• Title/Summary/Keyword: Core symptoms

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5 Neuropsychiatric Disorder Cases Diagnosed and Treated as Greater Yin Disease Based on Disease Pattern Identification Diagnostic System by Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 태음병(太陰病)으로 진단하고 치료한 신경정신과 질환 증례 5례)

  • Seong-hwan Cho;Jae-won Jeong;Min-hwan Kim;Joo Heo
    • 대한상한금궤의학회지
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    • v.15 no.1
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    • pp.53-84
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    • 2023
  • Objective : The purpose of this study is to explore the therapeutic potential of Shanghanlun for neuropsychiatric disorders through a comparative review of five neuropsychiatric disorder cases diagnosed with Greater yin disease pattern/syndrome (太陰病). Methods : We collected and compared five neuropsychiatric cases diagnosed and treated with Greater yin disease pattern/syndrome (太陰病) from four korean medicine clinics. Clinical symptoms common to the five cases were analyzed by connecting them with Shanghanlun provision 273 and 279. Results : In all five cases, the improvement of chief complaints and decrease in general anxiety were observed after administration of Gyejigajakyak-tang (桂枝加芍薬湯) and Gyejigadaehwang-tang (圭支加大黃湯). In addition, neuropsychiatric symptoms and physical symptoms that are mentioned in Shanghanlun provision 273 and 279 were confirmed in all five cases. Conclusions : We not only reconfirmed that the core features of Greater yin disease pattern/syndrome(太陰病) proposed in previous studies; zi-tong (自痛), yin-er (因爾), jie-ying (結硬), but also that the physical symptoms associated with fu-man (腹満), tu (吐) and zi-li (自利) were common in the presenting symptoms and past histories of the five patients.

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A Study on Emotional Characteristics with the Core Assessment Instrument Based on Chiljeong in Insomnia Patients (불면증 환자의 핵심감정평가도구를 활용한 정서적 특성 연구)

  • Choi, Sung-Youl;Lyu, Yeoung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.2
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    • pp.191-200
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    • 2015
  • Objectives: We performed this study to certify the objectivity and significance of the Core Assessment Instrument Based on Chiljeong as a diagnostic measure in insomnia patients. Methods: We collected self-report questionnaires from inpatient and outpatient targets that had symptoms of insomnia. Descriptive statistics, Independent t-test, One-way repeated measure ANOVA and Pearson Correlation analysis were used for data analysis. Results: Bi and Kyeong emotion scores were higher but the Hui emotion score was lower for insomnia patients. Regarding the relationship between ISI score and the Core Assessment Instrument Based on Chiljeong, the more severe the insomnia, the higher the Sa and Kyeong emotion scores were, whereas the Hui emotion score was lower. Patients that were male, married, old, and had higher education showed a stronger correlation between Gyeong and ISI scores. Conclusions: Using the Core Assessment Instrument Based on Chiljeong for insomnia is thought to be helpful in both the diagnostic and clinical aspects of insomnia.

A Case Report on a Patient of Pain after Core Decompression Surgery on Avascular Necrosis of Femur Head Treated with Korean Medicine Treatments (대퇴골두 무혈성 괴사 감압술 시술 후 발생한 고관절 통증 환자의 치험 1례)

  • Cho, Sung Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.55-65
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    • 2019
  • Objectives : The aim of this study was to report the improvements in pain that a woman experienced after receiving Korean medicine treatments for the pain associated with core decompression surgery due to avascular necrosis (AVN) of both femur heads. Methods : The patient was diagnosed as having AVN in both femur heads and underwent core decompression surgery. After operation, she had pain on her right inguinal region and her range of motion (ROM) was restricted. She was treated with Korean medicine including, herbal medicine, acupuncture, Chuna Manual Therapy and bee venom acupuncture (BV). This study was measured by using the Visual Analogue Scale (VAS) and the ROM scale. Results : After conservative treatment, the patient's pain was reduced and ROM was increased. Daily living quality had improved. Conclusions : In this case, Korean conservative medicine therapy with Chuna Manual Therapy had a positive effect on the symptoms after core decompression surgery due to avascular necrosis of the femur head.

