• 제목/요약/키워드: visual symptom

검색결과 326건 처리시간 0.022초

백내장수술환자 결과 변수들의 시계열적 관찰과 진료결과 향상에 영향을 주는 요인 (Time Series Observations of Outcome Variables and the Factors Associated with the Improvement in the Patient Outcomes of Cataract Surgery)

  • 김한중;박은철;최윤정;강형곤
    • Journal of Preventive Medicine and Public Health
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    • 제34권2호
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    • pp.175-181
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    • 2001
  • Objectives : To compare the multiple outcomes of patients with cataract surgery at perioperative time,3-4 months and 12 months after surgery and to assess patient outcomes associated with visual improvement(visual acuity of operated eye, visual function-14(VF-14), symptom score). Methods : For this assessment, a prospective study was conducted with 389 patients who had undergone cataract surgery for either one eye or both eyes. The surgery was peformed by 20 ophthalmologists who were practicing at university hospitals and general hospitals. Patients were interviewed and clinical data were obtained. Doctors were questioned with self-reported questionnaire forms. Medical records were examined in order to measure variables related to the surgical process such as surgical methods and ocular comorbidity. The survey was 'conducted at 4 stages' : preoperative time(389 cases), perioperative time(344 cases, 88.4%), postoperative 3-4 months (343 cases, 88.2%), and postoperative 12 months (281 cases, 72.2%). After excluding cases with incomplete data, 198 cases were enrolled in the study. Patient outcomes was measured for any improvement in the functional outcomes(visual acuity of operated eye, visual function, symptom score) at postoperative 3-4 months. Results : The visual acuity(operated, weighted average), symptom score, VF-14 score, satisfaction with vision, and subjective health status were shown to be improved at the perioperative time, postoperative 3-4 months and 12 mouths. An improvement in the Snellen visual acuity score was observed in 190 patients(96.0%), whereas improvements of the VF-14 score and cataract symptom sure were observed in 151 patients(76.3%) and 179 patients(90.4%), respectively. All three outcome measures demonstrated improvement in 137 patients(09.2%). The improvement of the three functional outcomes at 3-4 months after receiving surgery was associated with a lower level of visual function and a higher level of cataract symptom score at perioperative time, as well as a greater experience level of the surgeon. Conclusions : In this study, the estimates of the proportion of patients benefiting from cataract surgery varied with the outcome measure of benefit. Preoperative VF-14 score, a measure of functional impairment related to vision, and symptom score may be better measures of the benefit derived from cataract surgery than the change in visual acuity.

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COVD-QOL을 사용하여 평가한 눈이상이 초등학교 어린이의 학업수행능력에 미치는 영향 (Correlation between Visual Symptoms and the Academic Performance as Assessed by COVD-QOL Questionnaire in Primary School Children)

  • 신효순;박상철;박천만
    • 한국학교ㆍ지역보건교육학회지
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    • 제9권2호
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    • pp.81-90
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    • 2008
  • Objectives: Since 80% of the information we get from the environment comes in through our eyes (Anshel JR, 1999), uncorrected visual problems negatively affect children's educational process and perceptual development. The objectives of this study were: 1st, to document the prevalence of learning related vision problem in primary school children. 2nd, to compare responses of children with those of parents on visual symptoms. Lastly, to determine if there is an association between visual symptoms and academic performance. Methods: We administered visual-symptom quality of life questionnaire developed by Oklahoma College of Optometry in Vision Development to 1031 primary school children and their parent. Visual symptoms responded by children and their parents were compared using Independent Sample t-test and the relation between visual symptoms and academic performance were calculated using Pearson Correlation tests. Results and Conclusions: The number of children who need further professional evaluation, that is visual-symptom scores were ${\geq}20$, reported by children(25%) was greater than that reported by parents(16%). And visual-symptom scores reported by children were significantly higher than those reported by parents in every grade(p<0.01, p<0.001). Visual symptoms reported by both children and parents were found to be inversely correlated to academic performance in every academic area and most of their correlations were statistically significant(p<0.05). Therefore, children with more visual-symptom reported by both group had negative effects on children's academic performance.

