• Title/Summary/Keyword: symptom control

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Current Status of Symptom and Pain Control in Cancer Patients Treated with Chemotherapy (화학요법을 받는 암환자의 증상 및 통증조절 현황)

  • Chung, Young;Na, Duck-Mi;Kim, Jin-Sun;Yang, Kyung-Mi
    • Journal of Hospice and Palliative Care
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    • v.6 no.2
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    • pp.144-151
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    • 2003
  • Purpose : The purpose of this study was to identify the current status of symptom and pain control in cancer patients treated with chemotherapy. Methods : The study population consisted of 66 cancer patients treated with chemotherapy and the data was collected by chart audit and using questionnaire from 19 clinicians in an university hospital during the period of August 7 to 24, 2001. The degree of symptom, analgesics type, dose, administration route, and pain control method of cancer patients treated with chemotherapy was investigated. The collected data were analyzed by frequency, percent, mean, and SD using SPSS $PC^+$ program. Results : The number of cancer patients treated with chemotherapy was 66, male 35 (53.0%), female was 31 (47.0%). The largest of age group was $61{\sim}69$(34.8%) years old. Most frequent cancer site was stomach 19 case (28.8%), cole-rectal 17 case (25.8%), urinary 11 case (16.7%) in the respective order. The most common stage of cancer was stage 3, 14 case (29.2%). The most frequent duration of diagnosis was under 3 month, 25 (37.9%). The frequent symptom of cancer patients treated with chemotherapy was marasmus ($2.4193{\pm}1.2220$), pain ($1.9333{\pm}1.2194$), sleep disorders ($1.7142{\pm}1.0384$), personality change ($1.5806{\pm}0.8971$) in the respective order. 3) The analgesics used for pai control were narcotic analgesics 66.2% and nonnarcotic analgesics 33.8%. Pain control method were regular basis+as needed 47.4%, as needed 31.6%, regular basis 21.0% in order. Administration route were oral 50.7%, injection 41.8%, patch 7.5% in order. Conclusion : The most frequent symptom of cancer patients treated with chemotherapy were marasmus and pain. The frequent analgesics was narcotic analgesics but 21% of the clinician regularly prescribed analgesics for pain control. Thus this prescription was insufficient for pain control. Administration route that were used more oral or injection than patch. Based on this evidence, it seemed that more active practice and education about evaluation and pain control of cancer patients treated with chemotherapy are needed.

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Glycemic Control Effects of Sanyak (Dioscoreae rhizoma) extract in Prediabetic Stage Patients (산약 추출물이 당뇨병 전단계 피험자의 혈당조절에 미치는 영향)

  • Cho, Suck-In;Son, Mi-Won;Hong, Kwon-Eui
    • The Journal of Korean Medicine
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    • v.31 no.5
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    • pp.146-166
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    • 2010
  • Objective: Few data were available on glycemic control at the early prediabetic stage, though it is the important stage to prevent diabetes mellitus. The purpose of this research was to examine the glycemic control effects of herb medicine treatment (DA-9802) in prediabetic stage patients Methods: In this randomized, single blind, placebo-controlled study, we compared Sanyak extract (DA-9802) with placebo for the treatment of glycemic control effects in prediabetic stage patients. 45 volunteers who satisfied the requirements were enrolled in the study. They took Sanyak extract (DA-9802) or placebo treatment three times a day for 8 weeks. Blood sugar, Total Symptom Score (TSS) and blood serum were measured at weeks 0, 4, and 8. Results: In the DA-9802 group, fasting blood sugar changes between before 8 weeks significantly decreased. Fasting blood sugar, fasting blood sugar gaps between before and after treatment for 8 weeks, insulin changes and C-peptide significantly decreased at 8 weeks compared with those of the placebo group. Conclusion: Herb medicine treatment (DA-9802) is effective in glycemic control on prediabetic stage.