Evaluation of Emotional Characteristics of Premenopausal and Postmenopausal Women Using the Core Seven Emotions Inventory-Short Form (폐경 전후 여성의 핵심감정척도 단축형을 활용한 정서적 특성 연구)

  • Lee, Ga Won;Lee, Na Hyun;Kang, Hyung Won;Lyu, Yeoung Su
    • Journal of Oriental Neuropsychiatry
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    • v.31 no.2
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    • pp.77-88
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    • 2020
  • Objectives: The study evaluated middle-aged women using the Core Seven Emotions Inventory-short form (CSEI-s) followed by a correlation analysis with Menopause Rating Scale (MRS). Methods: In this study, the medical records of 47 women who visited W University Oriental Medicine Hospital and completed the CSEI-s and MRS were evaluated. A total of 47 women were analyzed using SPSS (Statistical Package for the Social Science, IBM, United States of America, Version 23.0). Frequency analysis, descriptive analysis, independent t-test, one-way ANOVA, Scheffe test, and correlation analysis were conducted. Results: 1. Approximately one-third of all subjects were more than cautious expressing joy and fright. 2. According to their educational status, high-school graduates thought they were superior to those with a bachelor's degree or above. 3. Anger was expressed with caution in the group with severe menopausal symptoms. 4. Anger, thought, depression, sorrow, fear, and fright showed a positive correlation with MRS scores. 5. Among premenopausal and postmenopausal women, fright was associated with menopausal symptoms and response by the autonomous nervous system. Conclusions: The results suggest that CSEI-s can be used to measure the psychological symptoms of middle-aged women.

Relationship between Eating Disorder, Physical Symptoms and Mood Status among College Women (여대생의 섭식장애와 신체증상, 기분상태간의 상관관계)

  • Lee, Kyu-Eun;Kim, Nam-Sun
    • Women's Health Nursing
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    • v.4 no.3
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    • pp.388-401
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    • 1998
  • The purpose of this study is to investigate the relationship between the eating disorder, physical symptoms and mood status among college women. Data has been analyzed by SPSS/PC using frequency, percentage, mean, standard deviation, t-test, Pearson correlation coefficient. The results of this study are as follows : 1. The mean of body weight and height of the subjects were 52.74kg, 163.10cm. 2. Depending upon BMI, the obesity subjects were very rare(2.2%) and the rest(97.8%) were underweight or normal. 3. The total mean score of anorexia nervosa was higher than bulimia nervosa. 4. The total mean score of perceived physical symptoms was 20.68 and subjects in this study showed the tendency giving the highest core on the item of autonomic nerve system and mensural status. 5. The total mean score of mood status was 58.49. 6. The scores of eating behavior differed significantly by the BMI : The score was highest in the group of normal body weighted(t=5.75, p<.05). 7. The scores of physical symptoms differed significantly by the BMI : The score was highest in the group of the underweight(t=7.35, p<.01). 8. No significant difference was found on over all mood status scores according to the BMI. 9. There was high positive correlation between BMI and eating disorder(r=.1633, p<.01), between eating disorder and physical symptoms(r=.2497, p<.0001), between eating disorder and mood status(r=.2328, p<.0001), and between symptoms and mood status(r=.5051, p<.0001). From the results of this study, the eating disorder among college woman was very serious and the perception of their body weight was distorted. Therefore, to prevent the eating disorder, professional intervention is needed.

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Radiculopathy Caused by Internal Iliac Artery Pseudoaneurysm Managed with Endovascular Embolization

  • Choi, Il;Im, Soo-Bin;Kim, Bum-Tae;Shin, Won-Han
    • Journal of Korean Neurosurgical Society
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    • v.42 no.6
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    • pp.484-486
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    • 2007
  • The authors describe a case of pseudoaneurysm arising from internal iliac artery presented with radiculopathy mimicking the symptoms of lumbar disc disease or spinal cord tumor. Among the several preoperative evaluation including CT, MRI, electrophysiologic study and ultrasonography, important diagnostic clue was obtained by ultrasonographic findings of turbulence flow at the core of partially enhanced mass in the pelvic cavity. The patient was managed with endovascular coil embolization successfully. The current case makes us remind that assessment of neurological symptoms on lower extremity should include consideration of extraspinal cause in pelvis.

Stimulants Medication of Attention-Deficit Hyperactivity Disorder (주의력결핍 과잉행동장애에서 정신자극제를 이용한 약물치료)

  • Yang, Young-Hui;Yoo, Hee-Jeong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.19 no.2
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    • pp.61-71
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    • 2008
  • Attention-deficit hyperactivity disorder (ADHD) is characterized by inattention, hyperactivity, impulsiveness and problems in other higher cognitive processes such as executive function deficits. Currently, there are many treatment modalities, of which pharmacotherapy is the most strongly supported by scientific and clinical evidence. Stimulants, which are first choice in the pharmacological treatment of ADHD, block dopamine reuptake by binding the dopamine transporter and so increasing the concentration of dopamine in synaptic clefts. Stimulants are effective in improving core ADHD symptoms, as well as the nonspecific symptoms, such as aggressiveness and oppositional behavior. Frequently reported short-term adverse effects are decreased appetite, sleep disturbance, headache, dizziness and irritability. Although questions have been raised about the long-term side effects of stimulants, including growth suppression, cardiovascular events, and abuse potential, there is no clear evidence to support these concerns.

