• 제목/요약/키워드: symptoms index

검색결과 1,159건 처리시간 0.03초

군 병원 정형외과계 입원환자의 정서문제 유병률과 관련 요인 (Prevalence of Emotional Distress and Related Factors of Orthopedic Surgical Patients in a Military Hospital : A Cross-sectional Feasibility Study)

  • 오인목;홍민석;이수연;윤가희;이호;김명진;김현미;이상돈
    • 대한불안의학회지
    • /
    • 제15권2호
    • /
    • pp.115-121
    • /
    • 2019
  • Objective : The purpose of this study was to investigate prevalence of psychiatric symptoms and determine predictors of emotional distress of military hospital surgical patients. Methods : This study examined 104 orthopedic patients admitted to the Armed Forces Military Hospital September-November 2018. For the study, every subject completed self-assessment inventories regarding depressive and anxiety symptoms (Hospital Anxiety and Depression Scale), sleep problems (Pittsburgh Sleep Quality Index), problematic alcohol and tobacco use (Cut off, Annoyed, Guilty, Eye-opener screening), and psychiatric history. We performed the Student's t-test and the chi-square test for the collected data to investigate the prevalence of psychiatric symptoms, including emotional distress. Logistic regression analysis was used to examine the risk factors related to emotional distress of hospitalized military personnel. Results : There were no significant differences in socio-demographic and psychiatric symptoms between soldiers and officers. The prevalence of depressive and/or anxiety symptoms (emotional distress) was 21.2% (n=21). In the logistic regression analysis, psychiatric history [Adjusted Odds Ratio (AOR)=18.99 ; 95% Confidence Interval (CI)=1.42-253.57 ; p=0.026] and low military life satisfaction (AOR=15.67; 95% CI=1.46-168.11 ; p=0.023) correlated with emotional distress. Conclusion : Soldiers admitted to the military hospital showed similar prevalence of emotional distress as those at general hospitals. Considering military circumstances, it is necessary to detect and intervene regarding soldiers with a psychiatric history and low military life satisfaction to promote mental health at military hospitals.

기능성 신발을 활용한 보행운동이 만성 요통에 미치는 효과 (Effect of Walking Exercise with Functional Shoes on Chronic Low Back Pain)

  • 구지영;이승훤;권기순;조성우;윤현민;장경전;송춘호;김철홍;홍상훈
    • Journal of Acupuncture Research
    • /
    • 제28권3호
    • /
    • pp.73-84
    • /
    • 2011
  • Objectives : The purpose of this study is to evaluate the effect of 12 weeks-walking exercise with functional shoes on chronic low back pain. Methods : The subjects of this study were 18 females from thirty to sixty years old who had suffered from low back pain over 12 weeks. They wore S shoes with curved out-sole and soft material in arch of foot We asked them to walk wearing shoes for 1 hour a day over 4 days a week for 12 weeks. Improvement of the symptoms was evaluated by pain rating scale, Oswestry low-back pain disability index. We measured lumbar lordotic angle, Ferguson's angle, bone mineral density, body composition. The measurements were checked before and after exercise. Results : This study showed significant improvement in pain rating scale, oswestry low-back pain disability index, and body composition. And lumbar lordotic angle, Ferguson's angle and bone mineral density decreased. Conclusions : These results showed that walking exercise with functional shoes could decrease the symptoms of chronic low back pain. But, it's too difficult to conclude whether the efficacy was due to functional shoes or walking exercise because we didn't set the control group wearing general shoes.

폐쇄성 수면 무호흡 환자에서 지속적 상기도 양압술의 순응도와 효과 (The Compliance and Effect of CPAP in Obstructive Sleep Apnea Syndrome)

  • 한은경;윤인영;정석훈
    • 수면정신생리
    • /
    • 제13권2호
    • /
    • pp.52-58
    • /
    • 2006
  • 목 적:본 연구에서는 폐쇄성 수면 무호흡 환자에서 지속적 상기도 양압술의 순응도와 부작용에 대해서 조사하고, 지속적 상기도 양압술 치료 전후의 주간졸림증, 수면질 평가, 우울증, 체질량지수 변화를 알아보고자 하였다. 방 법:호흡장애 지수가 5 이상이면서 양압술 치료를 시행한 106명의 폐쇄성 수면 무호흡 환자들을 대상으로 하였고, 연구대상에게 간단한 신체검사, 피츠버그 수면질척도, 엡워스 졸림증 척도, 벡 우울증 척도 등을 포함한 설문지 평가와 수면다원검사를 반복 시행하였다. 양압술 치료의 순응도와 부작용을 평가하기 위해서 전화면담과, 우편설문을 시행하여 비교, 분석하였다. 결 과:41.5%가 양압술 치료에 순응하고 있었으며, 38.7%는 양압술 치료에 비순응 하였다. 양압술 치료에 순응하는 집단은 비순응 집단에 비해, 피츠버그 수면질 척도 점수와 폐쇄성 무호흡지수가 더 높았다. 비순응 집단에서 1개월 이내에 양압술 치료를 중단한 환자는 51.2%였다. 양압술 치료 비순응 집단에서는 양압기 착용의 번거로움을 호소한 비율이 85.7%로 높았으며, 양압술 치료에 순응하는 집단에서는 비인두 증상의 부작용을 많이 호소하였다. 양압술 치료 후 엡워스 졸림증 척도 점수, 피츠버그 수면질 척도 점수, 체질량지수는 호전되었으나 벡 우울증 척도 점수는 차이가 없었다. 결 론:양압술 치료는 주간졸림증과 체질량지수를 감소시키고, 수면질을 향상시킨 것으로 나타났다. 초기 1개월 이내에 양압기 사용을 중단한 비율이 가장 높으므로 순응도를 높이기 위해서는 초기에 교육과 지지가 필요하다고 생각된다.