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골반통 및 배뇨곤란을 주소로 하는 전립선염 환자의 경근자법 치험례 (Effect of Meridian Tendino-musculature Acupuncture on a Patient with Chronic Prostatitis)

  • 이지인;강미숙
    • Journal of Acupuncture Research
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    • 제31권4호
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    • pp.223-232
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    • 2014
  • Objectives : The objective of this study was to report a effectiveness of meridian tendino-musculature acupuncture on the pelvic pain and dysuria in a patient with chronic prostatitis. Methods : A patient with Pelvic pain and Dysuria was treated with acupuncture and moxibustion. Before and After treatment we measured International Prostate Symptom Score(IPSS), National Institutes of Health-Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS). Results : International Prostate Symptom Score(IPSS), National Institutes of Health -Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS) scores were decreased considerably after 14 times treatment. Conclusions : It was suggesting that symptoms(pelvic pain and dysuria) of chronic prostatitis could be improved by acupuncture and moxibustion treatment in the view of the meridian tendino- musculature acupuncture.

Visual Analogue Scale(VAS)을 이용한 동통평가표에 의한 동통관리의 효용성에 관한 연구 (A Study on Efficiency of Pain Management by Questionnaire using Visual Analogue Scale in Back - Pain Patients)

  • 이복희;윤홍일;박지환
    • 대한정형도수물리치료학회지
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    • 제1권1호
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    • pp.105-112
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    • 1995
  • This study was designed to investigate the efficiency of subjective assessment that exams the subjective symptom of patients with back pain at the department of physical therapy. To assess the subjective symptom, we used the pain questionnaire using visual analogue scale (VAS) that was developed by Wang on 1995. Questionnaires were administered to 31 adult patients(male : 11, female : 20) with herniated lumbar disk(13), low back pain(8), myofascial pain syndrom(5), lumbar strain(4), ankylosing spondylitis(1). Mean age was 36.3 ranged from 20 to 65. The results of this study were as follows : 1) In each of 15 subjects, there was a significant decrease in VAS between pre- and post-treatment(p<0.05). 2) Mean VAS of total subjects was $6.26{\pm}2.55$ in pre-treatment, $4.50{\pm}2.47$ in post-treatment (p<0.001). Result of this study was shown efficiency of pain management by subjective assessment. The continuous study is needed for many interesting illue of pain management using VAS.

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낭습(囊濕)과 소변불리(小便不利)를 주소로 하는 태음인(太陰人) 환자의 치험 1례 (A Case of Treament of a Taeumin Patient with Sweaty Scrotum and Dysuria)

  • 임진희;이의주;고병희;송일병
    • 사상체질의학회지
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    • 제13권3호
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    • pp.114-117
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    • 2001
  • 1. Object: The primary purpose of this case study is to report that a Tae-Yin-In patients with sweaty scrotum and dysuria was treated with 'Chung sim youn ja tang' and then his symptom decreased 2. Subject: A male obese patient with sweaty scrotum and dysuria that visit Kirin oriental hospital to be treated for obesity 3. Method: The patient was to have a very low calory diet and to exercise for an hour daily and to take a Herb-medicine, 'Chung sim youn ja tang'. Change of his subjective symptom, sweaty scrotum and dysuria, was measured by VAS(Visual Analog Scale) 4. Result: A Tae-Yin-In patients with sweaty scrotum and dysuria was treated with 'Chung sim youn ja tang' and Change of his subjective symptom, sweaty scrotum and dysuria, was measured by VAS(Visual Analog Scale) then his symptom decreased. 5. Conclusion: 'Chung sim youn ja tang' may have an effect on Treatment of sweaty scrotum and dysuria. Further study is needed how to conclud 'disease pattern of constitution' accroding with co-symptom.

