• Title/Summary/Keyword: symptoms(症狀)

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Opioid Withdrawal Symptoms after Conversion to Oral Oxycodone/Naloxone in Advanced Cancer Patients Receiving Strong Opioids (아편유사제 복용 중인 암성 통증 환자들에서 경구 Oxycodone/Naloxone으로 전환 후 발생한 금단증상)

  • Kim, Jung Hoon;Song, Haana;Lee, Gyeong-Won;Kang, Jung Hun
    • Journal of Hospice and Palliative Care
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    • v.20 no.2
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    • pp.131-135
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    • 2017
  • Purpose: Oral naloxone is combined with oxycodone to alleviate or prevent opioid-induced constipation in cancer pain patients. However, there is still concern that oral naloxone may precipitate opioid withdrawal symptoms in patients on opioids. We retrospectively investigated clinical characteristics of cancer patients who experienced opioid withdrawal symptoms. Methods: We reviewed medical records of all patients who were prescribed with oral oxycodone/naloxone at a tertiary cancer center from January 1, 2012 through December 31, 2016. Eligible patients were screened based on demographics, opioid and naloxone dosages, clinical manifestation and pain intensity. Results: Among a total of 1,641 patients, 10 patients were selected. Seven patients were male, and the average age was 68.1 years. The median dose of naloxone that induced withdrawal symptoms was 20 mg. Most common withdrawal symptom was shivering (seven patients) followed by cold sweating (five), and muscle twitching (five). Other symptoms included restlessness, fever, dizziness, and yawning. Pain was exacerbated from the median intensity of numeric rating scale (NRS) 3 to NRS 6. Conclusion: Opioid withdrawal symptoms may occur when switching to oral oxycodone/naloxone for cancer patients who have been treated with other strong opioids. A prospective, multicenter study on this issue should be conducted in future.

A Study on the Risk Factors of Work-Related Musculoskeletal Disorders in Librarians of University Libraries (대학도서관 사서들의 작업관련 근골격계 질환 위험요인에 관한 연구)

  • Kim, Jeong-Hyen
    • Journal of Korean Library and Information Science Society
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    • v.42 no.4
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    • pp.243-262
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    • 2011
  • The aim of this study was to investigate musculo-skeletal symtoms and working conditions of university library's librarians to search for the risk factors related to musculo-skeletal symptoms. The study subjects were 266 librarians who were working at 20 university libraries. A self-recording questionnaire was used to investigate the general characteristics, working conditions, job intensity, job satisfaction and stress, education of musculoskeletal disorders and nature of musculoskeletal symptom. Statistical analysis was done by using t-test and multiple regression analysis. The complaint proportion of self-reported positive musculoskeletal symptoms was 62.5% and that of severe musculoskeletal symptoms was 26.1%. Multiple regression analysis showed that low satisfaction of working conditions, high job intensity, irregular mealtime, job stress were closely related to the positive rate of musculoskeletal symptoms. Therefore, it will be necessary to make efforts to reduce the prevalence of musculoskeletal disorders improving working conditions and mitigating the job intensity.

Diagnosis of Pet by Using FCM Clustering

  • Kim, Kwang-Baek
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.2
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    • pp.39-44
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    • 2021
  • In this paper, we propose a method of disease diagnosis system that can diagnose the health status of household pets for the people who lack veterinary knowledge. The proposed diagnosis system holds 50 different kinds of diseases with the symptoms for each of them as a database to provide results from symptom input. Each disease database has its own symptom codes for a disease, and by using the disease database, FCM clustering technique is applied to disease which outputs membership degree to determine diseases close to the input symptom as a pet diagnosis result. The implementation results of the proposed pet diagnosis system were obtained by the number of selected symptoms and the possibility values of the diseases that have the selected symptoms being sorted in descending order to derive top 3 diseases closest to the pet's symptom.