  • PDF

Effect of Cotton Leaf Mosaic Disease on Morphology, Yield and Fibre Characteristics of Upland Cotton in Pakistan

  • Akhtar, Khalid P.;Haq, M.A.;Ishaque, Wajid;Khan, M.K.R.;Khan, Azeem I.
    • The Plant Pathology Journal
    • /
    • 제21권2호
    • /
    • pp.137-141
    • /
    • 2005
  • The effect of cotton leaf mosaic disease on morphology, yield and fibre characteristics was examined for a susceptible cotton candidate variety CRIS-168. Plants inoculated at most susceptible growth stage (six week) under screen house showed severe mosaic symptoms. There was a significant reduction in plant height and yield. Cotton leaf mosaic disease was found to produce severe effects on plant morphology with 24.1% reduction in plant height, 25% in internode length and 37.5% in number of sympodia on main stem. However no changes were observed against number of monopodial branches per plant. Inoculated plants showed 82% decrease in yield/plant, 80% in number of boll set/ plant, 12.1% in boll weight, 12.8% in lint weight, 10.8% in seed weight, and 6.8% in seed index. Cotton leaf mosaic disease also showed effects on fibre characteristics with 0.8% decrease in GOT and 1.6% in fibre length. In contrast, uniformity ratio, fibre fineness and maturity index was increased by 20.5%, 14.4% and 0.9%, respectively.

회역산(回逆散)으로 호전을 보인 아토피피부염의 치험 2례 (Two cases of Atopic Dermatitis Treated with Huini-san)

  • 조소현;조은희;김성중;박인해;박민철
    • 한방안이비인후피부과학회지
    • /
    • 제27권3호
    • /
    • pp.180-190
    • /
    • 2014
  • Background and Objective : Atopic dermatitis is a type of dermatitis, an inflammatory, relapsing, non-contagious and itchy skin disorder and affecting up to 30% of children in the Korea. In this study, Huini-san, which is mentioned in Shanghanlun(傷寒論), and acupunture treatment on Atopic Disease was investigated. Methods : We have classified the patients according to the Shanghanlun six meridian patterns diagnostic system and the patients are treated with Huini-san. The severity of Atopic dermatitis was evaluated by SCORAD index, visual analogue scale(VAS) and pictures. Results : After the treatment the SCORAD index and VAS of 2 patients dicreased significantly. Conclusions : Huini-san and acupunture treatment has improved the symptoms of Atopic dermatitis in this study.

입원한 조현병 환자의 신체이미지 왜곡 (Body Image Distortion among Inpatients with Schizophrenia)

  • 김성진;문석우;김대호
    • 생물정신의학
    • /
    • 제19권4호
    • /
    • pp.211-218
    • /
    • 2012
  • Objectives Body image distortion is found in eating disorder and obesity and there are some evidence that schizophrenia is associated with body image distortion. This study sought to find whether schizophrenic patients report more body image distortion than healthy individuals and whether it is related with symptomatology. Methods A total of 88 inpatients with schizophrenia and 88 healthy controls were recruited. Weight, height, and body image accuracy were assessed in all participants, and assessment of mood, psychotic symptom severity and self-esteem, and personal and social performance scale were conducted. Results The patients with schizophrenia had higher Body Mass Index (p < 0. 001) and underestimated their body size more than controls (26.14% vs. 5.13%, p < 0.001). Multiple regression analysis showed that lower depressive symptoms and higher scores of general psychopathology predicted underestimation of body size. Conclusion Weight gain and metabolic syndrome are common adverse events of pharmacological treatment of schizophrenia. Thus, underestimation of body size among patients with schizophrenia may interfere with effort to lose weight or seek weight reduction programs. Clinicians need to consider possible unterestimation of underestimation of body size in patients whose general symptomatology is severe.

