• 제목/요약/키워드: first symptom

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첫째 아이의 스트레스와 측두하악장애에 관한 연구 - 고등학생을 중심으로 - (A study on TMD and stress of first children)

  • 김명은
    • 한국치위생학회지
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    • 제10권4호
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    • pp.683-693
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    • 2010
  • Objectives : The purpose of this study was to examine the relation between stress and temporomandibular disorder(TMD) of first the child. Methods : 500(the first child -250, non first child -250) high school students living in Jecheon city, form November 4th to 5th 2009, were the subjects of this questionnaire. The questionnaire was made up of three contests: sociodemographic characteristic, symptom & dysfunction of TMD and stress of high school students. The data were analyzed by chi-square test, two sample t-test and Pearson correlation. Results : Only 443(the first child -209, non first child - 234) students were evaluated due to inadequate responses. The obtain results was as follow. 1. Subjective symptom of TMD reported by 443 students were joint sound(63.5%), pain on chewing(55.1%), pain on opening the mouth(55.1%). 2. Analysis of subjective symptom of TMD showed the first child group was statistical significantly higher on joint sounds and TMJ pain than non first child group(<0.05). 3. Analysis of bad habit and dysfunction showed the first child group was statistical significantly higher on clenching of the teeth, difficulties of bite, headache than non first child group(<0.05). 4. Analysis of stress showed the first child group was statistical significantly higher on stress with parents than non first child. especially on marks and disagreement(<0.05). 5. Stress were partly related to subject symptom of TMD(<0.05, <0.01). 6. Analysis of relation stress and bad habit & dysfunction showed stress were partly related to bad habit & dysfunction(<0.05, <0.01). 7. bad habit were partly related to TMD(<0.05, <0.01). Conclusions : The first child stress and symptom of TMD were higher than non-first child, also stress and symptom of TMD was positively associated. therefore management of the first child' stress is necessary and related study is necessary in the future.

『의학입문(醫學入門)·상한편(傷寒篇)』 중(中) 「초증(初證)」의 인용서(引用書)에 대한 연구(硏究) (The research on the reference books of 「the chapter of First symptom(初證)」 in 『The Part of Cold damage in Uihakipmun(醫學入門·傷寒編)』)

  • 김상운
    • 한국의사학회지
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    • 제27권1호
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    • pp.87-112
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    • 2014
  • Purpose : "The Part of Cold damage in Uihakipmun" is the collection of the books on Cold damage which follow the way of description focusing on symptoms before Ming dynasty. "The chapter of First symptom" in this part is the first chapter which described focusing on the symptoms in earnest. This research is to discover the reference books of "The chapter of First symptom" in detail. Methods : I compared the books presented in the reference list of "The Part of Cold damage in Uihakipmun" with the sentences of "The chapter of First symptom". Results & Conclusions : "The chapter of First symptom" referred to "Sanghanyukseo(傷寒六書)" and "Injaesanghanryuseo(仁齋傷寒類書)" mainly, and the rest were supplemented with other books like "Hwalinseo(活人書)". And the books which were not listed on the reference like "Sanghanmyeongriron(傷寒明理論)", "Yupyeonhwalinseogwaljijangdoron(類編活人書括指掌圖論)" were also referred in part. Among the reference list of "The Part of Cold damage in Uihakipmun", "Baekmun(百問)" doesn't indicate "Sanghanbaekmun(傷寒百問)" but "Sanghanbaekmunga(傷寒百問歌)". As for the history of the books on cold damage which described focusing on symptoms, "Injaesanghanryuseo" added new contents on the basis of "Hwalinseo" and after that, it had a large influence on "Sanghanyukseo" and "The Part of Cold damage in Uihakipmun". In case of 33.4% of the chapter of first symptom, the reference books were not found. It includes the part that the reference books were not found and also the part that Lee Cheon added his personal opinion. For this parts, the in-depth study is needed afterwards.

