• 보건행정학회지
• /
• 제11권2호
• /
• pp.16-28
• /
• 2001

This study was to compare multidimensional outcomes of patient's satisfaction after cataract surgery and to identify factors influencing satisfaction after operation. Patient's satisfaction was measured with three dimensions : interpersonal care, physician explanation and hospital care. Overall satisfaction was measured as means of three dimensional scores. For the study, a prospective study was performed with 389 patients who had undergone cataract surgery for either one eye or both eyes. The surgery was performed by 20 ophthalmologists who were practicing at university hospitals and general hospitals. Patients were interviewed and clinical data (the visual acuity of operated eye, visual function, symptom score and satisfaction with vision) were obtained. The doctors were questioned with self-reported questionnaire forms. Medical records were also examined to understand surgery Process. The survey was conducted before(389) and after operation(327). Alter excluding cases with incomplete data, 3n cases were enrolled In this study. Both the overall satisfaction and the satisfaction with physician explanation increased after the operation whereas the satisfaction with interpersonal care and hospital care did not change significantly. Multiple regression analysis showed that the level of education, baseline satisfaction scores and the degree of vision improvement were statistically significant variables. The preoperative lower level of education, higher level of overall satisfaction (interpersonal care, physician explanation, hospital care scores) and the more the satisfaction with vision improvement were associated with the improvement of postoperative satisfaction scores.

• 대한한방내과학회지
• /
• 제21권3호
• /
• pp.355-362
• /
• 2000

This study was performed to evaluate the effect of Kami-bun-sim-ki-eum on irritable bowel syndrome and to find the factors valuable to diagnosis of symptom-complex of them. Four major sympoms were classified in all 31 paients(female 17, male 14), which was index of abdominal, fecal, autonomic dysfunction, and gastric dysfucton and pain severity score method was used in monitoring with the effect of Kamibun-sim-ki-eum on irritable bowel syndrome before and after adminstration of 2 packs I day for 10 days. We have found that Kami-bun-sim-ki-eum was effective only in female group ,but not in male and only sex factor was recognized significantly among factors to have influenced the effect of Kami-bun-sim-ki-eum. Rate of improvement was mean 61% in female, accompanied with improvement of each symptom after administration. Therefore, we have concluded that Kami-bun-sim-ki-eum can be applyed as one of an choice medicines in treating female irritable bowel syndrone.

• 가정간호학회지
• /
• 제18권2호
• /
• pp.126-132
• /
• 2011

Purpose: The purpose of this study was to investigate the degree of LUTS (Lower Urinary Tract Symptoms) and factors affecting LUTS in patients with prostate cancer. Methods: Fifty-four patients with prostate cancer participated and they completed a structured questionnaire at a hospital in Seoul. The LUTS level was measured by using the International prostate symptom score (1992) and the data were analyzed by Wilcoxon rank sum test and Kurskal-Wallis test. Results: Most subjects obtained a higher than moderate LUTS score. The participants who had a lower perceived health status and did not drink alcohol were more likely to had a lower LUTS score than other patients who had higher perceived health status and drink alcohol. In addition, eye diseases were significantly associated with the LUTS score. In LUTS, all the patients received higher IPSS-QOL (International prostate symptom score quality of life) and frequency, nocturia. Conclusion: For proper nursing care related to LUTS, nurses should focus on the factors identified when performing nursing assessments and should develop nursing intervention programs for symptoms management.

