• Title/Summary/Keyword: convalescence

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Reliability and Validity of Korean Version of FACIT-dyspnea 10 Item Short Form in Patients With Cancer (암 환자에 대한 한국어판 FACIT-호흡곤란 10개 항목 단축형 설문지의 신뢰도와 타당도 분석)

  • Ku, Bon-il;Oh, Duck-won;Lee, Min-ji;Kim, Seong-kyeong
    • Physical Therapy Korea
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    • v.27 no.2
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    • pp.111-117
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    • 2020
  • Background: The Functional Assessment of Chronic Illness Therapy (FACIT) for Dyspnea was developed to assess multidimensional dyspnea using two subscales (experience of dyspnea and functional limitation) and a total score. Objects: This study aimed to assess the reliability and validity of the Korean version of the FACIT-dyspnea 10-item short form questionnaire (FACIT-dyspnea-K). Methods: Subjects were 163 patients with cancer. Dyspnea-related scales (modified Medical Research Council scale [mMRC], European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 [EORTC QLQ-C30], Hospital Anxiety and Depression [HAD], and WHO Performance Scale) were used to validate the FACIT-dyspnea-K. Results: Internal consistency was confirmed by Cronbach's alpha values of 0.90 and 0.95 in factors 1 and 2, respectively. Convergence validity was determined by comparing the two factors and total score of the FACIT-dyspnea-K with conceptually related assessment tools measuring the physical and emotional effects of dyspnea, with which correlations ranged from 0.364 to 0.567. Criterion validity was established by significant differences in the FACIT-dyspnea-K score between groups when the patients were classified by performance status as assessed by the WHO performance scale. Furthermore, the FACIT-dyspnea-K showed notable correlations with other dyspnea scales (mMRC, EORTC QLQ-C30, and HAD) for cancer patients (r = 0.28 to 0.54). The test-retest reliability of the two factors and total score of the FACIT-dyspnea-K appeared to be excellent (Cronbach's alpha = 0.96 to 0.97). Conclusion: This study supports FACIT-dyspnea-K as a valid and reliable instrument to assess the dyspnea experience of cancer patients in clinical settings.

The comparative study on Liu-Jing-Bian-Zheng(六經辨證) of ${\ll}$Sang Han Lun(傷寒論)${\gg}$ and Liu-Jing-Fen-Zheng(六經分證) of ${\ll}$Su Wen.Re Lun(素問.熱論)${\gg}$ (${\ll}$소문(素問).열론(熱論)${\gg}$ 육경분증(六經分證)과 ${\ll}$상한론(傷寒論)${\gg}$ 육경변증(六經辨證)의 상관성(相關性)에 대(對)한 연구(硏究))

  • Lee, Dong-Hy;Lee, Jun-Beom;Hwang, Min-Seob;Yoon, Jong-Hwa
    • Korean Journal of Acupuncture
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    • v.21 no.4
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    • pp.145-156
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    • 2004
  • Objective : The following study was undertaken in order to seek the acupuncture operation method of ${\ll}$Sang Han Lun(傷寒論)${\gg}$ Liu-Jing-Bian-Zheng(六經辨證). Methods : Based on the documents quoted in ${\ll}$Sang Hang Za Bing Lun.Xu Wen(傷寒雜病論 序文)${\gg}$ of 'Zhang, Zhong-Jing(張仲景)', the relativity of the theory of Jing-Mai(經脈) and Liu-Jing-Bian-Zheng of convalescence. Results : 1. ${\ll}$ Sang Han Lun${\gg}$ Liu-Jing-Bian-Zheng has succeeded and was developed based on Liu-Jing-Fen-Zheng(六經分證) of ${\ll}$Su Wen Re Lun(素問.熱論)${\gg}$. 2. Liu-Jing-Bing became the general principle of Fen-Jing(分經) and Ding-Zheng(定證) that may be applicable to Fenghan(風寒), Wenre(溫熱), Lili(역려) and Zabing(雜病). 3. Most commentators of ${\ll}$ Sang Han Lun${\gg}$ in the Song, Ming and Ching Dynasties of ${\ll}$ Sang Han Lun${\gg}$ interpreted the Liu-Jing-Bing in physiological and pathological aspects of Rong-Wei(榮衛)

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The Study on the Therapy of Pinggan with Apoplexy (중풍(中風)의 치법(治法) 중(中) 평간법(平肝法)에 대(對)한 고찰(考察))