항암화학요법을 받는 부인암 환자의 종단적 건강문제 변화양상 분석 (Longitudinal Study on the Profiles of Symptom Distress and Functional Status in Gynecologic Cancer Patients Receiving Chemotherapy)

  • 정재원
    • 여성건강간호학회지
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    • 제12권1호
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    • pp.53-60
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    • 2006
  • Purpose: This study aimed to explore changes in symptom distress and functional status in gynecologic cancer patients during the entire treatment cycles of chemotherapy. Methods: A prospective and longitudinal study with repeated measures was designed. Symptom Distress Scale and Karnofsky Performance Status Index were included in a daily log developed for self-administration. A total of 39 patients with a mean age of 48.4 years participated. Results: The levels of symptom distress and functional status changed significantly over the six cycles. Symptom distress kept increasing until its peak at the fourth cycle, while the functional status scored lowest at the first cycle, then it improved as the cycle repeated. In each cycle, symptom distress was marked higher during the first 6 days accompanying poor functional status. However, both changes did not recover completely until the end of each cycle. Conclusion: Nursing assessment and intervention need to be provided based on these changing patterns to help cancer patients cope and adjust successfully during the long treatment period. Further studies are needed to examine the impact of the major symptoms on psychological responses, quality of life, and outcomes of the cancer treatments.

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2019 Novel Coronavirus (COVID-19) Pneumonia with Hemoptysis as the Initial Symptom: CT and Clinical Features

  • Fengxia Shi;Quanbo Yu;Wei Huang;Chaochao Tan
    • Korean Journal of Radiology
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    • 제21권5호
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    • pp.537-540
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    • 2020
  • Recently, some global cases of 2019 novel coronavirus (COVID-19) pneumonia have been caused by second- or third-generation transmission of the viral infection, resulting in no traceable epidemiological history. Owing to the complications of COVID-19 pneumonia, the first symptom and imaging features of patients can be very atypical and early diagnosis of COVID-19 infections remains a challenge. It would aid radiologists and clinicians to be aware of the early atypical symptom and imaging features of the disease and contribute to the prevention of infected patients being missed.

보음정기탕(補陰正氣湯)의 치료효과(治療效果)에 대한 임상(臨床) 연구(硏究) (Clinical study of Boeumjunggi-tang's therapeutic effect on the cough in children)

  • 한윤정;김장현
    • 대한한방소아과학회지
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    • 제14권1호
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    • pp.153-168
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    • 2000
  • The cough is one of the most common respiratory symptom in children. Boeumjunggi-tang(BEJG) is herbal medicine mainly treat cough due to yin deficiency(陰虛咳嗽) in Oriental Medicine. During 3 momths from February, 1, 2000 to April, 30, 2000, BEGJ is administered to the pediatric out-patients with the cough due to yin deficiency have visited Pundang Dongguk Oriental medicine Hospital and among these patients, this study is performed for 50 patients of which the result of treatment could be gained. The conclusion is following. 1. In the distribution of patients, male(60%) is more than female(40%) and group of age in between 1 and 6 years(76%) are the first. 2. In the type of cough, group of chronic(more than 3 weeks), and group that the symptom make worse in night are the most. 3. In the distribution of remedial effect, group of symptom-relieved is the first(58%), symptom-disappearing is second(22%), symptom-unchanging is third(14%), symptom-aggravated is fifth(6%). 4. The chracteristic of cough have little influence on the remedial effect of BEGJ.

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당대(唐代) 이전(以前)의 '삼초이론(三焦理論)에 기초한 변증(辨證)'의 연혁(沿革) (History of Symptom Discrimination based on Theory of Triple Energizers(三焦) before Tang Dynasty(唐代))

