• Title/Summary/Keyword: symptom severity

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Treatment Response and Symptomatic Changes after Eye Movement Desensitization and Reprocessing in Psychiatric Disorders Other than Posttraumatic Stress Disorder (외상후 스트레스 장애 이외의 정신 장애에 대한 EMDR 전후의 치료 반응 및 증상 변화)

  • Lee, Hae-Won;Kim, Dae-Ho;Bae, Hwal-Lip;Choi, Joon-Ho;Oh, Dong-Hoon;Park, Yong-Chon
    • Anxiety and mood
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    • v.4 no.1
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    • pp.55-61
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    • 2008
  • Objective : Eye movement desensitization and reprocessing (EMDR) has been established as an effective treatment for patients with posttraumatic stress disorder (PTSD). However, the literature is unclear as to whether EMDR is effective in the treatment of other psychiatric disorders. The purpose of this study was to evaluate the potential use of EMDR in the treatment of psychiatric disorders other than PTSD by using a clinician's impression of patient response and a subjective symptom evaluation. Methods : Seventeen diagnostically heterogenous patients without PTSD underwent an average of 4.3 sessions of EMDR. Symptom severity was assessed by the Clinical Global Impression-Change Scale (CGIC), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and Symptom Checklist-90- Revised (SCL-90-R) before and after EMDR. Those whose CGI-C scores were 'very much improved' and 'much improved' after EMDR were classified as 'responders.' The patients' before and after treatment scores of symptom severity and group differences were compared. Results : Twelve of the 17 participants (12/17, 71%) were classified as 'responders.' The patients' scores on all of the scales, with the exception of the trait anxiety scale and obsession-compulsion scale of the SCL- 90-R, significantly decreased after treatment. There was no difference in sociodemographic and clinical variables between the responders and non-responders. Conclusion : The results of our study suggest that EMDR can be a promising candidate for the treatment of patients with psychiatric disorders other than PTSD, and thus further controlled studies are needed to determine whether EMDR can be applied to various psychiatric populations.

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Model Predicting Irritable Bowel Syndrome Severity in University Students (대학생의 과민대장증후군 중증도 예측모형)

  • Park, Bin-Hee;Lee, Kyung-Sook
    • Journal of Korean Biological Nursing Science
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    • v.22 no.2
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    • pp.90-101
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    • 2020
  • Purpose: The purpose of this study was to build and verify a structural model that could predict the severity of irritable bowel syndrome in university students. Methods: Participants were 205 students enrolled in college with irritable bowel syndrome using the irritable bowel syndrome module of the ROME IV Adult Questionnaire. The data were collected using online questionnaires in AprilMay 2019. The data were analyzed using the SPSS WIN 25.0 and AMOS 20.0 programs. Results: 1) The symptom severity that participants experienced were mild (14.6%), moderate (45.4%), and severe (40%). 2) Fit indices of the model were x2= 79.66 (df = 52, p= .009), CFI= .94, TLI= .96, RMSEA= .05, RMR= 1.59, GFI= .94, and TLI= .96.3). The severity of irritable bowel syndrome was influenced directly by anxiety and sleep, and indirectly by family history, perfectionism, social support, coping, and stress. The severity of irritable bowel syndrome was indirectly affected by the following: family history through anxiety; perfectionism through stress, anxiety, and sleep; social support through coping, stress, anxiety, and sleep; coping through stress and anxiety; and stress through anxiety and sleep. Conclusion: Based on the results of this study, a nursing intervention is needed to reduce the anxiety and stress and improve the quality of sleep to improve the health of the college students and manage the symptoms of patients with irritable bowel syndrome.

Effect of Hydrophobicity of Oyster Mushroom on the Severity of Brown Blotch (느타리 갓 표면의 소수성이 세균갈색무늬병 발병도에 미치는 영향)

  • Lee, Ki-Young;Yang, Seung-Up;Han, Jong-Woo;Yoon, Kun-Sik;Jang, Hoo-Bong;Cha, Jae-Soon
    • The Korean Journal of Mycology
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    • v.38 no.1
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    • pp.69-74
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    • 2010
  • The 2 strains of Pleurotus ostreatus showing very severe and mild symptom of brown blotch were selected, and their F1 hybrid strains were made by mating of their single spore isolates. Hydrophobicity of fruiting body surface and brown blotch severity of the parental and their 11 F1 hybrid strains showing different level of severity of brown blotch were determined. Correlation coefficient (R) between disease severity and hydrophobicity were 0.68 and 0.70 on two independent experiments. Correlation coefficient between disease severity and disease incidence that was determined in the oyster mushroom farm were 0.46 and 0.52 on two independent experiments. When GFP-tagged Pseudomonas tolaasii was monitored with confocal microscope on cap surface of fruiting body, more cells of the pathogen were clustered on the severe strain than the mild strain, which indicates that the bacterial pathogen proliferates more on the severe strain. These results suggest that hydrophobicity of oyster mushroom fruiting body affects disease severity of the brown blotch disease; the longer the bacterial suspension stays on fruiting body surface more severe symptom of the blotch develops.

