• Title/Summary/Keyword: first symptom

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무균성 뇌막염에서 증상발현부터 진단까지 걸린 시간에 따른 시기별 유병기간의 검토 (A Comparative Study according to Diagnostic Time on Meningitis)

  • 김탁수;허지연;박영희;정민구;김성원
    • Pediatric Infection and Vaccine
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    • 제3권2호
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    • pp.168-174
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    • 1996
  • Purpose : Aseptic meningitis is relatively frequent in children and caused mostly by enterovirus. The aim of the present study was to determine the effect of early diagnosis (spinal tapping) on symptom duration of childhood aseptic meningitis. Methods : One hundred fifty-three children who were hospitalized due to aseptic menigitis in the Department of Pediatrics St. Benedict Hospital from July 1996 through October 1996 were included in this study. Patients were divided to two groups according to the duration from first symptom onset to diagnosis. Early diagnosis group is diagnosed within 3 days from first symptom onset. Later diagnosis group is diagnosed after 4 days from first symptom onset. Results : 1) The average age of these patients was 4.3 years old in early diagnosis group and 4.1 years old in later diagnosis group. The sex ratio(male: female) was 2.04:1 in early diagnosis group and 2.5:1 in later diagnosis group. 2) The mean duration of diagnosis of this study was 2.04 day in early diagnosis group and 5.12 day in later diagnosis group. 3) The percentage of symptom and sign of the early diagnosis group were fever(100%), headache(88.4%), vomiting(86.9%), abdominal pain(39%), neck stiffness(36.2%), skin rash(18.8%), diarrhea(16.9%) and that of later diagosis group were fever(100%), headache(83.3), vomiting(80.9%), abdominal pain(47.6%), neck stiffness(41.6%), skin rash(29.7%), diarrhea(16.6%). 4) Initial CSF findings revealed leukocyte $146.8{\pm}386.3/mm^3$ with PMNL 38%, protein 32.47mg/dl, sugar 66.23mg/dl in early diagnosis group and leukocyte $458.1{\pm}663.2/mm^3$, protein 31.22mg/dl, sugar 64.21 mg/dl in later diagnosis group. 5) There was no statistically significant differance in the peripheral blood findings between early diagnosis group and later diagnosis group. 6) The duration of disappearance of symptom after spinal tap were 2.3 days in early diagnosis group and 2.24 days in later diagnosis group. Total symptom duration was 4.34 days in early diagnosis group and 7.36 days in later diagnosis group. Conclusions : Our results demonstrate that early diagnosis(early spinal tap) shortened duration of clinical symptoms.

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노년기 우울증상과 빈곤 -빈곤과 비공식 사회관계의 상호작용 효과를 중심으로- (The Depressive Symptom and Poverty in Later Life: Interaction Effect between Poverty and Informal Social Relationships)

  • 김영범;이승희
    • 디지털융복합연구
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    • 제13권12호
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    • pp.401-411
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    • 2015
  • 본 연구의 목적은 빈곤과 우울증상의 관계와 함께 빈곤과 비공식 사회관계(informal social relationship)가 우울증상에 대해 상호작용 효과가 있는지 분석하는 것이다. 본 연구에서 사용한 자료는 2014년에 춘천 지역 65세 이상 노인을 대상으로 한 조사로 표본은 2,034명이며 분석에 포함된 사례는 무응답인 표본을 제외한 1,934명이다. 본 연구의 종속변수인 우울증상은 CES-D 단축형(Center for Epidemiologic Studies Short Depression Scale)을 활용해 측정하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 빈곤 상태인 노인은 비빈곤 상태인 노인에 비해 우울증상 점수가 높은 것으로 나타나 빈곤이 우울증상에 직접적인 영향을 주는 것으로 확인되었다. 둘째, 자녀와의 접촉수준, 친구와의 지원교환 수준만이 우울증상을 감소시키는데 기여하는 것으로 나타나 모든 비공식 사회관계가 우울증상 감소에 기여하는 것은 아니라는 점도 확인하였다. 셋째, 4개의 비공식 사회관계 변수 중 자녀와의 접촉수준만 유일하게 빈곤과 상호작용 효과가 있는 것으로 나타났다.