• 대한한의학방제학회지
• /
• 제11권1호
• /
• pp.45-55
• /
• 2003

From the study of the symptom, pathology in prescription of Ha-Tong from The Bangyakhapeun. I have reserched 163 prescription. It can be concluded as follows. 1. Prescription about Fecal disease which was the most as 11.66% of the whole, following order Internal disease(6.75%), Uterus Disease(5.52%) Sick-by-Cold Disease(5.52%), Eye Disease(4.91%), Blood Disease(4.91%), Unbalanced humoral status Disease(4.91%), Gynecologic Disease(4.91%). 2. The Fecal Disease divide diarrhea and dysentery; The Internal Disease divides with Sik-sang(食傷) Chu-sang(酒傷), Sik-juck-yu-sang-han(食積類傷寒), Carbonic acid, Vomiting acid; The Uterus Disease divides with Urinnary Disadvantage, Urinary retention, Incontinence; The Sick-by-Cold Disease divides with yang-myung-byung(陽明病), sang-han-goi-jng(傷寒壞證), sang-han-bun-gal(傷寒煩渴), sang-han-sum-ou, sang-han-hyul-jng(傷寒血證), sang-han-ja-ri(傷寒自利), sang-han-bun-jo-jng(傷寒煩燥證). 3. The Diarrhea and Dysentery many used o-ryung-san, hwng-gum-jak-yak-tang(黃芩芍藥湯) hyang-ryun-hwan(香連丸) etc, and The Internal Disease many used pyung-we-san(平胃散) as a basic prescripton. 4. The organ problem use the Sil-yuol(實熱) of the liver, stomach, lung, uterus, small intestine; six natural factors problem used the Sil-jng(實證) of the wind, fire, heat, cold, dampness; And used Unbalanced humoral status, lntrnal hurt, qi and blood, seven extream feeling.

• 한국안광학회지
• /
• 제17권4호
• /
• pp.457-467
• /
• 2012

목적: 오래된 건물에 비해 환경 오염 물질이 많이 방출될 것이라 여겨지는 신축된 초등학교에 다니고 있는 어린이들의 눈 자각 증상과 알레르기 증상의 관련성에 대해 알아보았다. 방법: 수도권에 위치하고 있으며 신축한지 3개월이 지난 초등학교에서 수업을 듣는 6학년 115명(남학생 54명, 여학생 61명)을 대상으로 dry eye questionnaire(DEQ)와 ocular surface disease index(OSDI)를 이용하여 건성안과 전반적인 눈 증상에 대해 자각 증상을 설문하였다. 알레르기 관련 설문은 아토피와 알레르기 비염의 과거력을 조사하였고, allergic rhinitis impacts on asthma(ARIA) 지침의 알레르기 비결막염 설문을 사용하여 코간지러움과 눈증상에 대해 10점 척도의 visual analog scale로 체크하였다. 결과:DEQ의 설문 조사에서 57명(50%)의 학생이, OSDI식 설문 조사에서는 19명(16.52%)의 학생이 건성안으로 진단되었으며, 두 가지 설문에서 모두 건성안으로 진단된 학생은 18명(15.79%)으로 조사되었다. 아토피와 알레르기 비염을 가지고 있는 학생은 각각 45명(39.5%)과 29명(25.4%)이었다. 아토피를 가지고 있는 학생 중 건성안을 보인 학생은 DEQ를 이용했을 때 30명, OSDI를 이용했을 때 8명이었다. 또한 알레르기 비염을 가지고 있는 학생 중 건성안을 보인 학생은 DEQ을 이용했을 때 22명, OSDI를 이용했을 때 5명이었다. 아토피와 비염 모두 과거력이 있는 29명의 학생 중에 15명이 눈에 자극을 자각하였다. 눈에 자극과 함께 중복으로 자각하는 알러지 증상으로는 재채기, 코 간지러움, 코 막힘, 콧물의 순서로 많이 나타났으며, 눈에 자극을 자각한 학생일수록 중복하는 알레르기 수와 학생 수가 비례적으로 증가하였다. 결론: 신축된 학교 건물과 같은 환경에서 생활하는 어린이들의 눈 건강 상태에서 눈의 자극 증상이 조사되었으며, 아토피나 알레르기 비염 증상을 가진 학생들에게서 건성안 증상 호소가 더 많은 것을 확인할 수 있었다.