Clinical effect of Thymectomy for Patients in Myasthenia Gravis (근무력증 환자의 외과적 치료)

  • 정원상
    • Journal of Chest Surgery
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    • v.23 no.1
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    • pp.152-157
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    • 1990
  • A clinical study for thymectomy for 23 patients in Myasthenia Gravis was done between May, 1982 and July, 1989. at the department of Thoracic and Cardiovascular Surgery, College of Medicine, Han Yang University. Among Z3 patients, male to female ratio was 11: 12 and Age of onset was ranged from 15 years-old to 52 years-old. Previous symptom duration from diagnosis until operation was ranged from 2 months to 96 months, and Mean duration was 28.74 months. The severity of disease was classified by Osserman`s classification preoperatively. In histopathology of thymus, Thymic hyperplasia 7 cases, Thymoma 7 cases, Invasive thymoma 3 cases, Within Normal Limit 5 cases, and Thymic Atrophy 1 case. Correlation between preoperative symptom duration and postoperative clinical course was statistically significant. The shorter of preoperative symptom duration, The better of postoperative clinical course. Grading of postoperative course was classified by Papatestas in 1975. Follow-up for postoperative course was ranged from 3 months to 7 year and 4 months, Cases of complete remission 1 year postoperative period were 9 cases and cases of Improvement were 8 cases, So totally 17 cases among 23 cases[73.91%] found good results.

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Characterizations of Disease Symptoms and Virus Replication Shown in the Interactions Between Arabidopsis (Arabidopsis ecotype에서 3종의 BCTV 분리주의 병증 및 복제 특성)

  • 박을용;박종범;이석찬
    • Korean Journal Plant Pathology
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    • v.14 no.5
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    • pp.507-512
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    • 1998
  • Molecular analysis has been done for characterization of the interactions between three beet curly top virus (BCTV) strains and two Arabidopsis ecotypes in terms of virus inducible disease symptoms and infectivities. The total DNA was isolated from three tissues (shoot tips, infection origins and roots) of virus infected plants and this DNA was analyzed by quantitatively and qualitatively to elucidate virus movement and symptom development. CTV-Worland infected Col-O and Sei-O showed only symptom shown in hypersusceptible ecotype Sei-O by BCTV-worland was shoot tip stunting. Kinetics of virus DNA accumulation of three different viruses indicated that roots contained more virus DNA than shoot tips or infection origins, and that disease symptom severity was strongly correlated with virus DNA accumulation. These results suggest that the mild and Worland-specific symptoms shown in Sei-O by BCTV-worland are caused by the interactions of host factors provided by hypersusceptible ecotype and viral factors of mild strain.

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Symptom Experience and Related Factors in Patients with Angina Pectoris (협심증 환자의 증상경험과 관련요인에 관한 연구)

  • Woo, Soo-Hee;Eom, Ae-Yong;Oh, Eui-Geum
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.3
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    • pp.447-456
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    • 2006
  • Purpose: This study was done to examine symptom experiences and related factors in angina patients. Method: The participants were 92 patients admitted to C university hospital between October and December 2004. The tools used were a questionnaire on symptom experience related to angina developed by Gensini(Coronary Angiographic Gensini Score). Global Assessment of Recent Stress Scale and a tool measuring performance of health behavior. Results: The mean score for symptom experience was relatively low (M=27.65, SD=18.44) as was the score for coronary severity (Gensini score) was 16.30 point (SD=18.04). The mean score for perceived stress was moderate (M=30.16, SD=12.26). Compliance was relatively good in these patients with angina (M=61.55, SD=7.60). Analysis of the correlation of symptom experience showed a statistically significant positive relationship with perceived stress (r=.410, p=.000). There was significant negative relationship (r=-.251, p=.016) between symptom experience and compliance. In the regression analysis, symptom experience was found to be significantly influenced by stress ($R^2$=.168, p=.000), age ($R^2$=.057, p=.002), and economic status ($R^2$=.061, p=.007). These variables explained 26.2% of the variance in symptom experience. Conclusion: The results of this study provide evidence that symptoms of angina can present not only as chest pain itself but also with fatigue, shortness of breath, and sleep disturbance as the most common symptoms.

