• Title/Summary/Keyword: quality of life(QOL)

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A Case Report on Functional Dyspepsia in a Fibromyalgia Patient with a History of Long-Term Nonsteroidal Anti-inflammatory Drugs (NSAIDs) Use (장기간 NSAIDs를 복용한 섬유근육통 환자의 기능성 소화불량 치험 1례)

  • Kim, Keum-ji;Cho, Soo-ho;Park, Ji-seon;Ko, Seok-jae;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1268-1277
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    • 2019
  • Objective: The purpose of this study was to report the effectiveness of Korean medicine in the treatment of functional dyspepsia in a fibromyalgia patient with a history of long-term NSAIDs use. Methods: The patient was diagnosed as a Soeumin, one of the four constitution types in Korean medicine, and treated with herbal medicines such as Seungyangikgibuja-tang and Pyeongjinsunjeom-san. Acupuncture and moxibustion treatment were also performed. The severity of symptoms was assessed using the Numerical Rating Scale (NRS) of epigastric pain, daily oral intake changes, the Korean Gastrointestinal Symptom Rating Scale (KGSRS), the Gastrointestinal Symptom Score (GIS), and the Functional Dyspepsia-Quality of Life (FD-QOL) score. Results: After treatment for 48 days, the severity of epigastric pain decreased from NRS 8 to NRS 0, and daily oral intake was increased. The KGSRS score decreased from 55 to 43, the GIS score was reduced from 18 to 10, and the FD-QOL score also decreased from 69 to 55. Conclusions: This study suggests that Korean medical treatment could be an effective option for treating functional dyspepsia in fibromyalgia patients with a history of long-term NSAIDs use.

Effects of Ultrasound, Laser and Exercises on Temporomandibular Joint Pain and Trismus Following Head and Neck Cancer

  • Elgohary, Hany Mohamed;Eladl, Hadaya Mosaad;Soliman, Ashraf Hassan;Soliman, Elsadat Saad
    • Annals of Rehabilitation Medicine
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    • v.42 no.6
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    • pp.846-853
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    • 2018
  • Objective To compare the effects of low intensity ultrasound (LIUS), traditional exercise therapy (TET), low level laser therapy (LLLT) and TET on temporomandibular joint (TMJ) pain and trismus following recovery from head and neck cancer (HNC). Methods Sixty participants following, who had experienced HNC, were randomly allocated to three groups of 20 people each. Each group received different therapy. Group A received LIUS and TET; group B received LLLT and TET; while group C received TET. All 60 participants were evaluated under the visual analog scale (VAS), the University of Washington Quality of Life questionnaire (UW-QOL) and the Vernier caliper scale (VCS) at the beginning of the therapies and after 4 weeks. Results ANOVA test revealed significant improvements across all three groups with outcomes of p<0.05. The results of the UW-QOL questionnaire showed a significant difference between groups A, B and C in favor of group A (p<0.05). The VAS results showed a more improvement in group A as compared to group B (p<0.05), while there was no statistical difference between groups B and C (p>0.05). The VCS results showed more improvement for the individuals in group B as compared to those in group C (p<0.05), while there was minimal difference between groups A and B (p>0.05). Conclusion The LIUS and TET are more effective than LLLT and/or TET in reducing TMJ pain and trismus following HNC.

A Case Report of Non-cardiac Chest Pain in a Non-erosive Reflux Disease Patient Treated with Beewha-eum (비화음으로 호전된 비미란성 역류질환(Non-erosive Reflux Disease) 환자의 비심인성 흉통(Non-cardiac chest pain) 치험 1례)

  • Jun, Hye-jin;Kim, Keum-ji;Cho, Min-ji;Ko, Seok-jae;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.41 no.6
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    • pp.1223-1230
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    • 2020
  • Objective: The purpose of this study was to report the effectiveness of Korean medicine (Beewha-eum) on the treatment of non-cardiac chest pain (NCCP) in a patient with non-erosive reflux disease (NERD). Methods: The patient was diagnosed with a spleen-stomach weakness pattern identified by Korean medicine and was treated with herbal medicine (Beewha-eum). The severity of symptoms was assessed with a numerical rating scale (NRS) for chest pain, self-reported dyspepsia degree (%), Korean gastrointestinal symptom rating scale (KGSRS), gastrointestinal symptom score (GIS), and Functional Dyspepsia-Quality of Life(FD-QOL) score. Results: After Beewha-eum treatment, the severity of chest pain was decreased from NRS 8 to NRS 0 and the self-reported dyspepsia degree also decreased from 100% to 65%. The KGSRS score was decreased from 49 to 35, the GIS score was also decreased from 16 to 9, and the FD-QOL score was increased from 20 to 25. Conclusions: The study findings suggested that Korean medical treatment with Beewha-eum could be an effective option for treating NCCP in patients with NERD.