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Loss of Acquired Skills: Regression in Young Children With Autism Spectrum Disorders

  • Ye Rim Kim;Da-Yea Song;Guiyoung Bong;Jae Hyun Han;Hee Jeong Yoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.34 no.1
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    • pp.51-56
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    • 2023
  • Objectives: Regression, while not a core symptom of autism spectrum disorder (ASD), has been suggested to be a distinct subtype by previous studies. Therefore, this study aimed to explore the prevalence and clinical differences between those with and without regression in children with ASD. Methods: This study includes data from toddlers and young children aged 2-7 years acquired from other projects at Seoul National University Bundang Hospital. The presence and characteristics of regression were explored using question items #11-28 from the Autism Diagnostic Interview-Revised. Chi-square and independent t-tests were used to compare various clinical measurements such as autistic symptoms, adaptative behavior, intelligence, and perinatal factors. Results: Data from 1438 young children (1020 with ASD) were analyzed. The overall prevalence rate of regression, which was mainly related to language-related skills, was 10.2% in the ASD group, with an onset age of 24 months. Regarding clinical characteristics, patients with ASD and regression experienced ASD symptoms, especially restricted and repetitive interests and behaviors, with greater severity than those without regression. Furthermore, there were significant associations between regression and hypertension/placenta previa. Conclusion: In-depth surveillance and proactive interventions targeted at young children with ASD and regression should focus on autistic symptoms and other areas of functioning.

Comparison of the Core Competency and Job Training Needs of New Employees of Primary Health Care Posts Appointed before 2008 and after 2009 (2009년 전후 임용자의 보건진료 전담공무원의 핵심역량별 교육 필요도 및 세부주제별 교육필요도 비교연구)

  • Seo, Inju;Im, Eunsil
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.2
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    • pp.38-46
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    • 2019
  • Purpose: The purpose of this study was to analyze differences in the needs of primary health care posts before 2008 and after 2009. Methods: For the final analysis data on 1,905 public health centers and 1,521 public health practitioners were analyzed. The chi-test was used to examine differences between the employees before and after 2008 in general, and T-test for differences in core competencies and job training needs. The test was carried out during June and July, 2017. Results: There were statistically significant differences in general characteristics, future health clinic function, necessity for core competency education, and for job education. Conclusion: Information on the need for new job training should include information the use of public health center information systems, drug mechanisms, medication guidance, discrimination of major symptoms, treatment for common diseases, patient referral and follow-up, health management for elders, dementia management, and chronic disease management. In future job training, it is necessary to elaborate intensively details and evaluate effectiveness.

Meta Analysis of Variables Related to Attention Deficit Hyperactivity Disorder in School-Age Children (학령기 ADHD 아동의 주증상과 관련변인에 관한 메타분석)

  • Park, Wan-Ju;Seo, Ji-Yeong;Kim, Mi-Ye
    • Journal of Korean Academy of Nursing
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    • v.41 no.2
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    • pp.256-268
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    • 2011
  • Purpose: The purpose of this study was to use meta-analysis to examine recent domestic articles related to attention deficit hyperactivity disorder (ADHD) in school-age children. Methods: After reviewing 213 articles published between 1990 and 2009 from and cited in RISS, KISS, and DBpia, the researchers identified 24 studies with 440 research variables that had appropriate data for methodological study. SPSS 17.0 program was used. The outcome variables were divided into five types: Inattention, hyperactive impulsive, intrinsic, extrinsic, and academic ability variables. Results: Effects size of overall core symptoms was 0.47 which is moderate level in terms of Cohen criteria and effects size of overall negative variables related ADHD was 0.27 which is small level. The most dominant variable related to ADHD was obtained from hyperactive-impulsive (0.70). Also academic ability (0.45), inattention (0.37), and intrinsic variables (0.29) had a small effect whereas extrinsic variables (0.13) had little effect on descriptive ADHD study. Conclusion: The results reveal that ADHD core symptoms have moderate effect size and peripheral negative variables related ADHD have small effect size. To improve the reliability of the meta-analysis results by minimizing publication bias, more intervention studies using appropriate study designs should be done.