Effect of Chemical Treatment on the Control of Strawberry Anthracnose caused by Colletotrichum sp. (딸기탄저병의 약제방제효과)

  • 김승한;최성용;임양숙;윤재탁;최부술
    • Research in Plant Disease
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    • v.8 no.1
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    • pp.50-54
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    • 2002
  • A total of 55 Colletotrichum isolates from strawberry plants with anthracnose symptoms(crown rot) were inhibited in mycelial growth on potato-dextrose agar(PDA) amended with fungicides in variable degrees depending on the chemicals used, especially showing no growth on PDA with 1 mg/m/tricyclazole. However, in the detached leaf test by treating chemicals before or after inoculation of Colletotrichum sp., tricyclazole was little effective in controlling symptom development; instead azoxystrobin, which had low in vitro inhibition of mycelial growth, inhibited strongly the symptom development. Some chemicals were tested for the control of strawberry crown rot in greenhouse using three methods, sprays soil drenching and plant dipping. No or little control effect were made by chemical spray and soil drenching, but plant dipping in chemical solution, especially azoxystrobin: reduced crown rot development by about 50% in the greenhouse suggesting that the azoxystrobin treatment may be an effective control method of the crown rot of strawberry. No differences in the control efficacy were noted according to the dipping time and chemical concentration of azoxystrobin not less than 10 min and 250 mg/m/, respectively.

The Psychiatric Problem of Male infertility Patients by Symptom Check List-90 (SCL-90) (간이정신진단 검사에 의한 남성 불임환자의 정신과적 문제)

  • Seo, Ju-Tae;Kim, Kyung-Hee
    • Clinical and Experimental Reproductive Medicine
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    • v.25 no.3
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    • pp.349-353
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    • 1998
  • It has been well known that infertile women experience not only emotional disturbance but also stress. But there is no concern about male infertility patients. So phychiatric symptoms were studied with SCL-90 (Symptom Check List-90) in 30 infertile men who was operated testicular sperm extraction (TESE) in Samsung Cheil Hospital and in age matched 31 fertile men from Jan. 1998 to Aug. 1998. In 5 symptom dimensions (Obcessive-Compulsive, Interpersonal Sensitivity, Depression, Phobic anxiety, Psychoticisim) scores. The Infertile group scored significantly higher than the control group. The result revealed that infertile men also experienced substantially more psychiatric symptoms than fertile men. Considering this results, psychiatric evaluation and tender care by infertility specialist are necessary for infertile men during and after evaluation and treatment.

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A study on fault diagnosis for chemical processes using hybrid approach of quantitative and qualitative method (정성적, 정량적 기법의 혼합 전략을 통한 화학공정의 이상진단에 관한 연구)

  • 오영석;윤종한;윤인섭
    • 제어로봇시스템학회:학술대회논문집
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    • 1996.10b
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    • pp.714-717
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    • 1996
  • This paper presents a fault detection and diagnosis methodologies based on weighted symptom model and pattern matching between the coming fault propagation trend and the simulated one. At the first step, backward chaining is used to find the possible cause candidates for the faults. The weighted symptom model(WSM) is used to generate those candidates. The weight is determined from dynamic simulation. Using WSMs, the methodology can generate the cause candidates and rank them according to the probability. Secondly, the fault propagation trends identified from the partial or complete sequence of measurements are compared to the standard fault propagation trends stored a priori. A pattern matching algorithm based on a number of triangular episodes is used to effectively match those trends. The standard trends have been generated using dynamic simulation and stored a priori. The proposed methodology has been illustrated using two case studies and showed satisfactory diagnostic resolution.

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Trait Anxiety as a Mediator of the Association between Attention Deficit Hyperactivity Disorder Symptom Severity and Functional Impairment

  • Oh, Yunhye;Yoon, Hee Joon;Kim, Ji-Hae;Joung, Yoo Sook
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.407-414
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    • 2018
  • Objective: Anxiety has been shown to influence functional impairment in patients with attention deficit hyperactivity disorder (ADHD). This study aimed to compare functional impairment in subjects with and without adult ADHD and to investigate the associations among trait anxiety, functional impairment, and ADHD symptom severity. Moreover, the effects of ADHD symptom subtypes on trait anxiety and functional impairment were also examined. Methods: The sample included 209 adults between the ages of 20 and 31 years. Fifty-one adults received a diagnosis of ADHD, and an additional age, sex-matched group of 51 adults comprised the adult control. Participants were assessed with Conners' Adult ADHD Rating Scales (CAARS), the Beck Depression Inventory (BDI), the Spielberg Trait Anxiety Inventory (STAI-T), and the Sheehan Disability Scale (SDS). The relationships among ADHD severity, anxiety, and functional impairment were investigated using Pearson's correlation analysis. Subtypes of ADHD symptoms that predicted anxiety and functional impairment were investigated using regression analyses. Results: Adult ADHD patients significantly differed from normal control subjects according to BDI, STAI-T, and SDS assessment. Significant positive correlations were noted between ADHD severity, anxiety, and functional impairment. Multiple linear regression analysis confirmed anxiety as a mediator between functional impairment and ADHD CAARS symptom subscales. Conclusion: Patients with adult ADHD showed higher levels of anxiety, depression, and functional impairment. Additionally, ADHD symptoms and anxiety impacted subject functional impairment. Our results suggest that anxiety may be a strong mediator between ADHD severity and functional impairment.

