• Title/Summary/Keyword: 통증정도

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A Case Report on Pelvic Fracture Accompanied with Osteoporosis Improved by Conservative Treatment (골다공증을 동반한 골반 골절환자의 보존적 치료에 대한 증례)

  • Moon, Su-Jeong;Lee, Eu-Gene;Ko, Youn-Seok;Song, Yong-Sun;Lee, Jeong-Han
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.1
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    • pp.49-56
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    • 2010
  • Objectives: The objective of this study is to report the effectiveness of conservative treatment on pelvic fracture accompanied with osteoporosis. Methods: A female patient, 68 years old, who were diagnosed as right iliac wing fracture with osteoporosis by X-ray, bone scan and bone densitometry, were treated with conservative treatment. We evaluated the effectiveness by checking Visual Analog Scale(VAS), Oswestry Disability Index(ODI) and 3D computed tomography. Results: The symptoms of the patient got improved and the 3D computed tomography image showed the fracture were healing. Conclusions: Conservative oriental treatment can be effectively used for a patient with iliac wing fracture and osteoporosis.

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A Study on the Relationship between Activity of Daily Living and Job Status of the Disabled from the Functional Limitation Perspectives (기능제한(Functional Limitation) 관점에서 본 뇌성마비인의 일상생활수행능력과 취업여부의 관계에 대한 연구)

  • Kim, Jung-Woo;Kim, Bong-Sun
    • Korean Journal of Social Welfare
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    • v.59 no.1
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    • pp.223-249
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    • 2007
  • This study is intended to investigate if the standard of vocational rehabilitation service could be solely determined by medical standard for disability definement and to find out what alternatives are available to resolve practical problems for those who are not identified as the severely disabled by the disability definement but do experience severe handicaps at work. Through the literature review, the researcher argued that the concept of 'functional limitation' would be a criteria, and thereby applied Modified Barthel Index to measure the degree of functional limitation. In view of researching the relationship among physical impairment, functional limitation, and job status based on 381 cerebral palsied, variables such as the type of cerebral palsy and the part of paralysis, have neither direct nor indirect influence to the job status; however, the pain and the mobility have indirect effects, and the ability of self-management has direct effect on the job status. The researcher concluded that future research about disabilities needs to provide a serious thought on what it is to be defined as 'disabilities', as well as to focus on further research conceptualizing the degree of physical 'functional limitation'.

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MANAGEMENT OF ECTOPICALLY ERUPTING PERMANENT MOLARS BY THE DEGREE OF IMPACTION (매복 정도에 따른 대구치 이소맹출의 치험례)

  • Lee, Ji-Hyun;Kim, Ji-Yeon;Park, Ki-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.1
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    • pp.136-142
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    • 2010
  • Ectopic eruption is defined as the eruption of the tooth in an abnormal position or orientation. In the molar region, ectopic eruption may cause distal root resorption and premature exfoliation of the neighbor teeth and uncontrolled space loss is followed. Prolonged partial impaction of the permanent molar may also cause undetected caries or abscess formation of the neighbor teeth. While 66% of ectopically erupting permanent molars are corrected spontaneously without treatment, the treatment is necessary for the irreversible ectopic eruption cases. The optimal treatment approach depends on a number of factors including the clinical eruption status of the molar, amount of enamel ledge and the mobility of the neighbor tooth, and the presence of pain or infection. This case report presents the results of treatment of the ectopically erupting maxillary first permanent molars and mandibular second molars using elastic separators or modified Halterman appliance with or without surgical approach.

A Study on the Clothing Inconvenience Levels for the Clothing Improvement of Female Arthritis Patients (여성관절염질환자의 의복개선을 위한 의복불편정도에 관한 연구)

  • Han, Seung-Hee
    • Journal of Fashion Business
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    • v.12 no.5
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    • pp.111-125
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    • 2008
  • The purpose of this study is in the investigation to relieve into the clothing inconvenience levels and to need by arthritis patients who experience clothing difficulties in daily living even without showing conspicuous physical disabilities. For this study, personal interviews were carried out with 151 female arthritis patients, using a questionnaire form consisting of a total of 206 items. Data analysis were done with spss 12.0 for the frequency analysis, cross tab analysis, t-test, and ANOVA. The findings are as follows. 1. The survey subjects were diverse in their age from 20s to 60s and 18.5% of them have need of other's assistance at the time of getting dressed or undressed of clothing. The knee part was felt to be the most uncomfortable, causing the inconveniences in wearing pants or panties. 2. The investigation into the inconvenience levels at the time of dressing or undressing of clothing was indicated that the wearing of pants was the hardest movement to arthritis patients, as the items relating to the movements for putting feet into or pulling them out of pants and those for raising pants over the hip were also accompanied by the feeling of pains. In addition, the aged arthritis patients felt the clothes-wearing movements more difficult. 3. The survey on the kind and inconvenience levels for the clothes currently being worn showed the highest wearing ratio for the pants, which were pointed out to be the most inconvenient. 4. As for the clothing improvement, the needs were located as a whole in the sufficiency in measures of pants crotch and circumference items, the flexibility in materials, the short length of pants, or the front clearance.