"화타현문내조도(華陀玄門內照圖)"에 대(對)한 연구(硏究) (A Study on "HuatuoXuanmenNeizhaotu")

  • 심현아;금경수;정헌영;최현배;엄동명
    • 대한한의정보학회지
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    • 제18권1호
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    • pp.1-63
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    • 2012
  • Objective : "Huatuoxuanmenneizhaotu" is a Huatuo's about 5~6 century works are estimated to be voted for. Scored the first Anatomical Pictures. Expand your knowledge on the anatomy of the later set the foundation. This books is part of two volumes, which is largely divided into six parts. We have concern on the content and features. Method : Through "Huatuoxuanmenneizhaotu" text translation, we will try to categorize two ways : classifying 1) The first volume of Chapter 1, Pictures 2) The second volume divided into four parts, Chapter 2, Viscera Disease and Chapter 3, Viscera metastasize and Chapter 4, Viscera and Bowel each for metastasize, explained. Result : In consideration against Disease symptom classification, Medicine classification, processing of medicinals examine. Viscera Disease symptom each wind pattern(風證), qi pattern(氣證), heat pattern(熱證), cold pattern(冷證), deficiency pattern(虛證) was classified as. Same method were explained as Viscera into Viscera, as Viscera into Bowel. Viscera Disease also not mentioned in the Bowel Disease symptoms were found to be viewed. Conclusion : These results explain "HuatuoXuanmenNeizhaotu" were really diverse and various.

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허로(虛勞)중 심로(心勞)의 원인(原因)과 증상(症狀)의 문헌적(文獻的) 고찰(考察) (A Bibliographic Study About Heart Exhaustion)

  • 윤호석
    • 대한한방내과학회지
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    • 제12권1호
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    • pp.68-76
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    • 1991
  • After studying 20 sorts of referance materials including Hwangjenaegyung which discuss the causes and symptoms of SymRo the researcher has been led to the following conclusions ; 1. In the reference materials, Hyulmakhuso (血脈虛少) is listed as the first potential cause of Sim Ro. Gokwoonsingi (曲運神機) is listed as the second potential cause. 2. Holholhemang (忽忽惠忘) is listed as the most obvious symptom of Sim Ro. Kunaesangchang (口內生瘡) is listed as the second obvious symptom.

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정성적, 정량적 기법의 혼합 전략을 통한 화학공정의 이상진단에 관한 연구 (A study on fault diagnosis for chemical processes using hybrid approach of quantitative and qualitative method)

  • 오영석;윤종한;윤인섭
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1996년도 한국자동제어학술회의논문집(국내학술편); 포항공과대학교, 포항; 24-26 Oct. 1996
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    • pp.714-717
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    • 1996
  • This paper presents a fault detection and diagnosis methodologies based on weighted symptom model and pattern matching between the coming fault propagation trend and the simulated one. At the first step, backward chaining is used to find the possible cause candidates for the faults. The weighted symptom model(WSM) is used to generate those candidates. The weight is determined from dynamic simulation. Using WSMs, the methodology can generate the cause candidates and rank them according to the probability. Secondly, the fault propagation trends identified from the partial or complete sequence of measurements are compared to the standard fault propagation trends stored a priori. A pattern matching algorithm based on a number of triangular episodes is used to effectively match those trends. The standard trends have been generated using dynamic simulation and stored a priori. The proposed methodology has been illustrated using two case studies and showed satisfactory diagnostic resolution.

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『상한론(傷寒論)』 병증(病症)과 영기(營氣)의 관계에 대한 연구(硏究) (A study on the relationship between the symptom of Shanghanlun(傷寒論) and the Nutritive-Gi(營氣))

  • 방정균
    • 대한한의학원전학회지
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    • 제30권1호
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    • pp.211-221
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    • 2017
  • Objectives : The practices of Wei-qi and Nutritive-qi are generally divided into external Mai and internal Mai. However, they are closely interrelated and practiced together. While taking these aspects into consideration, this paper attempts to make interpretations in relation with Nutritive-qi the disease pathogens that appear in Shanghanlun's disease symptoms. Methods : Using the practice and function of Nutritive-qi described in Huangdineijing, the paper shall make interpretations for the patterns of Mawhangtang, patterns of Gaejitang, and the pathologies of pain, oedema, and nosebleed as described in Shanghanlun. Results & Conclusions : The pain from the patterns of Gaejitang differ from that of the patterns of Mawhangtang. First, the pain from the the patterns of Gaejitang cannot be the main symptom. Even if there is a symptom of pain, it's severity is not serious. Second, the pain from the patterns of Gaejiang takes the form of stiffness, and not general bodily pain. The reason for this stiffness is because of the emptiness of Wei-qi that leads to the congestion of Nutritive-qi which in turn causes the lack of qi and blood flow in muscula area such as abdomins. The symptom of oedema where one's body becomes swollen comes from a number of pathogens. First, the flow of meridian becomes hindered due to external dampness, a character which tends to be adhesive when added with humidty, and this results in the blockage of water qi which then causes the coagulation of nutritive blood. Second, when toxic heat is repressed and blocked within the lesser-yang channel, lesser-yang meridian stops working, which causes nutritive blood to clog at the front and back of ears since lesser-yang channel flows through that portion of body. Third, although oedema is not specifically mentioned in the sentences, but there exists the patterns of Daechungyongtang where water lumps are formed due to the accumulation and blockage of watery dampness. The patterns of Daechungyongtang is cuased when meridian is hindered from externally discharging body fluid due to a problem with meridian that blocks the fumigated internal heat which turns into bodily fluid from being discharged externally.

