• Title/Summary/Keyword: Hot flashes

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Correlation between Subjective and Objective Measurement of Climacteric Women's Hot Flashes (갱년기 여성 안면홍조의 주관적 측정과 객관적 측정의 상관성)

  • Kim, Hyung-Jun;Leem, Kang-Hyun;Kim, Myoung-Hee
    • Journal of Korean Academy of Nursing
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    • v.40 no.6
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    • pp.765-774
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    • 2010
  • Purpose: The purposes of this study were to explain the phenomena of hot flashes in climacteric women by using Mexameter, Skin Thermometer, Corneometer, and Laser Doppler Perfusion Imager (LDPI) objectively and to identify the interrelation between the subjective and objective measurements of hot flashes by comparing the two as reported in retrospective questionnaires. Methods: The participants were one hundred women (45-60 yr) who were not currently on hormone therapy, and had reached hot flash scores of 10 or higher. Hot flashes were measured in a temperature and humidity controlled room for 7 hr from 10 am to 5 pm. Hot flashes were measured subjectively and recorded via the Hot Flash Diary Report. When participants felt the hot flashes, they were measured objectively by Mexameter, Skin Thermometer, Corneometer, and LDPI. Results: The frequency of hot flashes in participants ranged from 1 to 7 times. When hot flashes occurred in participants, the erythema, skin temperature, skin hydration, and blood perfusion showed statistically significant changes in all measurements. But, the subjective and objective measurements of hot flashes showed only weak correlations. Conclusion: Results indicate a need for future research with subjective and objective measuring instruments chosen depending variations identified for the study.

A Case Report of a Medial Medullary Infarction Patient with Menopausal Hot Flashes (갱년기장애 상열감을 호소하는 내측 연수 경색 환자에 대한 치험 1례)

  • Ye-chae Hwang
    • The Journal of Internal Korean Medicine
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    • v.45 no.1
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    • pp.119-130
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    • 2024
  • This case study reports on the effectiveness of Korean medicine treatment for menopausal hot flashes in stroke patients. During hospitalization, a female patient with medial medullary infarction was diagnosed with menopausal hot flashes and received treatment with traditional Korean medicine and acupuncture. The assessment was performed by monitoring daily habits to relieve hot flashes. The hot flash index, menopause rating scale (MRS), menopause-specific quality of life (MENQoL) questionnaire, and Kupperman index (KI) were also used. After 28 days of treatment, the hot flash index improved from 27 to 2, MRS improved from 11 to 2, MENQoL improved from 40 to 21, and KI improved from 22 to 6. Thus, this case suggests that Korean medicine treatment may be effective for menopausal hot flashes in stroke patients.

Hot Flashes and Hypogonadism Symptoms in Patients with Prostate Cancer Receiving Hormone Replacement Therapy (호르몬요법을 받는 전립선암 환자의 안면홍조와 남성호르몬 저하 증상)

  • Park, Hyun Hye;Park, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.26 no.2
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    • pp.159-170
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    • 2014
  • Purpose: This research investigated the degree and predictors of hot flashes and hypogonadism symptoms in patients with prostate cancer receiving hormone replacement therapy. Methods: The subjects were 111 patients with prostate cancer receiving hormone replacement therapy in two university hospitals located in D city. The measurement tools included Hot Flash Diary and AMS (Aging Male's Symptoms rating scales). The data were analyzed using t-test, ANOVA, and binary logistic regression analysis. Results: The percentage of patients who experienced hot flashes among the participants was 14.4%. The predictors for hot flashes were eating irregularly, having coffee frequently and the types of hormone. The average score of hypogonadism symptom was 2.16 out of five-point scale and the highest score of hypogonadism symptom was the sexual symptoms (2.77 out of five-point scale). The predictors for hypogonadism symptom were eating habits and years of having the illness. Conclusion: These findings provide the information that irregularly eating habit was an important factor in hot flashes and hypogonadism symptoms of the participants. Therefore the development of a nutritional education encouraging regular meals is necessary for the given population.