Effect of Activity Restriction on Mental health and the Quality of Life among patients with Cardiovascular Disease (심혈관질환자의 활동 제한이 정신건강과 삶의 질에 미치는 영향)

  • Kim, Hyun-Su
    • Journal of Convergence for Information Technology
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    • v.11 no.3
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    • pp.87-94
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    • 2021
  • This study was conducted to identify the mental health and quality of life of cardiovascular disease patients by their activities restriction through the second analysis of the 7th KNHANES collected from 2016 to 2018. The subjects of this study were 521 adults with angina or myocardial infarction who had no missing variables among 24,269 subjects. The difference between mental health and quality of life according to the activity restriction was analyzed by Chi-square method and the effect of mental health and quality of life by activity restriction by Logistic regression method using the SAS 9.4 version. The results of the analysis showed that the stress level, the depression for the last two weeks and suicide thought level was high when there was activity restriction, which had a significant effect on mental health. Mobility, selfcare and usual activities were disrupted, and pain/inconvenience and anxiety/depression increased when there was activity restriction, which also showed a significant effect on quality of life. Therefore, it is suggested that the development and operation of effective physical activity promotion program to minimize activity restriction is necessary to improve mental health and quality of life of cardiovascular patients.

Histologic Effects of a Contact Diode Laser on Intraoral Soft Tissue (접촉식 다이오드레이저조사가 구강연조직에 미치는 조직학적 영향)

  • White, Joel M.;Shin, Keum-Back;Thompson, Rick;Myers, Terry D.
    • Journal of Oral Medicine and Pain
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    • v.23 no.2
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    • pp.101-108
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    • 1998
  • 본 연구는 두 가지 관점, 즉 다이오드레이저를 구강연조직에 접촉식으로 조사하여 조직을 절제할 경우 첫째 심부조직에서의 온도 상승 정도에 대한 분석 평가, 둘째 절제에 따른 조직의 열적 응고에 대한 조직학적 분석 평가를 위해 시도되었다. 연구를 위해 도축된 소의 혀 배면으로부터 5.0mm깊이에 T형 열전대(type T thermocouple)를 설치하고 조사조건에 따른 레이저절제 도주의 온도변화를 측정하고, 또한 해당조사부위의 조직을 대상으로 통법에 의한 H-E염색 후 조직학적 측면에서 열적 응고상을 검색하여 Nd:YAG레이저의 경우에서와 비교하였다. 즉 파장815nm의 다이오드레이저를 0-10W의 출력, 50Hz와 연속파의 주파수조건에서 접촉식으로 조사하였으며, 또한 파장1064nm의 Nd:YAG레이저를 0-10W의 출력, 50Hz와 100Hz의 주파수 조건에서 접촉식으로 조사하였다. 레이저의 접촉조사시 레이저광섬유 첨단부에서 10(10gm의 일정한 압력과 25mm/sec의 이동속도로 조직을 절제하였다. 레이저가 접촉조사된 조직부위를 통법에 의해 조직학적으로 H-E염색을 시행하였으며, 계측현미경을 이용하여 10배율 아래에서 조직절제의 폭과 깊이, 측방 및 하방 쪽으로 열적 응고의 폭을 계측하였다. 계측치에 대한 통계학적 처리결과 조직절제의 폭과 측방쪽으로 열적응고의 폭은 다이오드레이저에와 Nd:YAG레이저에서 같은 정도를 나타냈다. 조직절제의 깊이는 Nd:YAG레이저에서에 비해 다이오드레이저에서 더 깊었다. 하방쪽으로의 열적응고의 폭은 Nd:YAG레이저를 10Hz의 조건에서 조사한 경우에서 가장 넓었으며, 다이오드레이저를 50Hz와 연속파의 조건에서 조사한 경우에서 가장 좁았다. 레이저절제 도중 심부조직에서의 온도변화는 다이오드 레이저에서와 Nd:YAG레이저에서 모두 출력이 증가함에 따라 상승되었으며, 다이오드레이저에서 보다 Nd:YAG레이저에서 더 높이 상승되었다. 결론적으로 본 연구에서 시도된 조사조건 범위 이내에서는 구강연조직 절제시 다이오드레이저가 펄스형 광섬유 전달식 Nd:YAG레이저 보다 심부조직에서의 낮은 온도상승과 하방쪽으로의 좁은 열적 응고의 폭을 보이면서 우수한 조직절제효과를 나타냈다.

