• Title/Summary/Keyword: 대표 증상

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A Case of Possible Doxycycline-Resistant Scrub Typhus (Doxycycline 내성이 의심된 Scrub Tybhus)

  • Na, Dong Jib;Han, Sang Hoon;Moon, Kyung Min;Kim, Dong Jin;Lee, Yang Deok;Cho, Yong Seon;Han, Min Soo;Yoon, Hee Jung
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.6
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    • pp.545-548
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    • 2007
  • 쯔쯔가무시병은 추수 시기에 유행하는 대표적인 급성 열성질환으로 여전히 증가 추세에 있다. 의심되는 환자에게 Doxycycline 투여 후 급속한 해열이 질환의 독특한 특징이기도 한데 Doxycycline 투여 96시간 후에도 지속적인 고열과 근육통이 있었던 환자에게 Clarithromycin으로 변경 후 급속한 해열과 함께 증상이 호전된 증례를 보고한다.

Clinical Studies of Amyotrophic Lateral Sclerosis(ALS) through Korean Medicine (한방치료를 통한 근위축성 측삭경화증(ALS)의 임상적 연구)

  • Kwon, Ki-rok
    • Journal of Acupuncture Research
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    • v.20 no.3
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    • pp.209-216
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    • 2003
  • 목적 : 대표적인 motor neuron disease(MND)이면서 가장 치명적인 신경퇴행성 질환인 ALS의 발생 양상과 한방치료효과에 대하여 연구하였다. 방법: 상지대학교 부속 한방병원에 래원한 ALS 환자들의 성별, 연령, 발병일, 발병양상, 래원 당시의 병태양상 등을 분석하였고, 이 중 3개월 이상 입원치료를 통하여 치료과정 평가가 가능하였던 18명의 환자들의 치료 전과 치료 후의 변화양상을 평가하였다. 결과 : 외국의 보고에 비하여 여성 환자가 많았고 발병 연령도 유의하게 낮았으며 상지에서 최초의 증상이 발현되는 비율이 상대적으로 높았다. Bulbar From의 비율도 높았고, 대부분의 환자가 여성인 것도 특이하였다. 환자들이 생각하는 질병의 발생원인 중 약 80%가 stress나 정신적 충격 등을 지적하여 정신적 불안상태가 유관함을 추정할 수 있었다. 한방치료가 ALS를 호전시키지는 못하였으나 진행을 억제하였고, 국소적인 주소증을 완화시키며 심리적 안정 상태를 유지하는데 도움이 된다고 평가되었다.

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MTHFR 유전자의 돌연변이와 hyperhomocysteinemia에 의한 stroke

  • Lee, Beom-Hui;Kim, Gu-Hwan;Jeong, Chang-U;Lee, Jin;Choe, Jin-Ho;Yu, Han-Uk
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.11 no.1
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    • pp.103-105
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    • 2011
  • 고호모시스틴혈증(hyperhomocysteinemia)은 호모시스테인과 메티오닌의 대사과정에 관여하는 여러 효소들의 결핍에 의해 발생할 수 있으며, 대표적인 효소 결핍으로는 cysthathione beta-synthase (CBS) 결핍증, Methionine synthase (MS) 결핍증, methylenetetrahydrofolate reductase (MTHFR) 결핍증이 있다. 이들은 고호모시스테인혈증을 보이나 임상증상, 메티오닌의 동반 상승, 거대적아구성빈혈, 메칠말로닌산뇨증등의 동반 여부등을 토대로 감별진단에 도움을 받을 수 있다. 본 연자는 뇌혈전증과 뇌졸중을 동반하는 고호모시스테인혈증의 원인으로 MTHFR 유전자의 돌연변이를 발견한 증례를 경험하였기에 이를 보고하는 바이다.