• 대한한방내과학회지
• /
• 제15권1호
• /
• pp.176-209
• /
• 1994

1. The Jung-Sa(正邪) of the Excessive Liver-Symptoms belongs to the eleven symptoms, there are blue face, blue thin fingernail, anger, fancy of larg body, dizziness, eye flame, Bell's palsy, hard swelling pain at braest, side pain going on the belly from the side, side pain and movement at the left side. 2. The Mi-Sa(微邪) of the Excessive Liver-Symptoms belongs to the four symptoms, there are meat in eye, edema in cheek, lack of appetite and diarrhea. 3. The Juk-Sa(賊邪) of the Excessive Liver-Symptoms belongs to the only one symptom, this is nosebleeding. 4. The Hu-Sa(虛邪) of the Excessive Liver-Symptoms belongs to the three symptoms, there are scrotum constraction, strain in belly and constipation. 5. The Sil-Sa(實邪) of the Excessive Liver-Symptoms belongs to the twenty eight symptoms, there are red eye, raised eyes(兩眼上?), spitting blood, sternocostal turgid pain, turgidity in belly, drooping testis, vomiting water acid, sickening, belching, confusion, impatience, frequent forgetfulness, headache, giddness, eye pain, deaf, ringing in the ear, feeling inverse, drying mouth, stuffiness sensation in the chest, chest pain, stuffiness sensation in the belly, bellyache, quadriplegia, spasm of extremities, tremor, alternate spells of fever and chills, high fever and strain in muscle. 6. Those symptoms, Red corner of the eye, red face, swelling on the forehead, stiff-neck and back strong, opisthotonos, constracture of the limbs, vomiting yellow bitter water, speech impediment, epilepsy, depression, strong tongue, different thing in throat, fullness and distention of the gastric region, feeling sick and tenesmus, have no connected with the Excessive Liver-Symptoms(肝實證) 7. The Excessive Liver-Symptoms(肝實證) is connected with the ganjabyoung(肝自病) and Hwa(火) which the pathology is, than because Mock(木) is excessive and Mock-Saeng-Hwa(木生火), the ganjabyoung(肝自病) and Sil-Sa(實邪) are many. 8. There are the sixteen symptoms with the exception of The Excessive Liver-Symptoms(肝實證), because supposed that the scholars in medicine included the union syndroms(合病), the combine syndroms(兼病) and the analysis of symptoms(辨證) in The Analysis of Five Visceral Symptoms. 9. During consideration of the symptoms at the above statements, where are many causes by Gan-Pung(肝風), there is difficult of distinction between the excessive Liver-Symptoms(肝實證) and C.V.A(Cerebral Vascular Attack). Because than NaeKyung(內經) distinguished between the excessive Liver-Symptoms(肝實證) and C.V.A., the future medical specialists connected with the excessive Liver-Symptoms(肝實證) and C.V.A.. 10. An appearance of Sang-Hwa(相火) that the liver possessed is divided into an appearance of Hwa(火), there will be making a study att the more necessary. 11. The cuases of each syndroms are consist of the origins of syndroms, its pathology and the positions where the syndroms appeared, I consider that is the various ways how judge the syndroms except the Five Pathogenic Factors(五邪). 12. If more than study will be achieved in all, the new definition will be standed about the Excessive and Deficient Five Visceral Syndroms(五臟虛實證), I consider this will be the foundation data that study the Oriental Medicine and the important data that is a judgement standard of clininc.