The Cut Off Values for Diagnosing Hot flashes by Using Digital Infrared Thermographic Imaging (적외선 체열 촬영을 이용한 안면홍조 진단의 절단값 산정)

  • Jo, Jun-Young;Hwang, Deok-Sang;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub;Lee, Jin-Moo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.26 no.3
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    • pp.85-92
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    • 2013
  • Objectives: The purpose of this study is to find diagnostic points and define the cut off values of hot flashes by using digital infrared thermographic imaging. Methods: Thermographic images of 75 patients with hot flashes (HF, n=35) and non-hot flashes (NHF, n=40) were retrospectively reviewed. We used the temperature difference between Ex-HN3 and CV17, LU4, CV12, CV4 for diagnosing hot flashes. The temperature differences of between two groups were analysed using independent samples t-tests. The cut off values were calculated by received operating characteristic curve analysis. Analyses were undertaken using SPSS version 17.0. and p-value of <0.05 was considered significant. Results: The temperature difference Ex-HN3 and LU4 were the most significantly different between groups (p<0.001). Using receiver operating characteristic curve analysis, the sensitivity, specificity, and area under the curve were 65.7%, 72.5%, 0.729, respectively. The optimum cut off value was defined as $1.00^{\circ}C$. Conclusions: These results suggest that the digital infrared thermographic imaging is a reliable instrument for estimating hot flashes.

A Case Study of a Stroke Patient with Hot Flushes Treated with Traditional Korean Medicine (안면홍조를 호소하는 뇌경색 환자 한방치료 치험 1례)

  • Hwang, Gyu-sang;Jang, Chul-yong;Lee, Su-yeong;Kim, June-hyun;Woo, Chan;Shin, Yong-jeen;Shin, Sun-ho
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.691-697
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    • 2016
  • Methods: A stroke patient with hot flashes was treated for 4 weeks with acupuncture, herbal acupuncture, and herbal medicine. We then evaluated the frequency, intensity, and score (frequency×intensity) of the hot flashes, as well as the Pittsburgh Sleep Quality Index (PSQI), which shows subjective sleep quality. Results: After 4 weeks of traditional Korean medicine (TKM) treatment, the patient showed reductions in the frequency of hot flashes from a score of 7 to 4, the intensity of hot flashes from a score of 4 to 2, the scoring (frequency×intensity) of hot flashes from 28 to 4, and the PSQI from 13 to 4. Conclusions: This study validated the effect of TKM as a treatment for hot flashes in patients with stroke.

Two Case Reports of the Menopausal Disorder with Hot Flashes Treated with Hoechunboeum-tang (회춘보음탕(回春補陰湯) 투여로 호전된 열성홍조를 동반한 폐경기 장애 치험 2례)

  • Kim, Soon-il;Lee, Sang-hun
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.576-582
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    • 2017
  • Objectives: Hormone replacement therapy may relieve many symptoms of menopause; however, hormone replacement therapy may increase the risk of breast cancer, stroke, and dementia. This case study describes the effect of Hoechunboeum-tang on the menopausal disorder of hot flashes, which has been well documented as a cause of distress to patients undergoing menopause. Methods and Results: Two female patients suffering from severe hot flashes related to menopausal disorders were administered the herbal medicine, Hoechunboeum-tang. Measurements included hot flash frequency over a 24 hour period, hot flash severity (visual analogue scale), and hot flash-related daily interference and were recorded during the last week before herbal medicine and again after 7 and 15 days of herbal treatment. The patients were asked about their hot flash symptoms 6 months later and both reported that the symptoms had been successfully reduced after herbal treatment and were still reduced after 6 months. Conclusions: Hoechunboeum-tang could have a beneficial effect on menopausal disorder with hot flashes.