Clinical effects of AF-365 for maintenance therapy in chronic stages of asthmas (천식 완해기 유지치료로서 AF-365의 임상적 효과)

  • Jeong, Seung-Yeon;Lee, Jae-Sung;Choi, Jun-Yong;Lee, Kun-Young;Jung, Hee-Jae;Rhee, Hyung-Koo;Bae, Hyun-Su;Jung, Sung-Ki
    • The Journal of Internal Korean Medicine
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    • v.26 no.1
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    • pp.1-11
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    • 2005
  • Backgrounds : Gamichungsangboha-tang extract has been known to improve pulmonary functions and quality of life within four weeks of treatment. Cessation of treatment causes recurrence of symptoms and regression of pulmonary function and poorer quality of life. Long-term herbal therapy is difficult to maintain due to economic burden and other reasons. AF-365 is made with reduced dosage of Gamichungsangboha-tang extract. This study was designed to evaluate the effectiveness of AF-365 for maintenance therapy. Materials and Methods : The subjects consisted of 27 patients with asthma who had beed treated with AF-365 for four weeks. First, patients were treated with Gamichungsangboha-tang extract for four weeks. Second patients stopped herbal medicine for four weeks and after that they took AF-365. Pulmonary function test(PFT) was checked before and after four weeks of treatment. Quality of Life Questionnaire for Adult Korean Asthmatics(QLQAKA) was checked every two weeks from the beginning. The effects of AF-365 were analysed throughout the last four weeks. Results : Treatment of AF-365 for four weeks resulted in significant increase in PEFR%, QLQAKA. The QLQAKA of the step3, step4 group classified by Global initiative for asthma(GINA) showed significant improvement, and the QLQAKA of the step2 group showed no significant difference. In step3 group, PEFR% increased significantly. Conclusions : This study supports a role for AF-365 in maintenance of pulmonary function and quality of life, especially in persistent symptomatic asthmatics.

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A Study of Correlation Among Binocular Dysfunctions and Academic Achievement (초등학생들의 양안시이상과 학업성취도와의 상관성 연구)

  • Lee, Sun Haeng;Cho, Hyun Gug;Park, Chun Man
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.481-487
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    • 2013
  • Purpose: The purpose of this study was to investigate the correlation between non-strabismic binocular dysfunctions and academic achievement for primary school children. Methods: A total of 1,123 parents and their children aged 8-13 years responded to the College of Optometrists in Vision Development Quality of Life (COVD-QOL) questionnaire. Among the all participants, 123 children who have ${\geq}20$ of visual symptom scores, no amblyopia, no strabismus, no any ocular and systemic pathology, and no contact lenses wearing were chosen for this study finally. Binocular functions were evaluated for final subjects. Results: Of 123 primary school children who have criteria-eligible symptoms 93 had non-strabismic binocular dysfunctions. Accommodative dysfunction was significantly correlated to subjects of science and English, and vergence dysfunction was also significantly correlated to Korean, mathematics, social science, science and English in the final subjects. Conclusions: Correlations between academic achievement and accommodative/vergence dysfunctions were statistically significant. Therefore, accommodative/vergence dysfunctions may be factors to affect academic achievement.

Effects of Stroke Arts and Craft Group Occupational Therapy Intervention Program on Improving the Quality of Life and Activity of Daily Living (수공예활동을 이용한 그룹 작업치료 중재프로그램이 뇌졸중 환자의 일상생활 수행 능력과 삶의 질 향상에 미치는 효과)

  • Ahn, Ye-Seul;Kim, Hee
    • Therapeutic Science for Rehabilitation
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    • v.7 no.4
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    • pp.67-77
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    • 2018
  • Objective: The purpose of this study was to examine the effects of an occupational therapy intervention program of arts and crafts on the activities of daily living and quality of life of outpatients after a stroke. Methods: Using an experimental pretest-posttest control group design, we conducted the following with ten participants diagnosed with stroke: one retest session, 10 intervention sessions, and one posttest session. MMSE-K (Korean version of the Mini-mental State Examination), COPM (Canadian Occupational Performance Measure), and WHOQOL-BREF (The World Health Organization Quality of Life-BREF) scores were obtained before and after the intervention. The results were analyzed using descriptive and nonparametric statistics. Results: As a result of comparing the pretest-posttest scores of the experimental and control groups, there was no significant difference in K-MBI score improvement in terms of activities of daily living. There was a significant difference in COPM scores between the experimental and control groups. There was a significant difference between the WHOQUP-BREF scores of the experimental group before and after the experiment, as well as between the groups. Conclusions: The results suggest that an arts and craft group occupational therapy intervention program for stroke patients may have a positive impact on activities of daily living and quality of life. Although an arts and craft group occupational therapy intervention program appears to be a promising approach, further studies are required to confirm these findings.

