• Title/Summary/Keyword: and Symptoms

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Factors that Affect Remission of Chemotherapy-Induced Peripheral Neuropathy Symptoms: Short-Term Prospective Study

  • Jeong, Gay Suk;Choi, Jin Yi;Choi, Heejung
    • Journal of Korean Biological Nursing Science
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    • v.24 no.2
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    • pp.86-94
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    • 2022
  • Purpose: Patients experiencing chemotherapy-induced peripheral neuropathy (CIPN) apply various palliative care as well as drugs in their daily life to alleviate symptoms. There is a need to identify the influence of these efforts and patients' psychosocial status on the relief of CIPN symptoms. This short-term prospective study investigated how prescription drugs, non-pharmacological behaviors (exercise, massage, and heat therapy), and psychological states (social support, depression, and anxiety) affected CIPN symptoms. Methods: Participants scheduled to receive postoperative platinum or taxane-based chemotherapy were enrolled consecutively. CIPN was measured with the Neurotoxicity-12 subscale of the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity-12 instrument. Data were collected three times during the 4 or 5 cycles of chemotherapy. Results: At the end of the 2nd chemotherapy cycle, 93.1% of participants reported CIPN symptoms. Multiple regression analyses showed that a heat therapy (β= -.34, p< .001), massage (β= -.21, p= .012), and walking 5 times or more per week (β= -.26, p= .021) provided relieve for CIPN symptoms. Depression (β= .19, p= .027) significantly exacerbated CIPN symptoms. Conclusion: These results suggested that a comprehensive management program that includes walking, heat therapy, massage, and mood therapy should be encouraged. Moreover, patients should be educated at chemotherapy initiation to understand appropriate interventions that can relieve CIPN symptoms.

Joint Symptoms During Antituberculous Chemotherapy (결핵 치료 중 나타나는 관절 증상)

  • Kim, Sang-Cheol;Baik, Jae-Joong;Lee, Tae-Hoon;Chung, Yeon-Tae
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.2
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    • pp.162-168
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    • 2000
  • Background : Joint symptoms frequently occur in the course of antituberculous chemotherapy and tend to be ignored and overlooked, but in some cases, they are often very troublesome in obstructing ordinary life. Joint symptoms that develop during antituberculous chemotherapy need to be understood, but there are few materials describing them systematically. Method : This study enrolled 33 patients with tuberculosis treated with first line antituberculous agents for more than 6months. In the course of treatment, joint symptoms not associated with specific cause, such as preexisting joint disease or trauma, were investigated and compared with thæe of the asymptomatic group. We confirmed the incidence of joint symptoms and factors associated with them. Results : Nineteen of 33 patients (58%) had joint symptoms. Joint symptoms developed 1.9$\pm$1.4 months after the beginning of chemotherapy and lasted for 3.6$\pm$2.5months. In 18 of 19 symptomatic patients, multiple joints were involved: shoulder (10 patients, 53%), knee (10, 53%), finger (6, 32 %). Joint symptoms were expressed as pain (19 patiens, 100%), stiffness (7, 37%) and/or swelling (3, 16%). Fourteen patients (74%) took analgesics to relieve their symptoms and in 2 patients, antituberculous agents were discontinued because of the severity of their symptoms. The symptoms seem to be caused by agents other than pyrazinamide, but it was very difficult to identify the definite causative agent. In age, sex, underlying disease and serum uric acid level, no significant differences were noted between the two groups. Conclusions : Although joint symptoms are common during antituberculous chemotherapy, their development is difficult to predict. Because some joint symptoms can become very bothersome, the physician should pay close attention to these symptoms.

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The Clusters of Fever-Related Symptoms among Patients at the Emergency Room (발열 증상 클러스터 - 응급실 내원 성인 환자를 대상으로)

  • Na, Sun Gyoung;Shin, Hyun A;Oh, Eui Geum
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.1
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    • pp.20-29
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    • 2017
  • Purpose: The purpose of this study was to investigate symptoms experienced by patients who reported fever at the emergency room (ER) and to identify any existing cluster of symptom related to fever. Methods: The study used a retrospective and descriptive design with secondary data analysis. Data were abstracted from 665 medical records of patients with fever who visited ER from September 1, 2015 to August 31, 2016 at a tertiary hospital. Results: The most frequently reported symptoms included cold (43.9%), myalgia (24.1%), headache (16.2%), general weakness (15.3%), respiratory symptoms (12.3%), gastrointestinal (GI) symptoms (12.0%), mental change (4.5%), sweating(1.8%), and warmth (0.9%). Analysis of the symptoms related to fever revealed seven symptom clusters; Cluster 1 (n=190) included cold (100%) and myalgia (28.9%); Cluster 2 (n=37), headache (100%) and myalgia (32.4%); Cluster 3 (n=33), GI symptoms (100%), general weakness, headache, and cold; Cluster 4 (n=34), cold (100%), myalgia, headache, and respiratory symptoms; Cluster 5 (n=241), respiratory symptoms (10.8%); Cluster 6 (n=76): myalgia (75.0%) and general weakness, and Cluster 7 (n=54), cold (87.0%), general weakness, and respiratory symptoms. Conclusion: The results of this comprehensive symptom assessment are hoped to be helpful in developing better symptom management for ER patients with fever than before. Further research is warranted to verify the symptom clusters of this study in different clinical settings.