Application of Korean Medicine Therapy to a Patient with Insomnia from Severe Hot Flashes: Case Report (심한 상열감으로 인한 불면을 호소하는 환자의 한의 치료 1례: 증례보고)

  • Bae, Jin-soo;Jang, Esther;Kim, Bo-sung;Ahn, Seon-ju;Kim, Kyeong-ok
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.1
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    • pp.113-122
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    • 2022
  • Objectives: To report the effect of Korean medicine on a patient with insomnia from severe hot flashes. Methods: The patient suffered from extreme hot flashes for months. Symptoms were so severe that the patient attempted suicide. After starting psychiatric medication, symptoms persisted and hospitalization began. During hospitalization, herbal medicine, acupuncture, and psychotherapy were conducted. For evaluating therapeutical effect, Digital Infrared Thermal Imaging was performed twice during the treatment process. It was divided into major facial area and back area. The facial area was divided into two small units to measure the difference in temperature between two points. The back area was measured in the same way. Results: The temperature difference between the two points decreased over time and the patient's subjective symptoms reduced. Conclusions: Korean medicine therapy can improve symptoms of patients with insomnia accompanied by hot flashes.

Case Report: Korean Medicine Treatment for a Patient Complaining of Hot Flashes after COVID-19 Infection (Covid-19 감염 이후 상열감을 호소하는 환자에 대한 한의 치험 1례)

  • Hye-min Heo;Kyeong-hwa Lee;Kyeong-hwa Heo;Ye-chae Hwang;Seung-yeon Cho;Jung-mi Park;Chang-nam Ko;Seong-uk Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.207-215
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    • 2023
  • This study reported a case of hot flashes in a patient after coronavirus disease-2019 (COVID-19) infection. The patient in this case was hospitalized for eight days and improved after the administration of Korean medicine, mainly Yangkyuksanwha-tang. We evaluated the patient's subjective discomfort daily, and the patient kept a diary of hot flashes every day. After treatment, the degree and frequency of hot flashes were greatly improved and continued two weeks after discharge. In addition, the accompanying hyperhidrosis improved from Grade 2 to Grade 0. This study suggests that Korean medicine might be effective in combating the hot flashes of soyangin-type patients.

Venlafaxine for Management of Hot Flashes: A Review of Randomized Controlled Trials in Human (Venlafaxine의 안면홍조 증상개선효과에 대한 최근 연구 고찰)

  • Lee, Yu-Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.2
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    • pp.138-144
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    • 2010
  • The results from eight randomized controlled studies demonstrate that venlafaxine is effective in the treatment of hot flashes with tolerable adverse effects. Based on the results of the above studies, venlafaxine can be recommended for the treatment of hot flashes. However, there are limitations in the above studies. The inclusion criteria of 5 studies reviewed in this paper was breast cancer patients, so it's hard to apply the results to the general population in clinical practice. Also 5 studies had less than 100 subjects included, and 18-week study was the longest one among studies reviewed in this paper. Therefore, large and long-term clinical studies with the general population should be conducted to use venlafaxine for the treatment of hot flashes in clinical practice.

A Case Report of Hot Flashes Treated by Herbal Medicine Based on Shanghanlun Provision (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 한약 투여 후 호전된 일과성 열감 치험 1례)

  • Ha, Hyun-yee;Lee, Ji-Hwan;Lee, Sung-Jun
    • 대한상한금궤의학회지
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    • v.7 no.1
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    • pp.127-132
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    • 2015
  • Objectives: The purpose of this case is to report the effects of Baekho-tang based on Shanghanlun disease pattern identification diagnostic system. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed as Gwoleum-byung(厥陰病). Visual analogue scale was used to check the symptoms while the patient taking herbal medicine Baekho-tang for 12 weeks. Results : After taking Baekho-tang, Visual analogue scale in hot flashes markedly decreased 9 to 1. Conclusions : This paper shows an efficient result of using Baekho-tang based on Shanghanlun disease pattern identification diagnostic system. Further studies should be needed to validate the effects of Baekho-tang.