The Comparison Study of Quality of Life between Hemodialysis Patients and Depressive or Anxious Psychiatric Patients (혈액투석 환자와 우울 또는 불안장애 환자의 삶의 질 비교연구)

  • Kim, Ji-Woong;Shin, Sang-Eun;Kim, Hyung-Ki;Jang, Eun-Young;Jung, Gun;Lee, Kye-Seong
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.2
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    • pp.170-181
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    • 2003
  • Objectives: The purpose of this study was to evaluate the quality of life in hemodialysis patients and compare it with those of depression or anxiety patients. Methods: Quality of life in hemodialysis patients(n=33) and depression or anxiety patients(n=34) was evaluated. we performed Korean Version of WHO Quality of Life Scale Abbreviated Version(WHOQOL-BREF), Beck Depression Inventory(BDI), State-Trait Anxiety inventory(STAI) to both hemodialysis patients and depression or anxiety patients. Results: The WHOQOL mean scores showed no differences between hemodialysis patients and depression or anxiety patients. Among WHOQOL domains, psychological domain score of WHOQOL was significantly higher in hemodialysis patients than in depression or anxiety patients. Anxiety score of hemodialysis patients was significantly lower than that of depression or anxiety patients, while depression score showed no difference. Conclusion: These results show that psychological domain score of WHOQOL was higher and anxiety score was lower in hemodialysis patients than in depression or anxiety patients. However, there were no significant differences in total QOL and depression between hemodialysis patients and depression or anxiety patients, and the prevalences of depression and anxiety were higher in hemodialysis patients than those of general population. This suggest that hemodialysis patients need more specialized help for psychiatric problems.

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Relationships between Flexed Posture, Physical Performance and Psychosocial Factors in Elderly Women (여성노인의 굽은 자세, 신체수행능력과 심리사회학적 요인 간의 상관성)

  • Jang, Hyun-Jeong;Kim, Seong-Yeol;Kwon, Chun-Suk
    • The Journal of Korean Physical Therapy
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    • v.26 no.5
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    • pp.358-364
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    • 2014
  • Purpose: Flexed posture commonly increases with age in older women and is characterized by an excessive curvature in the thoracic spine (kyphosis), forward head posture, and decline in height. This study was conducted in order to determine the relationship between flexed posture, physical performance, and psychosocial factors in community dwelling elderly women in Korea. Methods: Fifty-two subjects with thoracic kyphosis of $40^{\circ}C$ or greater participated in this study. Flexed posture was measured using kyphosis angle (KA), forward head posture (FHP), and round shoulder (RS), and physical performance was evaluated using the short physical performance battery (SPPB), grip strength, and static and dynamic balance. Psychosocial factors were measured using depression and the quality of life (QOL). All data were analyzed using SPSS 18.0 software for windows. Results: KA showed significant correlation with SPPB score (r=-0.447) and dynamic balance (r=0.426) (p<0.05) depression (r=0.405) and QOL (r=-0.464) but not with grip strength and static balance in elderly individuals. FHP and RS showed significant correlation with SPPB score (r=0.002, r=-0341) and dynamic balance (r=-0.278, r=0.346) (p<0.05) but not with psychosocial factors. Conclusion: These findings suggest that flexed posture provides meaningful information about physical performance and psychosocial factors in elderly women. Our data suggest that the flexed posture may need to be addressed as part of the health management process for elderly women.

Public Environment Index Development (환경상태의 평가를 위한 주민환경지표의 개발)

  • Kim, M.J.;Choi, D.I.;Chang, C.K.;Lee, J.W.
    • Journal of Environmental Impact Assessment
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    • v.2 no.1
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    • pp.31-38
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    • 1993
  • As the environmental concerns have shifted gradually from the environmental pollutions to the Quality of Life (QOL) enhancement, it has become increasingly important to implement comprehensive assessment of environmental quality for public information as well as decision making. This study focuses on development of PEI(Public Environment Index) which has purposes to improve regional environment and analyzes the status of environment by public as one kind of environmental indices. Factors of PEI calculations are air, water, noise, green space and landscape. Factors are composed of 20 items including soiling and odor. Major contents are calculation of PEI, correlation analysis of factors and items of PEI, regression analysis of PEI and objective environmental indicators prepared as a dong unit, and PEI presentation using GIS. Also, for applying PEI effectively, environmental information as a dong unit is to be collected and managed periodically.

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Impact of Depression, Comorbid Chronic Diseases, and ADL on Health-Related Quality of Life Among Community-Dwelling Elderly People in Korea (한국의 지역사회 거주노인들에게 있어서 우울증, 만성질환, 일상생활활동이 삶의 질에 미치는 영향)

  • Kim, Myung-Wha
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.190-198
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    • 2014
  • The purpose of study was evaluated associations among risk factors to have influence on HRQOL of community dwelling Elderly People. Total 314 community dwelling elderly persons(age:$75.80{\pm}5.64$[$mean{\pm}SD$]) who had no disease(n=81) and more than two chronic diseases (n=233) were interviewed based on the QOL questionnaires. During two months. The activities of daily living were evaluated using BI and FAI. Neuropsychological status was evaluated using GDS. Health related QOL was evaluated using the SF-36. The results emphasize the importance of preventing and controlling depression, chronic diseases, and low basic activities of daily living in order to reduce their impact on HRQOL among community dwelling elderly people.