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VAS를 이용한 동통평가표에 의한 동통관리의 효용성에 관한 연구 (A Study on Efficiency of Pain Management by Questionnaire using Visual Analogue Scale in Back- Pain Patients)

  • 이복희;윤홍일;박지환
    • 대한물리치료과학회지
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    • 제2권3호
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    • pp.679-689
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    • 1995
  • This study was designed to investigate the efficiency of subjective assessment that exams the subjective symptom of patients with back pain at the department of physical therapy. To assess the subjective symptom, we used the pain questionnaire using visual analogue scale(VAS) that was developed by Wang on 1995. Questionnaires were administered to 31 adult patients(male : 11, female: 20) with herniated lumbar disk(13), low back pain(8), myofascial pain syndrom(5), lumbar strain(4), ankylosing spondylitis(1). Mean age was 36.3 ranged from 28 to 65. The results of this study were as follows: 1) In each of 15 subjects, there was a significant decrease in VAS between pre-and post-treatment(p < 0.05 -p<0.001). 2) Mean VAS of total subjects was $6.26{\pm}2.55$ in pre-treatment, $4.50{\pm}2.47$ in post-treatment(p < 0.001). The result of this study was shown efficiency of pain management by subjective assessment. The continuous study is needed for many interesting issue of pain management using VAS.

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영상화면 단말기(VDT)작업이 인체에 미치는 영향 (The Effect of Visual Display Terminal Work on the Human Body)

  • 이호찬;박용억;강회향;민경진;김종규
    • 한국환경보건학회지
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    • 제21권4호
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    • pp.75-86
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    • 1995
  • This study was performed to investigate the negative side effects of video display terminal (VDT) work on the human body and to provide data for preventing VDT syndrome. A questionnaire survey was made to 339 VDT workers at 22 offices in Taegu, Kyungpook and Kyungnam areas from July 1 to August 31, 1994, and 280 of them were finally used for statistical analysis. The VDT syndrome in the present study inclhded five factors, namely as eye-related symptom, psychological symptom, general body symptom, musculoskeletal symptom, and skin-related symptom, and the estimates of Crombach coefficients of the five factors were 0.954, 0.952, 0.953, 0.957, and 0.955, respectively, showing very high reliability. In view of socio-economical characteristics, the symptoms of female were higher than those of male in the order of musculoskeletal symptom, eye-related symptom, skin-related symptom and psychological symptom. The age group of 30 years or less was higher than the older groups in the order of musculoskeletal symptom, eye-related symptom, psychological symptom and skinrelated symptom. The group of lower education level showed higher skin-related symptom. The psychological symptom and skin-related symptom increased as the amount of smoking increased. Higher eye-related symptom was observed in the group without glasses. In the job-related variables, the group of working on programming and data input showed higher eye-related symptom and psychological symptom. The group of working on programming and graphic design showed higher musculoskeletal symptom and skin-related symptom. The skin-related symptom increased as the total time of VDT operation per day increased. The group of working 2-4 hours followed by 15 minutes rest was higher in musculoskeletal symptom and psychological symptom. Higher musculoskeletal symptom was observed from the group working on Friday and Sunday. The group of 1 year or less working showed higher in skin-related symptom. In relation with the VDT type, all symptoms except skin-related symptom were higher in the group using monochrome monitor. As showed above, the questionnaire could be a tool for evaluating VDT syndrome and prevention of the syndrome would be possible by a comprehensive consideration of factors including socio-economic characteristics, job-related variables and VDT type.