• 한국의료질향상학회지
• /
• 제5권1호
• /
• pp.128-138
• /
• 1998

Background : There is increased recognition that rigorous approach to functional assessment will complement the assessment of clinical status. This study is to develop the appropriate visual function index in Korean patients with cataracts by the assessment of the reliability, validity of visual function indexes including VF-14. Methods : An prospective study was performed with 92 patients who had undergone either one eye or both eye cataract surgery by 3 ophthalmologists practicing at a university hospital. Patients were interviewed. and clinical data were obtained. Doctors were questioned with self-entered questionnaire forms. Medical record was examined to understand surgery process. The survey was conducted at 1-2 days before cataract surgery. Results : We used following measures : 7 visual function indexes, global measures of patients' trouble and satisfaction with vision, and best-corrected visual acuity(VA) in each eye. 7 visual function indexes showed a high internal consistency reliability (Cronbach's alpha coefficients ${\geq}$ 0.86). The better visual acuity(operated eye, better eye), the higher patient satisfaction with vision, the lower symptom score, the lower patient trouble with vision was correlated with preoperative visual function index scores. Among 7 indexes, VF-12 with the exclusion of 2 items drivings from VF-14 is a high Cronbach's alpha coefficient and correlation coefficient and the highest $R^2$. Conclusion : We conclude that VF-12 is reliable and valid in Korea. So we suggest that in Korea, all items of VF-14, the visual function index, which is in use internationally, ought to be surveyed and VF-12 which has been excluded by 2 items of drivings from VF-14 ought to be used for analysis.

• Journal of Preventive Medicine and Public Health
• /
• 제25권3호
• /
• pp.247-268
• /
• 1992

영상단말기 (VDT)작업이 시력과 안증상에 미치는 영향을 알아보기 위해 1991년 7월에서 10월 사이에 구미시의 1개 TV생산업체에 종사하는 근로자들 가운데 채용 당시 안과적으로 문제가 없었고, 나안시력이 1.0 이상인 40세 미만 남자 338명을 대상으로 일일 평균 화면작업시간이 4시간 미만인 근로자(I군, 60명)와 4시간 이상인 근로자(II군, 204명)를 폭로군으로 하고 유사한 작업환경에서 근무하는 비화면작업자(74명)를 비폭로군으로 나누어 연령, 작업경력, 교대근무형태, 확대경 사용유무, 1일 평균 TV시청 시간 및 수면시간과 그리고 안자각증상에 대한 설문조사를 실시한 후, 안과적검사를 시행하였다. 조사시 원거리시력 (양안의 평균시력)이 채용시에 비해 0.15 이상 저하된 비율은 II군이 20.6%로 비화면작업군의 14.9 %, I군의 15.0 % 보다 다소 높았으나 통계적으로 유의한 차는 아니었다. 연령, 작업경력, 확대경 사용유무, 교대근무형태 등에 따라 층화하여 원거리시력 저하율을 비교해 본 결과 세 군간에 통계적으로 유의한 차가 없었다. 근거리시력 저하율도 비화면작업군이 28.4 %, I군이 18.3 %, II군이 27.5 %로 통계적으로 유의한 차이가 없었으며, 연령 등 4가지 독립변수를 층화하여 비교해 보아도 유의한 차이가 없었다. 안자각증상 호소율은 안피로를 포함한 7가지 항목에서 눈물이 나는 것을 제외한 모든 항목에서 비화면작업군에 비해 I군이, I군 보다는 II군이 통계적으로 유의하게 높았다(P<0.01). 화면작업자 264명 가운데 조명이 나쁜 장소에서 일하는 근로자들의 원거리시력 저하율과 안자각증상 호소율이 조명이 좋은 작업장에서 일하는 근로자보다 더 높았다(P<0.05). 7가지 안자각증상을 각 증상 마다 늘 느끼는 경우는 2, 가끔 느끼면 1, 느끼지 않으면 0으로 점수화하여 개인별 총 안증상 점수를 구해 세 군간에 원거리시력 차이 유무별로 비교해 본 결과, 시력차 유무에 따른 평균 안자각증상 점수의 차는 없었으나 시력차 유무에 관계없이 II군의 평균 안자각증상 점수가 6.13 으로 I군(3.53) 또는 비화면작업군(3.30) 보다 훨씬 더 높았다(P<0.01). 안자각증상 점수와 유의한 상관관계를 보인 독립변수들은 화면작업시간, 확대경 사용유무, 교대근무형태 등이었고, 채용시와 조사시 원거리시력 차이, 원거리시력과 근거리시력 차이, 누액분비기능, 안압, 굴절력 등과 유의한 상관관계를 보인 독립 변수는 하나도 없었다. 안자각증상 점수를 종속변수로 하는 중선형 회귀분석 결과에서는 화면작업시간이 길수록, 단부제나 2교대 근무자보다 3교대 근무자에서 유의한 선형관계를 나타내었다(P<0.01). 본 조사에서는 1일 장시간 VDT작업으로 시력이 저하되는 것은 관찰할 수 없었고 안자각증상은 유발되는 것으로 나타났다. 안자각증상의 예방을 위해 VDT 작업장의 조명을 적절하게 유지하고 장시간 연속해서 작업하지 않도록 작업관리를 해야 할 것이다.