A Study on the Relationship between Musculoskeletal Symptoms and Health Promoting Life Style among Some Workers (일부 직업인들의 근골격계 자각증상과 강증진생활양식간의 연관성에 관한 연구)

  • Kang Hong-Gu;Lee Eun-Kyoung;Jun Sun-Young;Kim Sang-Deok;Jeoung Jae-Yeal;Lee Yong-Gil;Jahng Doo-Sub;Song Yung-Sun;Lee Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.5 no.2
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    • pp.40-68
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    • 2001
  • In this study, grade of subjective symptom appealed by laborer of Jeollabuk-do was evaluated using questionary regarding factor made effect on musculoskeletal disease and in addition, studied relationship with health promotion life style of them. Based on the result, relationship of general characteristics of musculoskeletal subjective symptom and life-style of the subjects was concluded as below. 1. General characteristics of study subjects were as following. Ratio of male was higher as 57.7% of male and 42.2% female and age distribution was 5.1% of 20s, 34.99% of 30s, 36.3% of 40s and 23.7% of 50s and therefore, $30{\sim}40$ aged groups showed highest ratio. Most subjects (74.9%) was married status and in case of education level, high-school graduate and dropout (23.3%) and over-college graduate (46.8%) showed highest distribution. $1{\sim}2$ Mil. KRW (29.5%) and $2{\sim}2.99$ Mil. KRW (21.2%) is the main income distribution and however there was high ratio of non-reply (29.0%). In case of employment period, $10{\sim}14$ years (15.3%) and over 15 years (29.6%) showed highest ratio and there were many non-reply (39.4%) and in addition, 67.6% replied as own house and 14.3% as lease on deposit base in question of residence type. 2. Subjects showed high ratio of subjective symptom appeal of 62.79% and many cases (50.23%) appealed 1 or 2 symptoms. Symptom by body region was 29.8% (waist), 27% (shoulder), 21.2% (knee), 15.5% (neck), 9.5% (ankle), 8.1% (wrist) and 5.0% (elbow) in order. In case of relationship with general characteristics, female comparing with male, non-residence of own house, subjects with lower education level and employment period of $10{\sim}14$ years showed higher appeal rate and kind of symptoms than others. Therefore, it was concluded that rate of musculoskeletal symptom appeal have close relationship with gender, level of living, education level, age and employment period. 3. In case of severe pain of upper body except waist and ankle, it was appealed in both or right side and it means that upper body pain is originated from right side and right region pain is transited to both region pain. In addition, there was 39.41% of non-reply to existence of right-left region pain and therefore, it was evaluated that, in may cases, there was no awareness of their own symptom condition even on subjective symptom. 4. Degree of pain was, as pain over middle level, evaluated as 2.79 on full mark of 4.0 and in order of waist (2.97), ankle (2.83), knee (2.82), wrist (2.82), neck (2.79), shoulder (2.70) and elbow (2.62). In addition, 71.97% appealed $2{\sim}3$ cases for the latest 1 week. Owing to subjective symptom, 54.95% drop into hospital or pharmacy, 10.32% made temporary retirement or absence, 7.99% transferred into more comfortable duty and $39.4{\sim}54%$ experienced one or more managing mentioned above. 5. Fulfillment of health promotion life style of subjects was evaluated on full mark of 4.0 and total score was 2.63. Average mark of each area was personal relationship (3.05), self-realization (2.92), stress management (2.63), health control (2.48), physical exercise (2.19) and nutrition management (2.19) and personal relationship was highest and physical exercise and nutrition management were lowest. As general characteristics influencing health promotion life style, gender, residence style and employment period showed significant difference. Male showed higher mark than female and showed higher mark in order of own house, others, lease on deposit base, monthly rent. Subjects with longer employment period showed higher mark with significant difference. 6. Accounting of factor influencing each area of health promotion life style, self-realization showed significance in marriage status, income, residence style and education level and health control in age, residence style and employment period. Physical exercise showed significant difference in gender, age, residence style and employment period and nutrition in gender, age, residence style and employment period. Stress management showed significant difference in residence style and employment period and however not in personal relationship. 7. Health promotion life style relating with existence and kind of pain showed significant difference in all area except personal relationship area. In absence of pain, there was statistically significant high score in all area even in total health promotion life style and all area. Accounting of kind of pain, cases of $1{\sim}2$ kinds of pain and $5{\sim}6$ kinds of pain showed relatively high score and it was lower than mark of subject stated absence of pain. 8. Subjects appeal symptom were classified by symptom region and difference of total and each areas were evaluated. General area (p=0.002), self-realization (p=0.012), health management (p=0.023), physical exercise (p=0.028), nutrition management (p=0.028) and stress control (p=0.001) showed statistically significant difference and not in personal relationship area. Especially, elbow, shoulder and neck area marked high and group appealed pain of knee, arm and elbow, foot and ankle marked low. Based on those results, subjective symptom should be accounted seriously in diagnosis of occupational musculoskeletal disease of laborer and among subjective symptom, general characteristics of gender, age, condition of living, education level and employment period make effect. Generally subject appeal symptom marked lower than subject without symptom appeal and it means that life management of subject appealing musculoskeletal pain make important role in management and treatment of occupational musculoskeletal disease.