흉요추 신경근병증으로 발현된 수막암종증 1예 (A Case of Leptomeningeal Metastasis Presented with Thoracolumbar Radiculopathy)

  • 민지원;이지현;김민정;유봉구
    • Annals of Clinical Neurophysiology
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    • 제7권1호
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    • pp.22-24
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    • 2005
  • We report a case of thoracolumbar radiculopathy presented with first symptom of leptomeningeal metastasis. A 65-year old man with non-Hodgkins lymphoma with complete remission was referred for further investigation of dull pain and numbness of right lower quadrant of abdomen. Electromyogram revealed right thoracolumbar radiculopathy. After two weeks, he complained severe continuous bilateral frontal dull headache. An examination of the cerebrospinal fluid revealed malignant lymphoid cells. We would like to emphasize that radiculopathy sometimes presents with first symptom of leptomeningeal metastasis.

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강박장애 환자에서의 성격 5요인 모델 분석 (Analysis of the Five-Factor Model of Personality in Obsessive-Compulsive Disorder)

  • 허민정;변민수;김성년;김의태;장준환;권준수
    • 대한불안의학회지
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    • 제8권2호
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    • pp.99-105
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    • 2012
  • Objective : The aim of this study is to evaluate the five-factor model of personality in patients with obsessive-compulsive disorder (OCD) related to obsessive-compulsive symptom severity and the distinct symptom subgroups. Methods : We recruited 95 patients with OCD and 116 normal controls in the study. We used the short version of Revised NEO Personality Inventory and the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) for the assessment. Results : Patients with OCD showed significantly higher scores in neuroticism than normal controls. On multiple linear regression analysis, we found that agreeableness and conscientiousness were associated with the total Y-BOCS scores. On subscale analysis, agreeableness and neuroticism were associated with the obsession subscale scores and only conscientiousness was associated with the compulsion subscale scores. Furthermore, we found that patients who have contamination/cleaning or symmetry/ordering/counting/arranging as a main symptom presentation had significantly higher mean scores in conscientiousness than patients who have harm due to injury/violence/aggression as a main symptom presentation. Conclusion : In this study, we found that specific personality factors are associated with the obsessive-compulsive symptom severity. In addition, this is the first study to investigate the relationship between the personality factors in the five-factor model and the distinct symptom subgroups in OCD.

가중증상모델과 패턴매칭을 이용한 화학공정의 이상진단 (Fault diagnosis for chemical processes using weighted symptom model and pattern matching)

  • 오영석;모경주;윤종한;윤인섭
    • 제어로봇시스템학회논문지
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    • 제3권5호
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    • pp.520-525
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    • 1997
  • This paper presents a fault detection and diagnosis methodology based on weighted symptom model and pattern matching between the coming fault propagation trend and the simulated one. In the first step, backward chaining is used to find the possible cause candidates for the faults. The weighted symptom model is used to generate those candidates. The weight is determined from dynamic simulation. Using WSM, the methodology can generate the cause candidates and rank them according to the probability. Second, the fault propagation trends identified from the partial or complete sequence of measurements are compared with the standard fault propagation trends stored a priori. A pattern matching algorithm based on a number of triangular episodes is used to effectively match those trends. The standard trends have been generated using dynamic simulation and stored a priori. The proposed methodology has been illustrated using two case studies, and the results showed satisfactory diagnostic resolution.

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당뇨병에 병발한 알코올성 간질환의 치험례 (A Alcoholic Liver Disease Patient Case with Diabetes Mellitus)

  • 김동우;전찬용;한양희;박종형;여은경
    • 대한한방내과학회지
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    • 제21권4호
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    • pp.649-653
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    • 2000
  • We had applied Saenggangunbitang, Gamijihwangtang, and Saenggangunbitang-Gamijihwangtang on a alcoholic liver disease patient with diabetes mellitus, Saenggangunbitang has been used to treat alcoholic liver disease and had known to have beneficial effects. Gamijihwangtang has been used to treat Yin deficiency syndrome in Orient Medicine. We observed clinical symptom, liver function, nutritional state and blood sugar. After first administration, Clinical symptom and blood sugar were improved by Gamijihwangtang medication. Alter second administration, Clinical symptom, blood sugar and liver function were improved by Saenggangunbitang-Gamijihwangtang medication. After third administration, clinical symptom and liver function were improved by Saenggangunbitang medication. It is possibly suggested that Saenggangunbitang-Gamijihwangtang medication has a therapeutic effect on alcoholic liver disease with diabetes mellitus.

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