• Title/Summary/Keyword: Abdominal symptoms

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Factors related to Quality of Life of Patients with Ulcerative Colitis (궤양성 대장염 환자의 삶의 질 영향요인)

  • Yoo, Yang-Sook;Chung, Miyoung;Cho, Ok-Hee
    • Korean Journal of Adult Nursing
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    • v.26 no.2
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    • pp.129-138
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    • 2014
  • Purpose: The purpose of this study was to identify factors related to the quality of life of patients with ulcerative colitis. Methods: A total 116 patients with ulcerative colitis were asked on general characteristics, illness-related characteristics, depression, and quality of life. The collected data were analyzed by t-test, ANOVA, and stepwise multiple regression. Results: As for depression the 81.03% were normal, the 8.62% were mild depression, the 6.90% were moderated depression, and the 3.45% were severe. As for quality of life, the social functions was highest, followed by intestine-related symptoms, systemic symptoms, and emotional functions. Quality of life was positively correlated to subjective health status, age, and body mass index, and negatively to depression. Main factors affecting the quality of life included depression, subjective health status, physician's global assessment, age, days of loss in social life, and present abdominal pain. Conclusion: Physical and psychosocial health problems related to ulcerative colitis affected the quality of life of the patients. Further research is warranted for developing educational programs and psychosocial strategies in order to efficiently handle the illness.

A Case of Duodenal Web Associated with Intestinal Malrotation (장이상회전이 동반된 십이지장 막양구조(Web) 1례)

  • Kim, Jin-Suk;Lee, Jhoo-Taek;Park, Jae-Ock;Shin, Sang-Mann
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.1
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    • pp.99-103
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    • 1999
  • Duodenal web is an uncommon lesion that infrequently cause partial or complete intestinal obstruction. If the duonenal web is incomplete and only partially obstructs the duodenal lumen, the onset of symptoms may be delayed for years, and obstructive symptoms will be only minimal and intermittent. Congenital duodenal obstruction is occasionally associated with intestinal malrotation. We experienced a case of duodenal web associated with intestinal malrotation in a 9-year-old girl who had been suffered from intermittent projectile vomiting since birth without failure to thrive. The diagnosis was made by UGI series & abdominal CT. Patient remained asymptomatic after operation.

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A Study on the Sex-identity and the Premenstrual Syndrome of Female High School Students (여자고등학교 학생의 여성 정체감과 월경전 증후군)

  • Kwon, In Sook
    • Journal of the Korean Society of School Health
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    • v.9 no.2
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    • pp.223-237
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    • 1996
  • This study was conducted in order to contribute to female student health by providing fundamental data for health instruction and health counsel. The purpose of this study is to determine the frequency of PMS by a menstrual distress questionnaire, and determine sex-identity factors related to PMS. The data were collected by a questionaire conducted from December 1,1995 to December 20, 1995. The subjects of research were 1,102 high school students in Seoul. The data analyzed was done using the SPSS PC+, and the results were as follows; 1. The perceived subjective symptoms were clusted behavioral change, negative affects, pain, impaired concentration, water retention and autonomic reactions. The most common symtoms during the period of 2 to 10 days before menses were vaginal discharge(79%), back pain(70.4%), nervous tension(60.8%), fatigue(56.2%), abdominal bloating(54.5%), mood change(52.8), pelvic pain(46.8%), resistance to study(45.9) and talking(43.3). 2. There was a significant correlation between the clusters symptoms; negative affects and behavioral changes(r=.9326, p=.000), behavioral changes and impaired concentration (r=.8572, p=.000), negative affects and impaired concentration(r=.8411, p=.000) and autonomic reaction and pain(r=.7267, p=.000). 3. Sex-identity factors were related to PMS ; perception of the female(F=5.1811, p=.006) and pregnancy concerns (T=3.54, p=.000).