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A Field Study of Posttraumatic Stress Disorder in a Community after Typhoon Rusa (일개 지역사회 재해 주민의 외상 후 스트레스 장애 정도와 관련요인 분석)

  • 이인숙;하양숙;김기정;김정희;권용희;박진경;이나윤
    • Journal of Korean Academy of Nursing
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    • v.33 no.6
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    • pp.829-838
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    • 2003
  • Purpose: In South Korea, as growing the need of psychological support in disaster situation psychological assessment on stress after disaster is important to find out the factors affecting coping, and to plan intervention in the community. Method: The volunteers of Korea Redcross who live around K city, and the research team visited all homes at Jirye town, one of the high-impact area, 4 month after the typhoon. One of the family members who is over 18 years old, answered the self-report questionnaire composed of disaster experience, damage, exposure to traumatic event, and posttraumatic stress with IES-K (Impact of Event Scale-korea) He also, described his family members symptom related to re-experiencing, hyper-arousal, and avoidance. Six hundreds households were surveyed. Result: The prevalence of moderate to severe PTSD symptom was 36% of the subjects. The severity of PTSD was affected by gender, economic status and affected by damaged property, physical injury, worsening existing disease, getting infectious disease, amount of experienced traumatic event before disaster, warning, taking shelter, and subjects revealed differences in somatization as severity of PTSD. According to the description, community members had re-experiencing, hyper-arousal and avoidance. Conclusion: At a rural area, South Korea, community members have suffered from psychological distress after disaster. So psychological interventions are required as affecting factors and also to plan for warning and shelter in disaster situation is needed for preventing PTSD.

ATTACHMENT SECURITY IN AUTISTIC CHILDREN (자폐아동의 애착 안정성)

  • Kim, Sang-Won;Shin, Yee-Jin;Lee, Kyung-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.2
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    • pp.175-182
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    • 1997
  • 25 young autistic children were examined in Ainsworth’s Strange Situation. The attachment security of 21 children could be classified. Almost half(44%) of these children were securely attached. The relationship between attachment security and developmental variables(chronological age, social quotient, severity of symptom) was investigated. There were no significant differences on CA, social quotient, and severity of symptom between secure attachment group and insecure attachment group. Although autistic children have social deficits, they develop secure attachment to their mothers.

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Identification of Nursing Diagnosis-Outcome-Intervention (NANDA-NOC-NIC) Linkages in Surgical Nursing Unit (일반외과 입원 환자에 적용되는 간호진단-간호결과-간호중재 연계 확인)

  • Lee, Eun-Ju;Choi, Soon-Hee
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.180-188
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    • 2011
  • Purpose: This study was to identify nursing diagnosis-outcome-intervention (NANDA- NOC-NIC: NNN) linkages applied to inpatients in general surgical nursing units. Methods: We developed the NNN linkage computerized nursing process program, which consisted of the 107 nursing outcomes and the 190 nursing interventions linked to the 39 nursing diagnoses. This program was applied to 324 patients who admitted to those nursing units from July, 2004 to February, 2005. Results: First, nursing outcomes of each nursing diagnosis were identified as follows: for 'acute pain', pain control, pain level, and comfort level; for 'risk for infection', wound healing: primary intention, wound healing: secondary intention, and infection status; for 'nausea', nutritional status: food & fluid intake, comfort level, symptom severity and hydration. Second, major nursing interventions for each nursing outcome were analyzed as follows: for pain control or comfort level, pain management and medication management; for pain level, pain management and analgesic administration; for wound healing: primary intention, incision site care and wound care; for Wound healing: secondary intention or infection status, infection control; for nutritional status: food & fluid intake, fluid monitoring; for comfort level, nausea management; for symptom severity, nausea management and vomiting management; for hydration, fluid/electrolyte management. Conclusion: This identified NNN linkages will facilitate the use of nursing process in surgical nursing practice and documentation systems.

A Study of Musculoskeletal Disorders at Automobile Industries in Korea (국내 자동차산업의 근골격계질환 실태에 관한 연구)

  • 김철홍
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.24 no.67
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    • pp.1-10
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    • 2001
  • A series of studies with collaboration of university, research institute, and labor union were conducted to examine the situation and severity of work-related musculoskeletal disorders (MSDs) at an automobile company which is one of the three major car companies in Korea. As the first part of the study, a questionnaire survey was conducted on 4,000 employees at 2 different assembly sites and A/S centers over the country. The questionnaire was consisted of three parts; symptom survey, work environment information, and labor intensity survey. Among 4,000 questionnaires, 2,643 responses were considered for analysis. The result showed that 68.5% of the respondents complained pains on at least one part of the body and 48.8% on at least two parts of the body. After cross-sectional analysis of various information and risk factors such as severity of symptom, duration and frequency of pain, 31.5% of respondents were considered as at high risk of having MSDs. This high-risk rate showed similar result when compared with previous studies conducted at various manufacturing industries in Korea. Also the analysis of the work environment and job intensity survey supported the high-risk rate of MSDs.

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