• 제목/요약/키워드: symptoms index

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Diagnosis and Treatment of Latent Tuberculosis Infection

  • Lee, Seung Heon
    • Tuberculosis and Respiratory Diseases
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    • 제78권2호
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    • pp.56-63
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    • 2015
  • A small number of viable tuberculosis bacilli can reside in an individual with latent tuberculosis infection (LTBI) without obvious clinical symptoms or abnormal chest radiographs. Diagnosis and treatment for LTBI are important for tuberculosis (TB) control in public and private health, especially in high-risk populations. The updated 2014 Korean guidelines for TB recommend that tuberculin skin tests, interferon-gamma release assays, or a combination of the two can be used for LTBI diagnosis according to age and immune status of the host as well as TB contact history. The regimens for LTBI treatment include isoniazid, rifampicin, or isoniazid/rifampicin. However, results of drug susceptibility test from the index case must be considered in selecting the appropriate drug for recent contacts. Standardized LTBI diagnosis and treatment based on the new 2014 guidelines will contribute to the effective TB control in Korea as well as to the establishment of updated guidelines.

쇼그렌증후군의 한방치료 1례 (Case Report of Sjögren’s Syndrome Treated with Traditional Korean Medicine)

  • 홍정수;안상민;추원정;최요섭
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.251-256
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    • 2016
  • Objective: This case report examines the effects of Jaeumganghwa-tang as a treatment option for Sjögren’s syndrome.Methods: We provided the patient with Jaeumganghwa-tang twice a day, as well as acupuncture and bee venom therapy (both twice a week), for 30 days. Symptoms were charted and evaluated using the European League Against Rheumatism (EULAR) Sjögren’s Syndrome Patient Reported Index (ESSPRI).Results: The patient’s ESSPRI score decreased from 8 to 6 after the 30-day treatment.Conclusions: Jaeumganghwa-tang may be helpful in alleviating Sjögren’s syndrome.

The Moderating Effect of Emotion Regulation on the Relationship between Neuroticism and Sleep Quality

  • Gu, Xinyu;Hyun, Myoung-Ho
    • International Journal of Contents
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    • 제15권1호
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    • pp.25-31
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    • 2019
  • Personality, especially neuroticism has been found related to be related with poor sleep quality. This study focused on emotion regulation, reappraisal and suppression, which can buffer or aggravate the effect of neuroticism influencing sleep quality. One hundred and forty two ordinary adults were used in this study and were recruited and required to complete a package of questionnaires including: the Eysenck personality Questionnaire/EPQ, the Emotion Regulation Questionnaire/ERQ, and the Pittsburgh Sleep Quality Index/PSQI. The result was that participants with higher neuroticism had poorer sleep qualities than those with lower neuroticism. Moreover, participants that had high neuroticism and high reappraisal had better sleep qualities. This means that there was an interaction effect of neuroticism and reappraisal on sleep quality. However, suppression did not have a moderating effect on the relation between neuroticism and sleep quality. These findings inferred that reappraisal plays an important moderating role (buffering effect) on the relationship between neuroticism and sleep quality. Reappraisal cannot only prevent people high in neuroticism from sleep problems but can also buffer symptoms of sleep disorder by treating patient's negative emotions.

Fault Diagnosis Management Model using Machine Learning

  • Yang, Xitong;Lee, Jaeseung;Jung, Heokyung
    • Journal of information and communication convergence engineering
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    • 제17권2호
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    • pp.128-134
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    • 2019
  • Based on the concept of Industry 4.0, various sensors are attached to facilities and equipment to collect data in real time and diagnose faults using analyzing techniques. Diagnostic technology continuously monitors faults or performance degradation of facilities and equipment in operation and diagnoses abnormal symptoms to ensure safety and availability through maintenance before failure occurs. In this paper, we propose a model to analyze the data and diagnose the state or failure using machine learning. The diagnosis model is based on a support vector machine (SVM)-based diagnosis model and a self-learning one-class SVM-based diagnostic model. In the future, it is expected that this model can be applied to facilities used in the entire industry by applying the actual data to the diagnostic model proposed in this paper, conducting the experiment, and verifying it through the model performance evaluation index.