Psychiatric symptoms of workers exposed to organic solvents (유기용제 취급자들에게 정신증상)

  • Lee, Seoung-Hoon;Yoon, Nung-Ki;Lee, Jong-Young;Suh, Suk-Kwon
    • Journal of Preventive Medicine and Public Health
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    • v.25 no.1 s.37
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    • pp.1-12
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    • 1992
  • To assess the pattern of psychiatric symptoms and to evaluate the relationship between exposure related variables(duration of work and urinary hippuric acid concenturation) and psychiatric symptoms in organic solvent exposed workers, case control study of forty-two solvent exposed workers and ninethy-six non-exposed workers was conducted. The general health questionnaire 28(GHQ28) was administered to evaluate psychiatric symptoms and urinary hippuric acid concenturations was measured to estimate the present status of solvent exposure in exposed group and to estimate normal level in non-exposed group. The mean concenturation of urinary hippuric acid was significantly higher in exposed group (2.953g/creatinine g) than non-exposed group(0.395g/creatinine g) (P<0.01). The total positive rates of symptoms were significantly higher in exposed group(28.2%) than non-exposed group(17.5%)(P<0.05). The positive rates of symptoms for four sub-scales of GHQ28 in exposed group were in the order of somatic symptoms, anxiety, social dysfunction, depression and in the order of social dysfunction, anxiety, depression, somatic symptoms in non -exposed group. The positive rates of symptoms for somatic symptoms and anxiety were significantly higher in exposed group than non-exposed group (P<0.05) and the proportion of workers with six or more positive symptoms(dysthymic states) in exposed group were significantly higher than non-exposed group (P<0.01). After the effect of age, sex, level of income, level of education, and duration of work were controlled, the total score of GHQ28 was still significantly different between exposed and non-exposed group(P<0.01). In multipile logistic regression analysis on the dysthymic state, the odds ratio of level of income was statictically significant in both group. The odds ratios of exposure related variables such as duration of work and hippuric acid concenturations were not statistically significant but there was a tendency that exposure related variables had an affect on dysthymic state in exposed group. In future, continuous evaluation of psychiatric symptoms on organic solvent exposed workers and studies to detect the factors that affect on psychiatric symptoms are required.

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Depression and resilience of women undergoing assisted reproductive techniques: the mediating effect of somatic symptoms (보조생식술을 받는 여성의 우울과 극복력 관계 : 신체증상 매개효과 중심으로)

  • Kim, Hye-Young
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.317-323
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    • 2018
  • The purpose of this study was to identify the mediating effect of somatic symptoms between depression and resilience of women undergoing assisted reproductive techniques. The data were collected by structured questionnaire from 97 infertile women who were receiving assisted reproductive techniques in clinic for fertility treatment. There was a significant correlation among depression, somatic symptoms and resilience. Somatic symptoms had a complete mediating effect(${\beta}=.73$, p< .001) on the relationship between depression and resilience(Z=6.32, p< .001). And impact of influence was 53%. Based on the findings of this study, it was found that the development and application of somatic symptoms management program for improving resilience should be needed for nursing women undergoing assisted reproductive techniques in the clinical setting.

Fear of Falling, ADL/IADL disability, and Depressive Symptoms in Korean Community-Dwelling Middle-aged and Older People (중노년기의 낙상두려움이 ADL/IADL장애와 우울증상에 미치는 영향)

  • Han, Jina
    • Korean Journal of Social Welfare
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    • v.67 no.2
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    • pp.183-202
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    • 2015
  • This study examined the relationships among fear of falling, ADL/IADL disability, and depressive symptoms among Korean community-dwelling middleaged and older adults based on the disablement process model. The panel data from the Korean Longitudinal Study of Aging(KLoSa) were used to test whether fear of falling affects disablement process as a risk factor and an exacerbator. The results of path analysis showed that middle-aged and older adults who reported fear of falling were more likely to experience ADL/IADL disability and depressive symptoms, and fear of falling influenced depressive symptoms through increasing the risk of ADL/IADL disability. In addition, fear of falling exacerbate the risk of ADL/IADL disability among middle-aged and older adults who had chronic illnesses. The results indicated that fear of falling is not only risk factor but also excerbator in predicting ADL/IADL disability and depressive symptoms prospectively.