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Differential Diagnosis of Hirschsprung's Disease (Hirschsprung's Disease의 감별 진단)

  • Yoo, Soo-Young
    • Advances in pediatric surgery
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    • v.8 no.1
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    • pp.54-61
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    • 2002
  • Hirschsprung's disease (HD) is usually diagnosed in the newborn period and early infancy. The common presentation of HD in newborns consists of a history of delayed passage of meconium within the first 48 hours of life. The differential diagnosis in newborns is one of the clinical challenges of this disorder. A number of medical conditions which cause functional obstruction of the intestines are easily excluded. Neonates with meconium ileus, meconium plug syndrome, distal ileal atresia and low imperforate anus often present in a manner similar to those with HD in the first few days of life. Abdominal radiographs may help to diagnose complete obstruction such as intestinal atresia. Microcolon on contrast enema can be shown in cases with total colonic aganglionosis, ileal atresia or meconium ileus. Suction rectal biopsy or frozen section biopsy at operation is essential for differential diagnosis in such cases. HD is also considered in any child who has a history of constipation regardless of age. Older children with functional constipation may have symptoms that resemble those of HD and contrast enema is usually diagnostic. However, children with other motility disorders generally referred to as chronic idiopathic intestinal pseudoobstruction present with very similar symptoms and radiographic findings. These disorders are classified according to their histologic characteristics.; visceral myopathy, visceral neuropathy, intestinal neuronal dysplasia (IND), hypoganglionosis, immature ganglia, internal sphincter achalasia. Therefore, the workup for motility disorders should include rectal biopsy not only to confirm the presence of ganglion cells but also evaluate the other pathologic conditions.

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A Clinical Report of an Anemia Patient Received Hospital Treatment after Hysterectomy (자궁적출술 이후 발생한 중증 빈혈 환자 1례 증례보고)

  • Kwon, Na-Yoen;Lee, Dong-Nyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.3
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    • pp.131-140
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    • 2018
  • Objectives: The posthysterectomy syndrome is sequela which occurred after hysterectomy. Even though hysterectomy is one of common surgery in gynecologic operation, the complications of surgery easily occurred. The purpose of this study is to report the effect of traditional Korean medicine on posthysterectomy syndrome, especially anemia. Methods: The patient having treated with hospital management, from January 19th in 2018 until Feburary 8th in 2018, participated. Her chief complaint was dizziness which occurred after hysterectomy. We diagnosed her as anemia based on symptoms and blood test result. We treated the patient with herbal medicine, moxibustion and iron pills. The efficacy of treatment was evaluated with visual analogue scale (VAS) and complete blood cell count. Results: During hospitalization period, the symptoms including dizziness, fatigue, headache, neck pain, abdominal pain were reduced. After discharging, we identified that the level of hemoglobin was normalized. Conclusions: To recover from posthysterectomy syndrome, Korean medicine treatment is considered to be effective.

Clinical study on one case of a patient with chronic PID (만성골반염(慢性骨盤炎) 환자에 대한 치험일례(治驗一例))

  • Seo, Ji-Young;Kim, Yoon-Sang;Lim, Eun-Mee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.15 no.4
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    • pp.218-227
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    • 2002
  • Pelvic Inflammatory Disease(PID) is a spectrum of inflammatory disorders of the female genital tract involving at least the endrometrium and may include the fallopian tubes, ovaries, and pelvic cavity. Women with PID acutely experience pain and are at risk for sepsis; however, the long-term complications such as chronic pelvic pain, organic changes like chronic salpingitis, adhesions, etc., and the significant increases in ectopic pregnancy and infertility are more important and hard to control. This study is about one patient who has chronic PID with inflammatory pelvic mass. The patient was treated with retention enema therapy which use herbs effective for reducing inflammation, resolution abdominal mass, promoting blood circulation. Also, treated with herbal medication of Danchisoyosan(丹梔逍遙散) and Moxibution at Zhongwan(中脘), Guanyuan(關元). After total treatment for three months, the patient's symptoms are improved and the size of inflammatory pelvic mass is reduced. This results indicates that the combination treatment, especially the retention enema therapy is effective on reducing symptoms of PID and the size of secondary inflammatory organic changes.