  • Kim, Gi-Yeol;Kim, Jong-Dae;Jeong, Ji-Cheon
    • The Journal of Internal Korean Medicine
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    • v.18 no.1
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    • pp.26-47
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    • 1997
  • We had studied about the therapy of pinggan with apoplexy and the rusult were obtaind as follows. 1. The therapy of Pinggan is based on Treatise on Exogenous Febrile Diseases(傷寒論)'s ShaoyaoGancaoTang(芍藥甘草湯) on the ground of The Yellow Emperor's Internal Classic(黃帝內經). 2. Ye Tianshi(葉天士) theorized about the therapy of Pinggan. It was that the internal wind theory combind the theory of that liver and kidney having the same origin. He said that 'Through mild the liver, we calm down the liver to stop the wind, and nourish the kidney and then removed heat'. 3. The prodomal stage was treated by prescription of Ziyin-Huoxue-Xifeng(滋陰活血熄風方), WendanTang(溫膽湯), TianmaGoutongYin(天麻鉤藤飮) and ZhenganXifengTang(鎭肝熄風湯). and The therapy has been used to the symptoms of deficiendy of liver-yin and kidney-yin and psycotic symptoms In convalescence. The prescription of ZhenganXifengTang(鎭肝熄風湯), TianmaGoutongYin(天麻鉤藤飮), and DighuangYinzi(地黃飮子) waked well. 4. Internal cerebral hemorrhage, cerebral infarction, movement disorder and senile dementia were treated by the therapy of pinggan, for the action of hypotensor, lipolysis, ataralgesia, defervesence. 5. The medicines of Pinggan-Xifeng like Gastrodiae Rhizoma, Uncariae Ramulus Et Uncus, Scorpio, Bornbyx Batryticatus, Scolopendra, Saigae Tataricae Cornu, and Pinggan-qianyang like Haernatitum, Ostreae Concha, Margaritifera Usta Concha, Eretmochelyos Carapax, Tribuli Fructus were usually used.

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Comparative Analysis of Cervical Arthroplasty Using Mobi-$C^{(R)}$ and Anterior Cervical Discectomy and Husion Using the $Solis^{(R)}$-Cage

  • Park, Jin-Hoon;Roh, Kwang-Ho;Cho, Ji-Young;Ra, Young-Shin;Rhim, Seung-Chul;Noh, Sung-Woo
    • Journal of Korean Neurosurgical Society
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    • v.44 no.4
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    • pp.217-221
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    • 2008
  • Objective : Although anterior cervical discectomy and fusion (ACDF) is the standard treatment for degenerative cervical disc disease, concerns regarding adjacent level degeneration and loss of motion have suggested that arthroplasty may be a better alternative. We have compared clinical and radiological results in patients with cervical disc herniations treated with arthroplasty and ACDF. Methods : We evaluated 53 patients treated for cervical disc herniations with radiculopathy, 21 of whom underwent arthroplasty and 32 of whom underwent ACDF. Clinical results included the Visual Analogue Scale (VAS) score for upper extremity radiculopathy, neck disability index (NDI), duration of hospital stay and convalescence time. All patients were assessed radiologically by measuring cervical lordosis, segmental lordosis and segmental range-of-movement (ROM) of operated and adjacent disc levels. Results : Mean hospital stay (5.62 vs. 6.26 days, p<0.05) and interval between surgery and return to work (1.10 vs 2.92 weeks, p<0.05) were significantly shorter in the arthroplasty than in the fusion group. Mean NDI and extremity VAS score improved after 12 months in both groups. Although it was not significant, segmental ROM of adjacent levels was higher in the fusion group than in the arthroplasty group. And, segmental motion of operated levels in arthroplasty group maintained more than preoperative value at last follow up. Conclusion : Although clinical results were similar in the two groups, postoperative recovery was significantly shorter in the arthroplasty group. Although it was not significant, ROM of adjacent segments was less in the arthroplasty group. Motion of operated levels in arthroplasty group was preserved at last follow up.