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Effects of Menopause Symptoms on Stress and Quality of Life Satisfaction (폐경증상이 스트레스와 삶의 질 만족도에 미치는 영향)

  • Lee, Mi-Na
    • The Journal of the Korea Contents Association
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    • v.20 no.12
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    • pp.198-205
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    • 2020
  • This study was conducted to explore the relationship between stress and quality of life experienced by middle-aged women according to menopause and to provide basic data for improving the quality of life and health of middle-aged women. The data collection period was from September 02, 2019 to November 29, 2019, and a total of 400 questionnaires were distributed and 362 copies were used, excluding unscrupulous responses. As a result of the study, it was found that the more severe the menopause symptoms, the higher the effect on physical stress and psychological stress(p<.001). In addition, in terms of quality of life satisfaction, the more severe the menopause symptoms were, the higher the satisfaction was with physical and psychological health, but it could be seen that it did not have a significant effect on the satisfaction of social and environmental relationships. In future studies, further studies require a detailed observation of various menopause conditions and symptoms, and a multi-view approach. In addition, education and intervention programs should be activated to alleviate the symptoms of menopause and to receive relevant information.

Occupational risk factors influencing subjective oral symptoms in hospital facility Temp·Contract Workers (병원 시설 파견·용역 근로자들의 주관적 구강 증상에 영향을 미치는 직무 위험 요인에 관한 연구)

  • Hong, Min-Hee;Lee, Jung-Min;Jang, Ki-Won
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.298-306
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    • 2021
  • The purpose of this study was to examine the occupational risk factors that affect oral symptoms in hospital facility workers. This study surveyed 627 hospital facility temp·contract workers in the metropolitan area from November 17, 2020 to May 20, 2021. The results of the study indicate that oral symptoms were higher among workers with high risk of musculoskeletal disorders and injuries. Also, symptoms of oral mucosa, temporomandibular joint disorder, and dry mouth were high in the areas of job insecurity and organizational injustice. As the occupational risk factors and occupational stress of workers increased, the risk of oral symptoms increased. In the future, this study can be used as basic data for improving oral health policies to better the oral health of hospital facility workers.

Association between current smoking, high-risk alcohol drinking, and depressive symptoms among female college students (여자 대학생의 현재 흡연, 고위험 음주와 우울 증상의관련성)

  • Dan, Hyunju;Jung, Heeja
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.2
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    • pp.291-298
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    • 2022
  • This study is a descriptive study to investigate the association between current smoking, high-risk alcohol drinking and depressive symptoms among female college students. The participants were 515 female college students, and data collection was conducted through online and mobile surveys from September 2020 to August 2021. Multivariable ordinal logistic regression analysis was performed to investigate the association between current smoking, high-risk drinking and depressive symptoms, and as a result, current smoking was significantly associated with depressive symptoms (OR= 2.524, 95% CI=1.051-6.061). Therefore, in order to improve the depressive symptoms of female college students, adequate support such as reducing the smoking rate through active smoking cessation education and preparing various on-campus programs should be provided.

Influencing Factors on Alexithymia of Patients with Alcohol Dependence (알콜 의존 환자의 감정표현불능증 영향 요인)

  • Ryu, Seuk-Hwan
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.47-55
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    • 2004
  • Objectives: The aim of this study was to investigate alexithymia, depressive symptoms, and stress response of patients with alcohol dependence. The results were taken as a basic data of ameliorating the quality of life. Methods: 94 patients with alcohol dependence completed stress response inventory, Korea depression scale, and toronto alexithymia scale successfully. Results: 55% of variance of alexithymia of patients with alcohol dependence were explained by the stress response and depressive symptoms and score of ADS, and the stress response had the most explanatory power. Conclusions: The alexithymia of patients with alcohol dependence may be influenced by depressive symptoms, education, frequency of drinking, and stress response. The specialists were identifying symptoms of depression and optimizing the management, therefore increasing the compliance and quality of life of patients with alcohol dependence.

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