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A Case Report of Unresectable Pancreatic Carcinoma Patient for Relieving Cancer Related Pain and Improving Quality of Life by Korean Medical Treatment (한방치료를 통해 수술이 불가능한 췌장암 환자에서 통증개선 및 삶의 질을 회복한 증례)

  • Yun, Hoyoung;Cho, Chongkwan;Yoo, Hwaseung;Bang, Sunhwi
    • Journal of Korean Traditional Oncology
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    • v.18 no.1
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    • pp.9-15
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    • 2013
  • Objectives : The purpose of this study is to report the effect of Korean medicine on the pancreatic carcinoma patient. Method : A patient was diagnosed as unresectable pancreatic carcinoma. She complained insomnia, abdominal pain, dyspepsia and sleep disturbance. She was treated by Korean medicine composed of acupuncture, herbal medication and wild ginseng pharmacopuncture. Results : All symptoms took a favorable turn after Korean medicine treatment. As treatment was performed, as intensity of pain, insomnia, dyspepsia and fatigue were decreased. Conclusion : This study suggests that Korean medicine treatment has effectiveness for improvement of cancer related symptoms of a pancreatic carcinoma patient. Consequently, the treatment is helpful in improving quality of life.

The Case Report of 1 case of Patient with Dysfunction of Autonomic Nervous System by oriental medical therapy (가미온담탕(加味溫膽湯)으로 호전된 자율신경실조증 환자 1례)

  • Lim, Jae-Won;Yim, Hyeon-Ju;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Haehwa Medicine
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    • v.18 no.1
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    • pp.101-107
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    • 2009
  • Objectives: The purpose of this study is to show a case of patient with dysfunction of autonomic nervous system improved by oriental medical treatment. Methods: This patient was 66 year-old woman who complained pantalgia including abdominal pain and headache, cold sweating, anxiety, palpitation and fatigue. She was treated by herbal medicine(加味溫膽湯 $ji\bar{a}w\grave{e}iw\bar{e}nd\breve{a}nt\bar{a}ng$), acupuncture, moxa and aroma therapy. We used VAS(Visual analogue scale) to measure the progress of symptoms. Results : The symptoms of dysfunction of autonomic nervous system was improved after oriental medical therapy. Conclusions : This study suggests that oriental medicine therapy is effective in the trearment of dysfunction of autonomic nervous system.

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Treatment of the post-hysterectomy syndrome: a case report (자궁적출술 후 증후군 (Post-hysterectomy syndrome) 환자 1례에 대한 임상 보고)

  • Park, Kwan-Woo;Kim, Song-Baeg;Yoo, Sim-Keun;Seo, Yun-Jung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.18 no.3
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    • pp.225-233
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    • 2005
  • Purpose : Hysterectomy is the most common gynecologic operation in women. Recent research has been directed towards understanding the symptoms after hysterectomy. But the study for treating them was rarely investigated. The purpose of this study was to report a case associated with treatment of the post-hysterectomy syndrome. Methods : A 52-year-old woman, who suffered from headache, dizziness, indigestion, lumbargo, insomnia, hyposthenia et al after total abdominal hysterectomy (TAH), was enrolled in this study. She received oriental treatments such as herbal medicine, acupuncture, moxibustion and dry cupping therapy for 8 days. Results : The symptoms after hysterectomy were markedly reduced by oriental treatments. Conclusion : The present study suggests that oriental treatments have a significant effect on the post-hysterectomy syndrome.

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A Case of Green Tobacco Sickness (GTS) in Elderly Patient (담뱃잎농부병으로 진단된 고령 환자 1례)

  • Jeong, Dong Kil;Kim, Doh-Eui
    • Journal of The Korean Society of Clinical Toxicology
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    • v.17 no.2
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    • pp.132-134
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    • 2019
  • Green tobacco sickness is an illness caused by dermal exposure to nicotine. The common symptoms of the disease include dizziness, headache, nausea, vomiting, severe general weakness, fluctuations of blood pressure or heartbeat, abdominal cramping, chills, increased sweating, salivation, and difficulty breathing. A 79-year-old female arrived at the emergency room for an evaluation of sudden onset dizziness. Magnetic resonance imaging and angiography of the brain did not show any relevant abnormal findings. Four days later, with supportive care, she said that she had harvested green tobacco for six hours on the day of admission and the tobacco harvest was the first time in her life. She sweated excessively during the hot and humid weather and the tobacco leaves were wet from rain the night before. The serum cotinine tested at five days of admission was 16ng/ml. She was diagnosed with acute nicotine poisoning by her clinical symptoms and the half-life of cotinine in the blood.