Urokinase Thrombolysis for Nonaneurysmal Spontaneous Intraventricular Hemorrhage

  • Jin, Sung-Chul;Hwang, Sung-Kyun;Cho, Do-Sang;Kim, Sung-Hak;Park, Dong-Bin
    • Journal of Korean Neurosurgical Society
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    • v.38 no.4
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    • pp.281-286
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    • 2005
  • Objective : The authors report our experience of urokinase thrombolysis in treating patients harboring nonaneurysmal spontanesous intraventricular hemorrhage[IVH] and evaluated complications, safety and feasibility of this procedure retrospectively. Methods : Fifty-three patients with nonaneurysmal IVH>15mL without underlying structural etiology or coagulopathy were recruited. The patients with Glasgow Coma Scale[GCS]<5 were excluded. A catheter was directed into the IVH. Hematoma aspiration was followed by instillation of urokinase at the ear level of drainage bag under intracranial pressure monitoring system. This was repeated every 6hours until half of its initial volume. For analysis of prognostic factors, we classified the patients into two groups by Glasgow outcome scale[GOS]; good [$GOS\;{\ge}3$] and bad [GOS<3] prognosis group, and performed comparative analysis between two groups. Results : Mean age was 60.2years. The baseline hematoma size ranged 16 to 72mL. IVH volume reduction was done by an average of 74.2%. As complications, there were 3cases of rebleeding and 2cases of ventriculitis. No intracranial adverse effects were observed during thrombolytic theraphy. At 6months after the procedure, 29patients had achieved a good recovery, 15remained vegetative. 9patients died in hospital. The main good prognostic factors were young age, small IVH volume, and high GCS. Conclusion : The results of this study suggest that this relatively easy and safe method of treatment will improve the prognosis. However, further clinical studies also must assess optimal thrombolytic dosage, frequency, and timing of urokinase instillation for safety and effectiveness and must include controlled comparisons of mortality, disability outcome, quality of life, time until convalescence, and cost of care in treated and untreated patients.

Changes in Facial palsy Patient's Quality of life based upon Oriental-Western Medicine Treatment (한양방 협진치료가 안면마비환자의 삶의 질 변화에 미친 영향)

  • Kim, Dong-Hyun;Jung, Dal-Lim;Cho, Chang-Gun;Hong, Seung-Ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.23 no.2
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    • pp.174-185
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    • 2010
  • Objective : In period of convalescence and aftereffect, facial palsy patients suffer from social and psychological problems, besides experiencing physical inconvenience. So Quality of life is important Evaluation in treatment or facial palsy. Nevertheless the aims of recent study were only trying to explain about objective symptoms. Therefore, Oriental-Western Medicine was performed, effectiveness of treatment were measured in Quality of life. Methods : Acute facial palsy patients who visiting whin 5days completed questionnaire about Quality of life, if he(or she) participated voluntarily. Questionnaire are comprised of general characteristics, Facial Disability Index(FDI), WHOQOL-BREF, VAS and House-Brackmann grade. Questionnaire used two times, the first medical examination and 4weeks later after starting Oriental-Western Medicine. The statistical analysis was performed by GraphPad Prism 4.0. T-test was used to verify effectiveness between the two groups. Results : 1. When we compared the first medical examination with 4weeks later, score of FDI-Physical function and FDI-Social/Well-bieng function increased but they were not valid statistically. 2. When we compared the first medical examination with 4weeks later, in WHOQOL-Brefoverall domain and physical domain, score increased. In WHOQOL-Bref-psychological, Social, Environment domain, score decreased. but, they were not valid statistically. 3. VAS, House-Brackmann grade decreased, but, they were not valid statistically. Conclusion : The number of subjects with facial palsy in our study(N=5) was too small, and the period of study(4 weeks) was short, too. For this reason, our data were not valid statistically. But Facial palsy Patient's Quality of life has risen.

Sports massage effect on blood ingredient after exercise (운동후 스포츠 마사지가 혈액성분에 미치는 영향)

  • 이충훈
    • Korean Journal of Health Education and Promotion
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    • v.13 no.1
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    • pp.117-127
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    • 1996
  • The purpose of this study was to investigate the variation in constituent element of blood between the massage group and non-massage group for period of convalescence after giving intense physical exercise of 180beat/min. for 10 men studying physical exercises. Education in K university served as the subjects for this study. The following are the results of the study. 1. The variation in white blood corpuscles showed a tendency of equal ascension in both groups just after finishing physical exercise, but the subjects in the massage group showed quicker recuperation than the subjects in the non-massage. The subjects in the massage group showed a lower tendency than the subjects in the non-massage group for 30minutes after finishing physical exercise. 2. In the variation of red blood corpuscles, it was increased in the massage and non-massage group after physical exercise, but it showed a tendency to drastically decrease in the massage group after 30 minutes. 3. Hemoglobin showed a variation increasing in the massage group and non-massage group after physical exercise, but it showed a tendency of rapid decrease in the massage group after 30 minutes. 4. In the variation of hematocrit, it showed a tendency of similar increase after physical exercise in the massage and non-massage group, but the subjects in the massage group showed a higher decrease than ones in the non-massage after 30 minutes. 5. Blood platelet was increased in the subjects of the massage group after physical exercise, but it was decreased drastically after 30 minutes. 6. In the variation of blood glucose, it was increased in the subjects in the massage group and decreased in the non-massage group after physical exercise, but it showed a tendency of rapid decrease in the non-massage group after 30 minutes.