  • 조학준
    • 대한한의학원전학회지
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    • 제28권2호
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    • pp.87-102
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    • 2015
  • Objectives : I intended to find out the origin and development of symptom discrimination based on theory of triple energizers before Tang Dynasty(唐代). Methods : I extracted the topic-related contents from books in this era. After arraying them in a chronological order, I analyzed the materials. Results : The author in Zhong Zang Jing(中藏經) first mentioned that symptom of Huo Luan(霍亂) was deeply related with triple energizers. Ge Hong(葛洪) did not only come out with some symptoms and mechanisms for Shang Han(傷寒) and Za Bing(雜病), but also applied them to their usages for herb medicine. Chao Yuan Fang(巢元方) suggested its symptoms were more closely related with Shang Han and Za Bing than before. For the first time, Chao subdivided its symptoms to both cold-heat and weakness-strength sides. Sun Sai Miao(孫思邈) supplemented its discrimination invented by Chao(巢元方), adding more symptoms and prescriptions for triple energizers. Wang Tao(王燾) showed more prescriptions for triple energizers than before, and initially designed the discrimination for Huo Luan, diabetes(消渴), and epidemic Wen Bing(溫病). Conclusions : Before Tang dynasty, the symptom discrimination based on theory of triple energizers had been originated and developed for the purpose of repairing Za Bing, not just treating Wen Bing.

경막하 출혈에 의하여 발견된 선천성 담도폐색증 치험 1예 (A Case with Subdural Hemorrhage as the First Symptom of Extrahepatic Biliary Atresia)

  • 최금자
    • Advances in pediatric surgery
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    • 제1권1호
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    • pp.63-67
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    • 1995
  • Although bleeding was reported before as the first symptom in a few cases of biliary atresia, this association is not generally known. We treated 115-day-old female with extrahepatic biliary atresia presented with subdural hemorrhage rather than with prolonged jaundice. Four years after craniectomy and Kasai's hepatic portojejunostomy, she looks happy without jaundice nor brain damage sequela even though she had recent episode of esophageal variceal bleeding.

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화학요법을 받는 부인암환자의 구강불편감에 관한 연구 (A study on oral discomfort in gynecological cancer patients undergoing chemotherapy)

  • 정재원
    • 대한간호학회지
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    • 제25권2호
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    • pp.372-389
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    • 1995
  • The frequency with which administration of chemotherapy for gynecological cancer treatment is used has increased along with the use of surgery and radiotherapy Among the various side effects of chemotherapy, stomatitis causes a problem of function and sensation in the oral cavity. This oral discomfort can be categorized into two components ; perceived oral symptoms and observed oral symptoms. If the oral problem continues, it may cause infection, bleeding and nutritional deficiencies. As a result of this condition, compliance with the treatment process can be affected as well as the prognosis for the cancer patients. But as the oral discorrfort usually appears after chemotherapy, it is often not reported to the health care personnel as a patient problem. Without problem identification of the oral discomfort and ability to assess the problem, effective intervention cannot be planned. Therefore, this study was conducted to identify the pattern and the degree of oral discomfort due to cancer chemotherapy and thus to provide data for identification of the patient problem and for nursing assessment. The design of this study was a longitudinal de-scriptive study The subjects were in - patients who received chemotherapy under the diagnosis of gynecological cancer between Mar. 15, 1994 and May 15, 1994 at a general hospital in Seoul, Korea. The number of subjects was 64 and they were divided into two groups, one of 41 (A : 5FU & Neoplatin), the other of 23(B : Neoplatin, Cytoxan, Adriamycin), according to the treatment regimen. The data were collected for 24 days using self-re-port instruments. The instruments were the 「Perceived Oral Symptom Assessment Tool」 and 「Observed Oral Symptom Assessment Tool」 developed by this researcher. Data were analyzed using the SPSS-PC program, ANOVA, t-test, paired t-test and the Pearson Correlation Coefficient were applied. The results of this study are as follows : 1. In A regimen the peak time for perceived oral symptom scores was the fifth day after chemotherapy, and the tenth day for observed oral symptom scores. Both of the problems started on first day of chemotherapy and were not resolved completely until the 24th day after treatment. 2. In B regimen, the peak time for perceived oral symptom scores was on the seventh day after chemotherapy, and the eighth day for observed oral symptom scores. It was noted that perceived oral symptom scores were higher than observed oral symptom scores consistently for 24 days. Both also started on first day of chemotherapy, and were not resolved completely until the 24th day after chemotherapy. 3. There were no differences statistically in perceived oral symptom scores between A and B regimen. The loss of appetite and xerostomia caused the most severe discomfort in both of these two groups. 4. The were no differences statistically in observed oral symptom scores between the A and B regi moil. In the A regimen, the highest observed symptom scores were the lips, gingiva, tongue and buccal membrane in that order. But in the B regimen, the highest observed symptom scores were tongue, lips, buccal membrane and gingiva in that order. 5. In A regimen, the patients who had gingival edema and dentures had significantly higher perceived oral symptom scores. And those who had gingival edema and bleeding, foul odor and aphthous stomatitis had significantly higher observed oral symptom scores. 6. In B regimen, the patients who had the experience of stomatitis in the last course of chemotherapy had significantly higher perceived oral symptom scores. Those who had gingival edema had significantly higher observed oral symptom scores. 7. In the A regimen there was no correlation between lab values for lymphocytes and albumin with perceived oral symptom scores and observed oral symptom scores. In the B regimen, there was a significant negative correlation between lymphocytes and albumin with the observed oral symptom scores, but not between perceived oral symptom scores and lymphocytes and albumin values. In conclusion, the nurse should expect that the patient undergoing chemotherapy will complain severely about subjective discomfort and before objective physical change is observed. Also the patients who have chronic oral problems such as dentures, gingival edema and bleeding, foul odor, aphthous stomatitis will complain of severe oral discomfort due to chemotherapy.