Impact of Stress on Physical and Temporomandibular Joint Symptoms in Health-Related Majoring students (보건계열 대학생의 스트레스가 신체적 증상 및 턱관절증상에 미치는 영향)

  • Kim, Jin-Uk;Hong, Min-Hee;Kim, Yoon-Shin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.10
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    • pp.4919-4926
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    • 2013
  • The purpose of this study was to examine the stress of health-related majoring students on their physical and temporomandibular joint symptoms. The subjects were 283 college students in Chungcheongnam-do province from September 1 to November 30, 2012. The data were analyzed using SPSS 18.0(SPSS 18.0 K for window, SPSS Inc, USA) with the level of significance as 0.05. The findings of the study were as follows: There were significant differences among the university students in stress according to age, academic year, smoking and snack intake. Significant differences were found in digestive symptoms according to gender, academic year, drinking and snack intake, and there were significant differences in temporomandibular joint symptoms. Stress had a significant correlation to physical symptoms and temporomandibular joint symptoms. As for the influence of stress on physical symptoms and temporomanbular joint symptoms. In this study, how to help college students to relieve stress in a sound manner, to promote their physical, mental and oral health and ultimately to lead a sound college life should carefully be considered.

A Study on the Subjective Musculoskeletal Symptoms Associated with Tasks of Operating Room Nurses (수술실 간호사의 간호업무에 따른 근골격계 자각증상에 관한 연구)

  • Park, Hyeon-Hee;Yi, Ggod-Me
    • Research in Community and Public Health Nursing
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    • v.16 no.3
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    • pp.351-359
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    • 2005
  • Purpose: To find the factors of subjective musculoskeletal symptoms associated with the general characteristics and tasks of operating room nurses (OR nurses) and then to use the factors as basic information for preventing and managing musculoskeletal symptoms in OR nurses. Method: This study was an exploratory research. Data were collected using a self-report questionnaire from OR nurses working at 8 polyclinics in Korea during the period from July 26 2004 to August 19 2004. The questionnaire contains 7 questions on general characteristics and 18 questions on tasks in the operating room. Result: 187 (75.1%) nurses said they 'had' subjective musculoskeletal symptoms. Statistically significant differences were observed according to clinical career, career as an OR nurse, skillfulness, satisfaction with tasks in the operating room, perception on suitable treatment, care of symptoms by the hospital. weight of hospital linen and weight of a basic operation set (p<.05). Conclusion: Musculoskeletal symptoms complained of by OR nurses were significant. This may cause difficulties in nursing tasks in the operating room. Thus, various arrangements should be made for OR nurse with subjective musculoskeletal symptoms at the early stage.

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Work-related stress and depressive symptoms among dental hygienists (치과위생사의 우울증상과 직무스트레스와의 관련성)

  • Kwon, Mi-Young;Kim, Ji Hyun
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.5
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    • pp.917-924
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    • 2015
  • Objectives: The aim of this study was to investigate the association between work-related stress and depressive symptoms among dental hygienists. Methods: This survey of dental hygienists was conducted in Gyeonggi province, South Korea. Total of 198 dental hygienists were interviewed in 2014. The occupational stress was evaluated by depression symptoms, which was assessed by the Beck Depression Inventory Scale. To estimate the odds ratio with 95% confidence intervals, logistic regression model was used. Results: Depressive symptoms were reported 46.0%(n=91) among dental hygienists. We found that the work-related stress increased with age, smoking(OR=5.16; 95% CI 1.73-15.3), and those who had the poor perceived health status(OR=4.22; 95% CI=1.50-11.86) was associated with the risk of depressive symptoms. After controlling potential confounders, such as dental hospital(OR=11.05; 95% CI=1.02-118.9), 5-7 years time since first employment(OR=0.15; 95% CI=0.03-0.89), and the group with the high job stress(OR=2.84; 95% CI=1.22-6.79) showed higher risks of depressive symptoms than did no depressive symptoms. Conclusion: Our findings suggest that the risk of depression appears to be related to age, smoking, self-reported health status, type of dental facility, years of practice and the stress of job.