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A Research on the Epidermic disease of Abdominal Impulse etc. in SangHanMyungRiSokLon (상한명리속론(傷寒明理續論).동기(動氣)외 8증(證)에 대한 연구(硏究))

  • Shin, Je-Sung;Sheen, Yeong-Il
    • Journal of Korean Medical classics
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    • v.19 no.2 s.33
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    • pp.248-265
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    • 2006
  • Impulse of ki refers to palpitation around the navel, it is mostly caused by impairment of yang due to erroneous sweating, deficiency of the spleen yang. Behcet's syndrome caused by prolonged damp-heat and pathogenic germs. Its symptoms are characterized by conjunctival congestion, blue canthus and ulceration of the oral cavity, restlessness all the time, etc. It is advisable to follow the therapeutic principles of clearing away heat and drying damp, detoxicating and sterilizing. Lily disease is one of the emotional disease. It caused by yin deficiency of the heart and lung, found in mental depression or convalescence after a critical disease. Its symptoms are characterized by restlessness, reticence, insomnia, failure to walk, poor appetite, a subjective hot or cold, bitter taste and dark urine. It is advisable to follow the therapeutic principle of nourishing yin to clear away heat. Cholera refers to the disease marked by sudden severe vomiting and diarrhea, and colic of the heart and the abdomen. It is mostly caused by deficiency of the ki in the middle-energizer, emotional stress, etc. It is characterized by such symptoms as sudden severe vomiting and diarrhea, restlessness, etc. It is advisable to follow the therapeutic principles of warming yang and removing toxic substances, and strengthening the spleen and stomach. Heat invasion of blood chamber due to affection of the exterior pathogens, pathogenic heat invading the blood in deficiency and fighting with the blood. Its symptoms are marked by fever, feeling of the fullness, etc. There are deficiency of blood, hot blood and stasis of blood. The different therapeutic treatment should be taken according to different types thereof.

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The Effect of Sports Massage on Physical Fatigue after Exercise (운동 후 스포츠 마사지가 피로 회복에 미치는 영향)

  • Hwang, Seock Yeon;Kim, Dong Kyu;Son, Chang Sub;Lee, Nam Jin;Park, Jong Bae;Cho, Jung Hee;Kim, Yun Bae;Bae, Hyung Joon
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.2
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    • pp.252-257
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    • 2004
  • The purpose of this study was to investigate the variation in constituent element of blood between the massage group and non-massage group in the period of convalescence after giving intense physical exercise for ten T'ae-Kwondo martial artists. In the variations of red blood cells, white blood cells, hematocrit, hemoglobin and blood platelet, levels decreased during the rest time after physical exercise, but the subjects in the massage group showed lower tendency than the subjects in the non-massage group after physical exercise. The variation of calcium showed an ascension tendency in the massage group after physical exercise. Creatine phosphokinase was increased after physical exercise, but it showed a tendency of rapid decrease in the massage group. Lactic acid showed a variation increase after physical exercise. It showed a tendency of decrease during the rest time in the non-massage group, but it was increased after sports massage. The variation of blood glucose was increased after physical exercise. It was maintained in the massage group after physical exercise in contrast to the non-massage group whose levels decreased during the rest time.

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Evaluation of Influence Factors in order to introduce Share-styled Apartment House Successfully (지분형 주택분양제도의 성공적인 도입을 위한 영향요인 분석)

  • Lee, Hyun-Chul;Lim, So-Yean;Go, Seong-Seok
    • Korean Journal of Construction Engineering and Management
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    • v.11 no.1
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    • pp.79-87
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    • 2010
  • The purpose of this study is to find decisive factors affecting Share-styled Apartment house Lee Myung-bak announced for the homeless masses in February 2008. This policy tried to add up defects from Half-priced Apartment house enforced in 2007. Seoul is ranked as the highest PIR(Price Income Rate) city in the world, as far as the difficulties in getting own house is concerned. Korean government has announced a lot of policies to control the price of real-estate, especially housing bubble phenomenon, since the convalescence from IMF financial crisis. By making questionnaires to get an important factor and taking counsel with related specialists, this thesis found what kind of roles the objects including government, institutions and people should play or focus on.