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Effective and Safe Application of Radiofrequency Ablation for Benign Thyroid Nodules (양성갑상선결절에 대한 효과적이고 안전한 고주파절제의 적용)

  • Jin Yong Sung
    • Journal of the Korean Society of Radiology
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    • v.84 no.5
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    • pp.985-998
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    • 2023
  • Radiofrequency ablation (RFA) has been a representative, non-surgical treatment for benign thyroid nodules that cause cosmetic problems or compression symptoms. The procedure of RFA should be performed effectively and safely. This review discusses the patient selection, pre-procedure evaluation and planning, principles, devices, techniques, and complications with reference to the guidelines and research on thyroid RFA. In particular, this review will devote to introduce RFA techniques and to provide practical help in the implementation of this procedure.

Stress, Social Support and Coping of Adults According to Level of Self-Efficacy (성인의 스트레스, 사회적 지원과 대처: 자기효능감 수준별 분석)

  • Young-Shin Park;Ju-Yeon Son;Ok-Ran Song
    • Korean Journal of Culture and Social Issue
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    • v.23 no.2
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    • pp.295-332
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    • 2017
  • The main purpose of this research is to analyze stress, social support and coping behavior of adults based on their level of self-efficacy. A total of 899 adults (399 male; 500 female), each with a child attending either elementary and secondary school, participated in the study. The inter-rater reliability for the open-ended questionnaire utilized in the study was 93.4%, with a Kappa coefficient of .92. The range of Cronbach α for the variables measured through a quantitative method was .87~.92. The results were as follows: First, the representative responses to the question about their most painful stress experiences were, financial difficulties, child rearing and duties of workplace. The Lower Efficacy group, compared to the Upper Efficacy group, responded much more with financial difficulties related responses. There were significant differences in the level of stress symptoms according to level of self-efficacy. The Lower Efficacy group expressed stronger levels of stress symptoms when compared to the Upper Efficacy group. Second, in terms of social support, the participants responded that they received the most help from their family members, followed by none(self), and friends. When comparing the two efficacy groups, the Upper Efficacy group responded most frequently that they received social support from their family members, whereas the Lower Efficacy group indicated none. There were significant differences in the level of relational conflicts according to the level of self-efficacy. The Upper Efficacy group showed much less conflict in parent-child relations, spousal relations and relations with their boss, compared to the Lower Efficacy group. Third, for the type of social support participants received, the most frequent response was emotional support, followed by none, and advice. Relatively, when comparing the two groups with each other, the Lower Efficacy group responded more frequently with none, whereas for the Upper Efficacy group responded more frequently with advice. There were significant differences in the amount of emotional support received according to level of self-efficacy. The Upper Efficacy group received much more emotional support from their spouses and their bosses compared to the Lower Efficacy group. Fourth, the most frequently adopted coping style to stress was self-regulation, followed by direct problem solving, and nothing(none). The most frequent response for the Upper Efficacy group was direct problem solving, whereas for the Lower Efficacy group was nothing(none). There was a significant difference in coping efficiency to stress according to level of self-efficacy. The Upper Efficacy group coped more efficiently with stress than the Lower Efficacy group.

A Virtual Reality System for the Cognitive and Behavioral Assessment of Schizophrenia (정신분열병 환자의 인지적/행동적 특성평가를 위한 가상현실시스템 구현)

  • Lee, Jang-Han;Cho, Won-Geun;Kim, Ho-Sung;Ku, Jung-Hun;Kim, Jae-Hun;Kim, Byoung-Nyun;Kim, Sun-I.
    • Science of Emotion and Sensibility
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    • v.6 no.3
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    • pp.55-62
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    • 2003
  • Patients with schizophrenia have thinking disorders such as delusion or hallucination, because they have a deficit in the ability which to systematize and integrate information. therefore, they cannot integrate or systematize visual, auditory and tactile stimuli. In this study, we suggest a virtual reality system for the assessment of cognitive ability of schizophrenia patients, based on the brain multimodal integration model. The virtual reality system provides multimodal stimuli, such as visual and auditory stimuli, to the patient, and can evaluate the patient's multimodal integration and working memory integration abilities by making the patient interpret and react to multimodal stimuli, which must be remembered for a given period of time. the clinical study showed that the virtual reality program developed is comparable to those of the WCST and the SPM.