불현성 갑상선기능저하증에 대한 이선탕 가미 처방 투여 경과 : 증례보고 (Subclinical Hypothyroidism Treated by Means of Modified Er-Xian Decoction)

  • 정창운;조희근;김보민
    • 대한한방내과학회지
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    • 제39권6호
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    • pp.1281-1289
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    • 2018
  • Objectives: This study is the first report on a case of subclinical hypothyroidism treated with Modified Er-Xian Decoction, which is rarely used in Korea. Methods: Patients were treated for 3 months with Modified Er-Xian Decoction and their therapeutic effects were evaluated through thyroid function tests and Spleen-Kidney deficiency Questionnaire. Results: Initial improvement was apparent after the administration of Modified Er-Xian Decoction. After 3 months of treatment, the patient 's Spleen-Kidney deficiency index improved significantly, and thyroid hormone levels returned to normal. Conclusions: In this case report, symptoms and biochemical improvement were confirmed based on a single herbal medicine prescription for subclinical hypothyroidism. It is necessary to verify the effect of this prescription through well - established clinical trials.

Paraneoplastic demyelination in the brain presenting as a clinically occult non-Hodgkin's lymphoma

  • Son, Hyoshin;Choi, Jongsuk;Kim, Sung Un;Park, Kyung Seok
    • Annals of Clinical Neurophysiology
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    • 제21권2호
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    • pp.108-112
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    • 2019
  • Non-Hodgkin's lymphoma (NHL) may initially present with atypical neurological manifestations, including paraneoplastic neurological syndromes. Herein, we report the case showing an initial manifestation of systemic NHL with paraneoplastic demyelination in the brain that initially mimicked the symptoms of stroke, seizure, and brain tumor. A high index of suspicion and timely diagnostic workup is required to prevent diagnostic delay and commence proper management of the condition. In this situation, a whole-body FDG PET/CT could be useful to screen for occult malignancy.

당뇨병으로 진단받은 태음인 만금문무탕가감방(萬金文武湯加減方) 치험 1례 (A Case-Report of a Taeeumin Patient with Diabetes Mellitus Treated by Mangeummunmu-tang gagambang)

  • 조영;이준희
    • 사상체질의학회지
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    • 제32권4호
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    • pp.118-128
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    • 2020
  • We report 1 case about Mangeummunmu-tang gagambang that was used for a Taeeumin patient with diabetes mellitus. We treated a Taeeumin patient who was diagnosed with diabetes at another hospital two months ago. We considered his Sasang constitution as Taeeumin and prescribed Mangeummunmu-tang gagambang. The improvement of his diabetes was evaluated by improvement of his symptoms, results of blood sugar test, bone muscle mass, body fat, body fat rate of inbody test and the results of Blood test & urine test. The evaluation index of the patient's disease has all improved since treatment after Mangeummunmu-tang gagambang medication.

뇌경색 후 발생한 번조증에 대한 황련해독탕 약침의 병행 치험 1례 (A Case Report of the Agitation(Byun-jo) Caused by Cerebral Infarction Treated with Hwangryunhaedok-tang Herbal-Acupuncture Therapy)

  • 이유진;박세진
    • 대한중풍순환신경학회지
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    • 제13권1호
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    • pp.118-125
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    • 2012
  • Object : The purpose of this study is to evaluate the effect of Hwangryunhaedok-tang herbal-acupuncture therapy for Agitation(Byun-jo) caused by cerebral infarction. Methods : One patient was admitted who was suffering from insomnia, chest discomfort, anxiety, palpitation of Agitation(Byun-jo), after cerebral infarction. In the point of Differentiation of Syndromes(辨證), we diagnosed this patient as Excessive heat-fire syndrome of stroke(中風火熱證) and treated with Hwangryunhaedok-tang herbal-acupuncture therapy at CV17, BL15, GB20. Results : After Hwangryunhaedok-tang herbal-acupuncture therapy, symtoms of Agitation(Byun-jo) were improved remarkably, and the score of State-Trait Anxiety Inventory(STAI), Pittsburgh Sleep Quality Index(PSQI) were decreased. Conclusions : Hwangryunhaedok-tang herbal-acupuncture therapy has meaningful effect on the symptoms of Agitation(Byun-jo) caused by cerebral infarction and more researches should be followed.