• Journal of Preventive Medicine and Public Health
• /
• 제28권2호
• /
• pp.433-449
• /
• 1995

The study subjects in this study are 295 workers who work on one electronics industry, and they were composed of 93 VDT and 202 non-VDT workers. This study was carried out to obtain the prevalence of subjective symptoms and to compare psychological symptom scores from SCL-90-R between VDT and non-VDT work groups. And to verify the relationship between VDT work related symptoms and psychological symptoms, the author compared SCL-90-R T scores between symptom complaining and non-complaining groups. The results are summarized as follows : 1. Throughout the prevalence study of VDT work related symptoms according to VDT work state, the author could select the final 10 symptoms by sex;'eye fatigue', 'foggy vision', 'neck discomfort or pain', 'shoulder discomfort and pain', 'light headedness', 'dizziness', 'acne', 'itching sensation on face', 'difficulty in concentration', 'memory disturbance' in males, and 'blurred vision', 'foggy vision', 'neck discomfort or pain', 'shoulder discomfort and pain', 'abdominal distention', 'indigestion', 'acne', 'prickling sensation on face', 'difficulty in concentration', 'memory disturbance' in females. 2. Throughout comparison of psychological symptom scores from SCL-90-R between VDT and non-VDT workers, except 'Interpersonal sensitivity' in female, Mean T score were higher in VDT workers, but not significantly different between the two groups. These results indicate that the relation between VDT work status and psychological symptoms are not strongly correlated. 3. Because of the nonspecific characteristics of VDT work related symptoms, from the 40 subjective symptoms, the author selected the final 10 symptoms by sex, especially correlated to VDT, and divided the study subjects into symptom complaining and non-complaining groups. The mean SCL-90-R T scores between the two groups were compared. Except for the opthalmologic symptoms in females, the scores were significantly different between the two groups in all symptoms. And this indicates that the VDT work related symptoms strongly correlated with the present individual psychological conditions. 4. Due to understand that which of the 9 psychological symptom dimensions are strongly correlated with the subjective symptoms, the author excuted muliple logistic regression analysis, and the result were as follows; 'depression' and 'somatization', in male, and 'obsessive-compulsive' and 'somatization' in female.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제27권2호
• /
• pp.184-188
• /
• 2001

Horner's syndrome as a complication of orthognathic surgery is given little attention of head and neck surgery and is a relatively benign and transient condition. A 18-year-old male referred to our department with long and anteriorly projected chin. The cephalometric evaluation revealed a skeletal Class III relationship. A 10-mm setback of the mandible to eliminate Class III relationship and 4-mm vertical reduction genioplasty were performed. Three weeks after operation, the patient was recognized anhidrosis in left face and the head, and ptosis of left eye. The trauma to cervical sympathetic nerve during left sagittal split ramus osteotomy was thought to be the cause of Horner's syndrome. Patient was treated by dermatologic and opthalmologic care. Follow-up examination 8 months later, he was recovery of horner's symptom.