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근육이완요법이 항암화학요법으로 인한 오심구토, 불안, 불편감의 감소에 미치는 영향 (Efficacy of Progressive Muscle Relaxation Training in Reducing Nausea and Vomiting, Anxiety and Symptom Distress of Cancer Chemotherapy)

  • 송미순;신계영
    • 대한간호학회지
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    • 제17권3호
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    • pp.195-203
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    • 1987
  • Twenty five cancer patients were assigned to two groups: The experimental group which received Progressive Muscle Relaxation (PMR) training and the control group without the training. Base line data for dependent variables -nausea and vomiting, state anxiety and symptom distress- were collected when the subjects of both groups received the first cycle chemotherapy. Then the experimental group was trained for PMR between the first and the second cycle chemotherapy. The same dependent variables were measured during the second cycle chemotherapy from the subjects. Results indicated that the PMR group showed no significant difference in severity of nausea and vomiting compared to the control group. Although the significance was not supported, the severity of nausea and vomiting in experimental group decreased while control group increased between the first and fifth day of the second cycle chemotherapy. The experimental group showed significantly less state anxiety during the second cycle than the control group (p<0.01). Significantly low symptom distress was also reported in the experimental group compared to the control group(p<0.01). The result suggests that PMR training may be an effective procedure for helping cancer patients cope with the adverse effects of their chemotherapy.

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직장 남성들의 갱년기 증상 정도와 관련요인 (Related Factors and the Symptoms of Menopause in Male Workers)

  • 김남진
    • 보건교육건강증진학회지
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    • 제25권4호
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    • pp.29-42
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    • 2008
  • Objective: To find the related factors and the symptoms of menopause in male workers. Method: This Study is targeted on 369 people(40's; 219, 50's; 150) who are married and being 40 years old or more with working for over ten year. Results: First, the symptom of menopause in proportion to age is, 40's appeared in order of 'Decrease in ability to play sport', and 50's appeared in order of 'Less strong erection'. Second, the symptom of menopause was higher from the difference between general characteristic and work characteristic when people have old age. Third, the symptom of menopause was lower from difference among life habits when people do some exercises regularly, and no overeating. Fourth, the symptom of menopause was much lower from the difference of subjective health state when people feel comfort without any disturbance to their daily life, as they feel much younger than their ages, and feel healthy. Fifth, the variables affected to the symptom of menopause were age, do exercise whether or not, subjective health state when people feel much younger than their ages, and feel healthy. Conclusion: the symptom of menopause is not only for women but also for men. And it is not only for people who are old but we could find some abilities from young ages, too.