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A Case Report of an Elderly Patient with Psoriasis Treated with Jeongri-tang Gagam-bang: Focus on Digestive System Treatment

  • Do Kyung Han;Won Gun An
    • 대한한의학회지
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    • 제44권4호
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    • pp.170-181
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    • 2023
  • Objectives: This study aimed to report the efficacy of Korean medicine with Jeongri-tang Gagam-bang for treating psoriasis. Methods: A patient with psoriasis was treated with Jeongri-tang Gagam-bang (正理湯加減方). Moreover, acupuncture was performed on CV12 (中脘) and both sides of ST25 (天樞), GV20 (百會), LI4 (合谷), and LR3 (太衝) for 15 minutes. Psoriasis severity was assessed using the Psoriasis Area and Severity Index (PASI). Pruritis and dyspepsia intensities were ranked on a Visual Analog Scale (VAS) of 0–10. Results: After treatment, the PASI changed from 21.6 to 1.6. Patient's pruritus had almost disappeared and dyspepsia had improved. Conclusions: This study shows that Jeongri-tang Gagam-bang (正理湯加減方) and acupuncture on CV12 (中脘), ST25 (天樞), GV20 (百會), LI4 (合谷), and LR3 (太衝) might be helpful to treat psoriasis symptoms by improving digestive function.

만성 폐쇄성 폐질환 환자에서 병기에 따른 영양상태 평가 (Nutritional Status of Chronic Obstructive Pulmonary Disease Patients according to the Severity of Disease)

  • 박영미;윤호일;손정민;조여원
    • Journal of Nutrition and Health
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    • 제41권4호
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    • pp.307-316
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    • 2008
  • The purpose of the study was to investigate nutritional status of chronic obstructive pulmonary disease (COPD) patients and to find out the differences according to the stages of disease. From March to October, 2006, 41 stable male patients of mild to severe COPD patients were recruited from Seoul National University hospital. The patients' of body weight and fat free mass were assessed by bioelectrical impedance analysis. The nutritional status of the patients was also assessed by 3-day recall, index of nutritional quality (INQ), dietary diversity score (DDS), dietary variety score (DVS), food group index pattern and dietary quality index (DQI). The total of 41 patients were classified into three groups, stage I, stage II and stage III groups according to the classification of Global Initiative for Chronic Obstructive Lung Disease (GOLD) standard. The mean age of the patients in each stage were 67.2-66.9 years showing no significant difference. The ratio of $FEV_1$/FVC were $57.5{\pm}7.3$, $46.9{\pm}7.6$ and $38.2{\pm}6.8%$, respectively showing significant differences according to the stages of disease. The fat free mass of the stage II ($48.2{\pm}4.7kg$) and III ($47.3{\pm}4.5kg$) was significantly lower than that of stage I ($53.1{\pm}6.9kg$) patients. There were significant correlation of fat free mass with $FEV_{1}$, and BMI (body mass index) with $FEV_{1}$/FVC ratio (p < 0.05). COPD patients showed the diet-related clinical symptoms of anorexia, dyspnea, dyspepsia, and chewing difficulty. Daily intakes of calorie, K, vitamin $B_2$ and folate of the patients were very low ($83.8{\pm}20.7%$, $58.9{\pm}14.4%$, $70.7{\pm}19.6%$ and $74.4{\pm}10.2%$, respectively) however, they did not significantly different according to the stages of disease. Daily intake of calcium was significantly lower in the stage III patients (p < 0.05). The mean scores of dietary variety score was significantly lower in the stage III patients (p < 0.001). Dietary quality index of the patients were not different among the stages of disease and the scores indicated poor quality of diet. As a summary, we found that body fat free mass, regularity of exercise, frequency of having snacks and dietary variety score were significantly associated with the severity of chronic obstructive pulmonary disease.