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Extracorporeal Shock-wave Therapy after Multiple Drilling as a Treatment for Chronic Calcific Tendinitis - An Analysis of Outcome Following Different Levels of Energy (만성 석회화 건염에 대한 다발성 천공술 후 추가적으로 시행한 체외 충격파 치료의 에너지 수준에 따른 결과분석)

  • Noh, Gyu Cheol;Jang, Keun Jong
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.2
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    • pp.66-74
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    • 2012
  • Purpose: To compare the outcome of two methods of chronic calcific tendinitis (CCT) treatment, Multiple drilling alone versus combined drilling and extracorporeal shock-wave therapy (ESWT). Furthermore, to analyze the clinical and radiologic results of different energy level configurations of ESWT. Materials and Methods: Among the patients complaining shoulder pain who visited the clinic from June 2010 to August 2011, 98 were diagnosed with CCT of the supraspinatus and were divided into the following three groups. Multiple drilling alone (n=31), Multiple drilling followed by high-energy ESWT (n=31), Multiple drilling followed by low-energy ESWT (n=36). The study was conducted only with patients with chronic pain persisting longer than six months despite prolonged conservative therapy. Clinical evaluation was done before and after 12 weeks from treatment, in clinical terms using the ASES, KSS, CSS system reflecting performance and symptom improvement, and in radiologic terms by studying the change in size of the calcific nodules. Results: All of three groups showed effects for improvement of clinical function and decrease of calcification and clinical improvement was significantly high in comparison between the group fulfilled by only multiple needling (the third group) and the group fulfilled by additional ESWT (the first and second groups) and in the radiological evaluation, calcification size and the rate of calcification decrease showed significant improvement statistically. For the comparison among the groups, degree of clinical function improvement and rate of calcification decrease showed significant difference between high energy group (the first group) and multiple needling group (the third group) as well as low energy group (the second group) and multiple needling group (the third group). But, in comparison between high energy group (the first group) and low energy group (the second group), there was no significant difference for the degree of clinical function improvement and rate of calcification decrease. Conclusion: For the treatment of chronic calcific tendinitis, additional ESWT showed more superior effects on clinical function improvement and radiological improvement regardless of the energy standard rather than the exclusive fulfillment of needling. But, as the result of ESWT by the energy standard, there was no significant difference for the decrease of calcification and degree of clinical function improvement.

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A Serious Game Design and Prototype Development for Rehabilitation using KINECT Tools (KINECT를 활용한 재활 치료용 기능성 게임 개발)

  • Chae, Young Soog
    • Journal of Korea Multimedia Society
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    • v.17 no.2
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    • pp.248-256
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    • 2014
  • This paper designs a serious game for rehabilitation of patients with body pains because they sit down for a long time in the same position, or less physical movement. Activity-based game induces to player improvements in physical exercise with fun elements of the game through entertainment to help the body function and substantially increases the player's commitment during challenging goal. This research is a game design that combines the treatment of color and movement of body to the rhythm of the music. We constructed with XNA Game Studio and KINECT interface with gesture recognition technology. We need to research of evaluation system and test for the actual effect of the treatment and advanced functions of game playes like adding various musics and variety of motion.

A Study on Somatization in Korean Women (한국여성의 신체화 경향에 관한 조사)

  • Kim, Jin-Sung
    • Journal of Yeungnam Medical Science
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    • v.11 no.2
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    • pp.332-337
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    • 1994
  • The author studied somatization using 7-symptoms screening test in 12 females, who lived in the Taegu and compared the results with those of 99 males who lived in the Taegu, during the period from the beginning of August 1993 to end of January 1994. The results were follows: The number of females screened for somatization disorder were ten (5.8%). Its rate was higher than males (3. 1%). Ten screened women most frequently complained of pain in extremities, painful menstruation, shortness of breath, and amnesia. There was a strong tendency toward higher levels of somatization in the females who were dissatified with their home atmosphere, present well being, and divorced or widowed, lower educated and those who had pessimistic views of self image in the past, present, or future.

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Study on the Dental Attrition of the Patients with Craniomandibular Disorders using Age Estimation (연령감정을 이용한 두개하악장애환자의 치아 교모도에 관한 연구)

  • Se-Yong Lee;Ki-Suk Kim
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.421-427
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    • 1995
  • 두개하악장애는 저작근, 측두하악관절 및 그와 관련된 구조물의 많은 임상적인 문제를 포함하는 포괄적인 용어이다. 두개하악장애의 원인은 다양하고 종종 다인성이며 위험을 증가시키는 여러가지 소인들이 존재한다. 이갈이나 이악물기 같은 이상기능습관은 흔하며 또한 임상적으로 많은 관련이 있는 것으로 사료된다. 그러나 이전의 연구에서는 연령증가에 따른 기능적 마모를 고려한 치아교모에 관한 연구가 시행되지 않고 단순한 교모도의 평가비교만이 시행되었다. 본 연구는 법치의학적 연령감정에서 널리 사용되고 있느 치아교모도를 이용한 연령감정법을 이용하여 두개하악장애환자의 치아교모도에 관한 연구를 시행하였다. 연령은 기능적마모에 따른 정도를 평가하기 위해서 고려되었다. 단국대학교 치과병원 구강내과에서 두개하악장애로 진단된 환자18명과 대조군으로 외래환자 14명을 대상으로 하였다. 연령차는 연령감정법의 추정연령과 환자의 실제나이의 차이를 구해서 비교분석하였다. 이상의 결과로 두개하악장애환자의 중절치, 측절치, 제1소구치, 제2소구치의 치아교모도가 정상군보다 유의성 있게 높았다.

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