여 근로자들의 구강건강 상태와 구강건강 삶의 질의 관계에서 불안의 매개효과)

  • Hong, Min Hee;Lee, Jung-Min
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.176-185
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    • 2021
  • This study conducted a survey from September 5 to 30, 2020 targeting 415 workers participating in regional self-sufficiency center programs in four locations in Daejeon and Daegu. The purpose of the study was to examine oral symptoms of the study subjects and the effects if psychological anxiety parameters on oral health and quality of life. As a result of the study, oral dryness, temporomandibular joint symptoms, and periodontitis all had a significant effect on oral health and quality of life, and psychological anxiety factors had a partial mediating effect. The subjective oral symptom problems led to a negative psychological state, which could further impair the quality of life. In the future, the results of this study can be used as basic data for expanding psychological counseling programs for self-supporting workers and improving oral health policies for regular oral health education.

A Case of homonymous Hemianopia after Occipital-Parietal Lobe Hemorrhage Treated with Combined Korean Medical Treatment (동측 반맹을 호소하는 후두엽-두정엽 뇌출혈 환자에 대한 복합 한의치험 1례)

  • Seong Hoon, Jeong;In Hu, Bae;Geun Young, Kim;Ki-Ho, Cho;Sang-Kwan, Moon;Woo-Sang, Jung;Seungwon, Kwon;Han-Kyul, Lee
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.23 no.1
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    • pp.65-72
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    • 2022
  • ■Background Overall prevalence of visual field loss after stroke was estimated at 31%, ranged from 5.5- 57%. Among them, homonymous hemianopia is the most common symptom of post-stroke visual field loss and leads to a decrease in the quality of life and therapeutic effect. However, standard treatment has not been established. ■Case report A 48-year-old male with right side homonymous hemianopia by a left occipital-parietal lobe hemorrhage was treated with Qu-Ji-Du-Huang-Wan, acupuncture and electroacupuncture for 20 days. We used confrontation visual field exam, automated perimetry and visual analog scale for evaluating symptoms. Following treatment, confrontation visual field exam and the subjective discomfort was improved. ■Conclusions The present case report suggests that combined Korean medicine treatment might be an effective treatment of post-stroke homonymous hemianopia. A number of follow up studies should be conducted to clarify the effectiveness of treatment.

Managing Mental Health during the COVID-19 Pandemic: Recommendations from the Korean Medicine Mental Health Center

  • Hyo-Weon Suh;Sunggyu Hong;Hyun Woo Lee;Seok-In Yoon;Misun Lee;Sun-Yong Chung;Jong Woo Kim
    • The Journal of Korean Medicine
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    • v.43 no.4
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    • pp.102-130
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    • 2022
  • Objectives: The persistence and unpredictability of coronavirus disease (COVID-19) and new measures to prevent direct medical intervention (e.g., social distancing and quarantine) have induced various psychological symptoms and disorders that require self-treatment approaches and integrative treatment interventions. To address these issues, the Korean Medicine Mental Health (KMMH) center developed a field manual by reviewing previous literature and preexisting manuals. Methods: The working group of the KMMH center conducted a keyword search in PubMed in June 2021 using "COVID-19" and "SARS-CoV-2". Review articles were examined using the following filters: "review," "systematic review," and "meta-analysis." We conducted a narrative review of the retrieved articles and extracted content relevant to previous manuals. We then created a treatment algorithm and recommendations by referring to the results of the review. Results: During the initial assessment, subjective symptom severity was measured using a numerical rating scale, and patients were classified as low- or moderate-high risk. Moderate-high-risk patients should be classified as having either a psychiatric emergency or significant psychiatric condition. The developed manual presents appropriate psychological support for each group based on the following dominant symptoms: tension, anxiety-dominant, anger-dominant, depression-dominant, and somatization. Conclusions: We identified the characteristics of mental health problems during the COVID-19 pandemic and developed a clinical mental health support manual in the field of Korean medicine. When symptoms meet the diagnostic criteria for a mental disorder, doctors of Korean medicine can treat the patients according to the manual for the corresponding disorder.

A Case Report of Osuyubujaijung-tang on the Recurrence of Breast Cancer in a Patient Complaining of Coldness and Dizziness (유방암 재발 환자의 장궐 및 현훈이 오수유부자이중탕으로 호전된 치험 1례)

  • U-ryeong Chung;Soo-hwa Hong;Han-sol Jang;Seung-hyun Jung
    • The Journal of Internal Korean Medicine
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    • v.44 no.3
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    • pp.555-561
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    • 2023
  • A 63-year-old female patient was admitted to the hospital with complaints of coldness in the head and right femur, persistent vertigo, dry mouth, vexation, general weakness, anorexia, and hot flashes. After being diagnosed with left-sided ductal carcinoma in 2017 and undergoing partial resection, she was recommended radiotherapy, chemotherapy, and hormone therapy, but she refused and did not receive any treatment. At a checkup in November 2022, the left-sided invasive ductal carcinoma recurred. She underwent partial resection and was scheduled to receive radiotherapy two months later. During hospitalization, the patient received traditional Korean medicine treatment, including Korean herbal medicine (Osuyubujaijung-tang), acupuncture, moxibustion, and cupping. Subjective symptom changes were evaluated daily. At discharge, the patient's symptoms improved, and her condition varied with the presence of Aconitum carmichaelii. This study suggests that "Osuyubujaijung-tang" cared the coldness and vertigo caused by "Han-dam (寒痰)" in patients with Soeumin visceral syncope pattern (少陰人 臟厥症) and that A. carmichaelii played a major role in this outcome.

A Case of Combined Korean Medicine Treatment for Homonymous Hemianopia and Loss of Visual Acuity after hemorrhagic Stroke (동측 반맹 및 시력저하를 호소하는 후두엽 및 측두엽 뇌출혈 환자 한의복합치료 1례)

  • Si Yun Sung;Dabin Lee;Youngseon Lee;Ki-Ho Cho;Sang-Kwan Moon;Woo-Sang Jung;Seungwon Kwon;Han-Gyul Lee
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.24 no.1
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    • pp.25-40
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    • 2023
  • Background: Although not clarified, the overall prevalence of visual field loss after stroke was estimated at 52% of stroke survivors and for visual acuity loss, at 70% of them. Among visual field loss patients after stroke, homonymous hemianopia is the most common symptom. Visual defect degrades the quality of life by disrupting independent life and affecting the survival of the patients, but highly-evidenced treatment has not been found until now. ■Case report A 51-year-old female with left-side homonymous hemianopia and central vision loss by a right occipital-temporal hemorrhage was treated with Hyeolbuchukeo-tang, Ikgibohyeol-tang, acupuncture, electroacupuncture, and moxibustion. We used a confrontation visual field exam, automated perimetry and visual analog scale, and visual acuity test to observe changes in the patient's symptoms and evaluate the efficacy of the treatment. After 61 days of such interventions, the patient's subjective discomfort lessened, followed by positive changes in the scales of tests mentioned above. ■Conclusion This case suggests that combined Korean medicine treatment might be an effective tool for treating post-stroke homonymous hemianopia and central vision loss. More studies should be conducted to support the effectiveness of the treatment.

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