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Atorvastatin/ezetimibe 복합제 복용 후 발생한 시야결손 부작용 사례보고 (Visual Field Defect after Taking Atorvastatin/Ezetimibe, a Case Study)

  • 김지윤;이경규;김준영;이정민;김나영;이모세;지은희
    • 한국임상약학회지
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    • 제29권2호
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    • pp.133-137
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    • 2019
  • Atorvastatin is one of the most widely prescribed medications for dyslipidemia treatment. In Korea, post combined therapy with ezetimibe, a 73-year-old woman was reported by a community pharmacy to have experienced visual field defect, which recovered after drug discontinuation. She had never experienced this symptom before, and several studies have reported an association between use of statins and visual disorders such as blurred vision, diplopia, and cataract. Blockage of cholesterol accumulation, oxidative stress, or myopathy is expected to be a cause of this symptom. Naranjo scale, Korean causality assessment algorithm (Ver.2), and World Health Organization-Uppsala Monitoring Center (WHO-UMC) criteria were the three tools used to determine causality between the visual disorder and atorvastatin. The results represent 'probable', 'certain', and 'probable/likely' causality, respectively. Our results, in combination with a review of literature, indicate that ocular adverse effects are highly likely related to atorvastatin.

Visual Outcome after Surgical Removal of Craniopharyngiomas

  • Kim, Yeon-Seong;Jung, Shin;Cheon, Hyo-Cheol;Jung, Tae-Young;Kang, Sam-Suk;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
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    • 제39권3호
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    • pp.171-175
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    • 2006
  • Objective : In the present study, we evaluate visual outcomes after surgical removal of craniopharyngiomas and analyze the factors that are considered to affect visual outcomes. Methods : This study includes 30 patients with craniopharyngioma, who underwent surgery in this clinic during the last 10 years. The changes of visual function [visual acuity and field] of the patients were assessed preoperatively and postoperatively, and paired data of this change were compared. Also, the factors that influence on this change were analysed. Results : Among the 21 patients complaining of decreased vision before the operation, 8 patients were improved [38.0%], and 7 patients were worse [33.3%]. However, Four out of 9 patients without any preoperative visual symptoms developed worse vision after the operation [44.4%]. The average duration of symptom was 17.2 months in the improved group and 23.6 months in the aggravated group. The tumors recurred in only 5 patients after the gross total resection : Four of them showed the aggravation of visual function after surgical removal and 1 had improvement. Conclusion : After removal of craniopharyngiomas, the overall rate of vision improvement, no change and aggravation are 26.6%, 36.7% and 36.7%, respectively. Aggravation of postoperative visual function is higher in males, children and patients with a longer duration of symptom and the tumor recurres more frequently in patients who complained of worsened vision after surgical removal.

A Clinical Study on the Diagnosis and Observation of Functional Dyspepsia - Focused on Algometer

  • Gi-Hwan Rho;Gyu-Ho Choi;Sang-Hyun Lee;Hyeon-Min Noh;Seo-Hyung Choi
    • 대한한의학회지
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    • 제43권4호
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    • pp.1-7
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    • 2022
  • Objectives: This study aimed to determine whether comparing the pressure pain threshold (PPT) with an algometer before and after treatment for functional dyspepsia is of diagnostic value and investigate a possible correlation between PPT measured using an algometer and symptom improvement before and after treatment. Methods: A total of 99 patients with functional dyspepsia symptoms admitted to the OO Korean Medical Hospital from April 14, 2020 to January 21, 2021 were investigated. On the 1st and 14th days of hospitalization, the pressure of the first pain complaint at acupuncture points Juque (巨厥, CV14), Shangwan (上脘, CV13), Zhongwan (中脘, CV12), Xiawan (下脘, CV10), Guanuan (關元, CV4), Tianshu (天樞, ST25), and Daju (大巨, ST27) was measured using the algometer, and the visual analog scale (VAS) scores for patient's symptoms were evaluated. The algometer PPT and patient-symptom VAS scores were compared by repeated measures corresponding to the sample t-test to analyze the changes after treatment. A correlation analysis was performed to identify the correlation between patient-symptom VAS scores and algometer PPT. Results: The PPT measured using the algometer significantly increased after treatment in the 99 patients. The patient-symptom VAS score decreased significantly in most cases as treatment progressed. Analysis of the correlation between algometer PPT and patient-symptom VAS scores revealed some notable negative correlations. Conclusion: The algometer can help to set the diagnostic and treatment baselines for patients with functional dyspepsia.