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Serial Communication-Based Fault Diagnosis of a BLDC Motor Using Bayes Classifier

  • Suh, Suhk-Hoon;Woo, Kwang-Joon
    • International Journal of Control, Automation, and Systems
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    • v.1 no.3
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    • pp.308-314
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    • 2003
  • This paper presents a serial communication based fault diagnosis scheme for a brushless DC (BLDC) motor using parameter estimation and Bayes classifier. The presented scheme consists of a smart network board, and a fault detection and isolation (FDI) master. The smart network board is installed near the BLDC motor drive system to acquire motor data and transmit motor data to the FDI-master via serial communication channel. The FDI-master estimates BLDC motor resistance to detect symptom of faults, and assign symptom to fault type using Bayes classifier. In this scheme, since communication time delay has a serious effect on performance, periodic and fixed communication protocol is designed. Hence, the delay time is priory known. By experiment result, presented scheme was verified.

Combustion Control and Symptom Detection on Self-excited Combustion Oscillation (자려 연소진동에 관한 연소제어와 징후의 검출)

  • Yang Young-Joon
    • Journal of Advanced Marine Engineering and Technology
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    • v.28 no.7
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    • pp.1111-1122
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    • 2004
  • An idea to suppress the self-excited combustion oscillation was applied to the flames. The characteristics of unsteady combustion were examined and the unsteady combustion was driven by forced pulsating mixture supply that can modulate its amplitude and frequency. The self-excited combustion oscillation having weaker flow velocity fluctuation intensity than that of the forced pulsating supply can be suppressed by this method. The effects of the forced pulsation amplitude and frequency on controlling self-excited combustion oscillations were also investigated comparing with the steady mixture supply. The unsteady combustion used in this experiment plays an important role in controlling self-excited combustion oscillation. Symptoms of self-excited combustion oscillation were also studied in order to predict the onset of combustion oscillation before it proceeded to a catastrophic failure For the purpose, the unique measures to observe the onset of self-excited combustion oscillations based on the careful statistics of fluctuating properties in flames, such as pressure or emission of OH radicals, have been proposed.

A Study on the Factors Affecting the Coping Behavior of the Unemployed (실직자의 대처행동에 영향을 미치는 요인에 관한 연구)

  • Kim, Young-Jae;Kim, Jong-Wan;Kim, Se-Hwan
    • Journal of Industrial Convergence
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    • v.6 no.1
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    • pp.17-33
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    • 2008
  • The purpose of this study is to examine what sort of causes have the effect on the coping behavior of the unemployed against their job loss. For the purpose of the study, following independent variables have been selected, locus of control, self-efficacy and autotelic personality. As dependent variables, two types of coping behaviors of individual have been used, problem-focused coping strategies and symptom-focused coping strategies. To test the hypotheses, structural equation modeling was employed. The model showed adequate fit to the data. The results of structural equation modeling exhibit that internal locus of control, self-efficacy and autotelic personality were positively related problem-focused coping strategies. And self-efficacy was negatively related to symptom-focused coping strategies. Implications are discussed and future research directions are outlined.

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