양독백호탕(陽毒白虎湯)으로 개선된 아토피 피부염 환자 치험 1례 (A Case Study of a Patient with Atopic Dermatitis improved by Yangdokbaekho-tang)

  • 김지환;김민지;손한범;배효상;박성식
    • 사상체질의학회지
    • /
    • 제25권4호
    • /
    • pp.414-424
    • /
    • 2013
  • Objectives The purpose of this case study was to report the main effect of Yangdokbaekho-tang to a Soyangin atopic dermatitis patient. Methods This patient was treated by Yangdokbaekho-tang, topical herbal extract, moxa and acupuncture according to the result of Sasang constitutional diagnosis. Results and Conclusions The patient's subjective symptoms of atopic dermatitis and general condition were improved after using Yangdokbaekho-tang in spite of patient's loose stool. The SCORAD index (Scoring Atopic Dermatitis Severity Index) which was used to evaluate the therapeutic effect of Sasang constitutional treatment on atopic dermatitis was also decreased from 86.3 to 42.8 without using anti-histamine or steroid medications.

해독사물탕으로 호전된 월경과다 3례 증례 보고 : The Pictorial Blood Loss Assessment Chart를 중심으로 (A Case Report of Three Patients with Heavy Menstrual Bleeding Managed with Haedoksamul-tang : Focusing on The Pictorial Blood Loss Assessment Chart)

  • 안태석;황덕상;이진무;장준복;이창훈
    • 대한한방부인과학회지
    • /
    • 제33권3호
    • /
    • pp.198-211
    • /
    • 2020
  • Objectives: The purpose of this study is to report the effect of Haedoksamul-tang on three patients with heavy menstrual bleeding. Methods: Three patients took Haedoksamul-tang for 3 months 5 cycles and got electric needle and infrared therapy. The Pictorial Blood loss Assessment Chart was used to evaluate menstrual index that shows the menstrual bleeding loss. We also assessed dysmenorrhea using the Numerical Rating Scale during the treatment. Results: The Menstrual Index has decreased and the symptoms of dysmenorrhea have relieved after treating with Haedoksamul-tang. Conclusions: The case report shows that Haedoksamul-tang is effective on patients with heavy menstrual bleeding.

기능성(機能性) 소화불량증(消化不良症) 환자(患者)의 식후(食後) 심하비만과 pyloric valve의 기능장애(機能障碍);장음과 위전도를 중심으로 (Postprandial Epigastric Fullness and Pyloric Valve Disturbance in Patients with Functional Dyspepsia;Analysis of Bowel Sounds and Electrogastrography)

  • 윤상협
    • 대한한방내과학회지
    • /
    • 제28권4호
    • /
    • pp.769-778
    • /
    • 2007
  • Background & Object : Postprandial epigastric fullness is one of common symptoms in functional dyspepsia, but its pathophysiological mechanism has still been unknown. In this study, its association between postprandial epigastric fullness and pyloric valve disturbance was studied through analysis of bowel sounds and electrogastrography. Methods : Bowel sounds and electrogastrography were recorded together for fasting 15 min and postprandial 40 min. Parameters of bowel soundincluding motility index, sound to sound interval, standard deviation of sound to sound interval, sounds per minute, % of bowel sound, sound length, intensity, dominant frequency of sounds, and postprandial / fasting ratio of dominant frequency of sounds were analyzed with a specialized program. By electrogastrography, regularity of slow waves and power ratio were obtained. Results : Significances of bowel sounds appeared in motility index (p=0.046), dominant frequency of fasting (p=0.048), postprandial (p=0.003), and the ratio of postprandial/fasting (p=0.000); those of EGG parameters were shown in postprandial regularity of slow waves (p=0.006) and power ratio (p=0.011). Conclusion : Pyloric valve disturbance was a cause of postprandial epigastric fullness in patients with functional dyspepsia. Analysis of bowel sound might be useful in diagnosing its existence.

  • PDF

견비통 환자에 대한 한방단독치료와 한.양방병행치료의 치료효과 비교 연구 (Clinical Study about Shoulder Pain by Oriental Medical Treatment and Oriental-Western Medical Treatment)

  • 이희윤;윤현민;김원일
    • 대한약침학회지
    • /
    • 제11권2호
    • /
    • pp.97-110
    • /
    • 2008
  • Objectives This study is for comparing the results in two groups of using Oriental medical treatment only with using Oriental-Western medical treatment together to shoulder pain patients. Methods 49 shoulder pain patients who participated in the clinical study both at the Bukpyeoung Haemalkeun Oriental Medical Clinic and at the Bukpyeoung Medical Clinic in Donghae city were classified 2 groups. Group A was treated with Oriental medical therapy only and group B was treated with Oriental-Western medical treatment together. They have been treated 3 times a week for 4 weeks. Results After 1, 2 and 4 weeks of each treatment, the scores of the two groups in 'Subjective symptoms of shoulder pain', 'Indisposition index of every day life', 'Shoulder pain and disability index', 'Visual analog scale' became signific antly lower than those before treatment. Conclusion Treatment of group B was better than treatment of group A but, there was no significant difference in therapeutic action between two groups.