A study on the Perceived symptoms of Fatigue of dental Technicians (치과기공사의 자각피로도에 관한 연구조사)

  • Lee, Do-Gyeong
    • Journal of Technologic Dentistry
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    • v.11 no.1
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    • pp.47-63
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    • 1989
  • The study was made to clarify the degree of fatigue of dental technicians in service at the general &local hospital or the dental laboratories in the large cith of korea. The objectives of this study were 235 dental technicians who replied the questionaire which was sent by postal service out of 600 dental technicians selected by random sampling among the workers of the each dental laboratory. The instruments used in this study was the same one as developed by Industry Fatigue committee of Japan Industry Hygiene Association. This instrument was included total 30 items which is consisted of 10 perceived symptoms of fatigue in physical, mental and neuro-sensory dimension respectably. Reliability was tasted with the data of objectives, in which value of Cronbach's $\alpha$ was 9457. The following results were obtained. 1. It was revealed that the influencing demographic variables on the perceived symptoms of fatigue of dental technicians were sex, age, marital status, educational background, job carrier, working part, working hour and commuting hour. The shorted the age or job carrier, thge higher dearee of the perceived symptoms of fatigue. The longer working hours of commuting hours, the higher degree of the perceived symptoms of fatigue. The degree of the perceived symptoms of fatigue in females, unmarried person, the one with higher educational background, workers except orthodontic appliances and poorcelain contouring were higher than the other group. 2. The higher degree of the rest & leisure condition, the lower degree of the physical, mental and neuro-sensory perceived symptoms. 3. The higher degree of environmental condition of the working, the lower degree of the physical, mental and neurosensory perceived symptoms.

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The Trajectory of Depressive Symptoms Across Years of Community Care Utilization Among Older Adults: A 14-Year Follow-up Study Using the 'Korean Welfare Panel Survey'

  • Il-Ho Kim;Cheong-Seok Kim;Min-Hyeok Jeong
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.6
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    • pp.495-503
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    • 2023
  • Objectives: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. Methods: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU. Results: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization. Conclusions: This finding implies that CCU could be beneficial for improving mental health among older adults.

Improvement of Symptoms in Patients with Postherpetic Neuralgia Using Ortho-Cellular Nutrition Therapy (세포교정영양요법(OCNT)을 이용한 대상포진 후 신경통 개선 사례)

  • Jongbin Jo
    • CELLMED
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    • v.14 no.5
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    • pp.76.1-76.3
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    • 2024
  • Objective: To improve patients' postherpetic neuralgia (PHN) symptoms using Ortho-Cellular Nutrition Therapy (OCNT). Methods: A Korean woman in her forties suffering from neuralgia due to herpes zoster was treated with OCNT for approximately six months. Results: After initiating OCNT, the patient gradually experienced reduced neuralgia symptoms in the chest, flank, and back areas. Approximately six months later, she no longer felt discomfort from these symptoms. Conclusion: OCNT can be beneficial in alleviating symptoms of neuralgia in patients suffering from PHN.

A Study on the Physiological Symptoms and Pathological Symptoms of Vietnamese according to Sasang Constitutions (사상체질에 따른 베트남인의 소증 및 병증 특성 연구)

  • Kwon, Ji-Hye;Park, Hye-Joo;Pham, Duc Duong;Dong, Sang-Oak;Jang, Eun-Su;Lee, Si-Woo;Kim, Sang-Hyuk;Yoo, Jong-Hyang
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.4
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    • pp.297-305
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    • 2013
  • Objectives In this study, the Sasang Constitutional diagnosis were carried out to Vietnamese subject living in Vietnam, and the external applicability of Sasang Constitutional Medicine was evaluated by analyzing the physiological symptoms and the pathological symptoms according to their constitutions. Methods Total 170 Vietnamese subjects who live in Hanoi were invited from Sep. 2012 to Jun. 2013 for the research, and subjects were diagnosed by 2 Sasang Constitution Medicine specialists. The collected data were analyzed in terms of the physiological symptoms and the pathological symptoms according to the Sasang Constitutions. Results There were significantly different in the physiological symptoms according to Sasang Constitutions, which were 'digest', 'perspiration', 'excrement', 'hot and cold', 'water' and in the pathological symptoms, which were 'sting pain in head' in Soyangin, 'back pain' in Soeumin, 'chest discomfort' in Taeeumin, 'skin discomfort' in Taeeumin, 'fatigue in the afternoon' in Soyangin, 'digestion' in Soeumin. Conclusions The Sasang Constitution Medicine which is a Korean traditional medicine is also applicable to foreign countries, and it can contribute to the health promotion.