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Dental Occlusion and Relationship to TMD and Systemic Symptoms (I) (교합이 악구강계 및 전신에 미치는 영향 (I))

  • Bae, Hanna Eun-Kyung;Choi, Byeong-Gap;Kim, Seong-Taek;Kim, Eun-Seok;Park, Eun-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.4
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    • pp.307-317
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    • 2009
  • A growing interest in management and treatment for patients with temporomandibular disorder(TMD) by many health workers, including oriental medicine doctors, physical therapists as well as dentists, have been noted in South Korea. Some of these health workers claim correlation between dental occlusion, TMD, and systemic symptoms such as tinnitus, dizziness, neck pain, myalgia, low back pain, posture and many other systemic symptoms and many controversial treatments are being carried out on bases of theories and reasons with no strong scientific evidence. This article is a result of preliminary study by authors in gathering scientific data on few of these various treatment modalities for TMD using MEDLINE data, internet and tutorials given by those who are using these TMD treatment methods. The modalities that had been searched are as follows; (1) Craniosacral mechanism (2) Osteopathy (3) Myodontics (4) Chirodontics (5) Dental Distress Syndrome and Quadrant Theorem. An outline of those theories will be introduced, and the contents in detail for respective theory will be reported in the following articles.

A Study on Relation Analysis between Book and Category in Bibliotherapy Catalog (독서치료 독서목록에서의 카테고리와 치유서의 관계 분석 연구)

  • Baek, Jae Eun
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.26 no.2
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    • pp.217-239
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    • 2015
  • For bibliotherapy, users should understand their own life situation, select and access the book (self-help book). User access to book through situation catalog (or list) in reading list, but user is difficult to define and simplify in one word after understanding their own situation. Catalog of bibliotherapy reading list classifies books using one situation category or maximum of two categories other than the age-specific classification. In this study, the author approached and analyzes based on the result of the research on the relationship between bibliotherapy and reading list, in order that access more efficiently to book what user wants. Bibliotherapy reading-list by using mapping and crosswalk between categories, and analyzes category of reading lists through comprehensive review.

Algorithm development of automatic symptom degree for Patient with Hallux Valgus (무지외반증 환자의 증상정도의 자동분류 알고리즘 개발)

  • Han, Hyun-Ji;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.4 no.2
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    • pp.96-102
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    • 2011
  • In this study, we performed algorithm development of automatic symptom degree for patient with hallux valgus one of the representative foot disease of morden. And this study proposes an efficient automated technique that is different from the original analog diagnosis for treatment and surgery of hallux valgus using digital image process. And we used X-Ray images of both a normal and a patient with hallux valgus in the procedure. First, we marked the standard angle on the X-Ray image of normal through Overlap & Add technique. Then we created a standard image through thinning filter and roberts filter(edge detection algorithm). Second, we used sobel filter of edge detection algorithm on the X-Ray image of patient. Moreover, we went another overlap & add technique procedure with both normal and patient image that we made. With the output, we projected the display detection image onto the screen. Finally, with the display detection image, we could measure and project the diagnosis angle of hallux valgus. And this confirms that this method is much more practical and applicable for another orthopedics disease than the prior one.

An Intelligent Self Health Diagnosis System using FCM Algorithm and Fuzzy Membership Degree (FCM 알고리즘과 퍼지 소속도를 이용한 지능형 자가 진단 시스템)

  • Kim, Kwang-Baek;Kim, Ju-Sung
    • Journal of Intelligence and Information Systems
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    • v.13 no.1
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    • pp.81-90
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    • 2007
  • This paper shows an intelligent disease diagnosis system for public. Our system deals with 30 diseases and their typical symptoms selected based on the report from Ministry of Health and Welfare, Korea. Technically, the system uses a modified FCM algorithm for clustering diseases and the input vector consists of the result of user-selected questionnaires. The modified FCM algorithm improves the quality of clusters by applying symmetrically measure based on the fuzzy theory so that the clusters are relatively sensitive to the shape of the pattern distribution. Furthermore, we extract the highest 5 diseases only related to the user-selected questionnaires based on the fuzzy membership function between questionnaires and diseases in order to avoid diagnosing unrelated disease.

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