• Title/Summary/Keyword: Chronic medical condition

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Failed back surgery syndrome-terminology, etiology, prevention, evaluation, and management: a narrative review

  • Jinseok Yeo
    • Journal of Yeungnam Medical Science
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    • v.41 no.3
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    • pp.166-178
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    • 2024
  • Amid the worldwide increase in spinal surgery rates, a significant proportion of patients continue to experience refractory chronic pain, resulting in reduced quality of life and escalated healthcare demands. Failed back surgery syndrome (FBSS) is a clinical condition characterized by persistent or recurrent pain after one or more spinal surgeries. The diverse characteristics and stigmatizing descriptions of FBSS necessitate a reevaluation of its nomenclature to reflect its complexity more accurately. Accurate identification of the cause of FBSS is hampered by the complex nature of the syndrome and limitations of current diagnostic labels. Management requires a multidisciplinary approach that may include pharmacological treatment, physical therapy, psychological support, and interventional procedures, emphasizing realistic goal-setting and patient education. Further research is needed to increase our understanding, improve diagnostic accuracy, and develop more effective management strategies.

A study on the factors affecting chronic disease and economic activity of work environment in manufacturing industry with men (제조업 남성 근로자의 작업환경이 만성질환 및 경제활동에 영향을 미치는 요인)

  • Choi, Kil-Yong;Park, Kwang-Sung
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.103-104
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    • 2017
  • Objectives: The manufacturing industry was the one with the most repeated occurrence industrial disasters, and it is important to study the safety environment known by workers in the industry in order to prevent industrial accidents. Methods: Research objects were 1,123 male among members of employees who responded to 2015 PSWCI panel report. Research objects underwent affected subjective health and then categorized subjects into some groups according to changes in employment condition during one year. Statistical analyses were performed using the SAS version 9.4 (SAS Institute Inc., Cary, NC, USA). Results: According to results of analysis, manufacturing industry had differences in economic activity and health conditions based on employees conditions. Dynamic change aspects of manufacturing industry condition had differences between sex and cases where going back and forth between temporary condition and unemployment status had higher percentage in male. Conclusions: The results of this study may serve as the refer to taking a bill to improve the level of safety of the work environment felt by employees in the manufacturing industry.

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Survey on Pattern Identification and Treatment of Chronic Fatigue in Korea Medicine (만성피로의 한의임상진료현황에 대한 조사 연구)

  • Kim, Ji Won;Kim, Hyo Jin;Jang, Eun Su;Jung, Hyun Jung;Hwang, Min Woo;Nam, Dong Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.2
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    • pp.126-133
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    • 2018
  • The aim of this survey is to investigate the current state of pattern identification, treatment and management on chronic fatigue in the Korean medicine. From May 25, 2017 to June 7, we distributed contents of questionnaires to 17,992 Korean medical doctors via e-mail, and then received answers from 329 people. The surveys were conducted by a specialized research organizations. Researchers were blinded to the participant's personally identifiable information or whether they participated in the investigation. In Korea, almost Korean medicine doctors (94.5%) used pattern identification in the treatment of chronic fatigue patients. The main diagnostic methods were visceral (38.5%), qi-blood-fluid-humor (32.3%), and sasang constitutional pattern identification (14.3%). The high-frequent therapy were herbal medicine (37.0%), acupuncture (27.9%), moxibustion (11.7%), and cupping (8.6%). The primary goals of treatment were Improvement and relaxation of stress condition (18.1%), improvement of quality of life (13.1%), increase of functional vitality (34.0%), and fatigue management (23.3%). The key factors affecting treatment outcomes were the patient's aggressiveness in treatment (23.5%) and his/her lifestyle and environment(22.7%). This study was a pioneering research for chronic fatigue on the aspect of medical service provider in the Korean medicine. We hope that this study can be used as a basis for developing a more appropriate and reasonable practice guidelines for chronic fatigue.

A Case Report of One Patient with Adenomyosis (자궁선근증(子宮腺筋症)에 의한 불정자궁출혈(不定子宮出血)과 만성골반통(慢性骨盤痛)을 호소하는 환자 치험(治驗) 1례에 대한 보고)

  • Yu, Sung-Jin;Yoon, Moon-Hee;Kim, Hyung-Jun;Lee, Dong-Nyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.4
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    • pp.205-214
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    • 2009
  • Purpose: Adenomyosis is the disease caused by ingrowth of lining tissue into the uterine muscle. Final treatment of the disease is hysterectomy but there is a tendency to avoid surgical treatment if possible. And medication often results in relapse and it does not cure completely. This paper introduces the potential of oriental medical treatment for adenomyosis through a case study. Methods: A 31-year-old female patient, suffered from pelvic pain and metrorrhagia, was diagnosed with adenomyosis and uterine myoma. She was put on oriental medical treatment in the ○○ Oriental Hospital for almost three months. We applied herb-medication, acupuncture and moxibustion. Results: Overall condition including the symptoms was relieved after oriental medical treatment Conclusion: Oriental medical treatment alleviates chronic pelvic pain and has an effect against adenomyosis.

A RODENT MODEL OF CEREBRAL VASCULAR DEMENTIA AND DRUG ACTION

  • Watanabe, Hiroshi;Ni, Jina-Wei
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1995.04a
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    • pp.38-40
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    • 1995
  • There have reports suggested that cerebral blood flow (CBF) has decreased in patients with both senile dementia of the Alzheimer's type and multi-infarct dementia, which are characterized by marked cognitive impairments. In addition, recent studies have demonstrated that decrease of CBF precedes the onset of multi-infarct dementia. These findings further suggest that chronic reduction of CBF may play an important role in the formation and progression of cerebral vascular dementia. Although transient cerebral ischemia, based upon vascular “reperfusion”, is apparently not paralleling the clinical condition, the transient cerebral ischemia model is one of the major methods investigated and the other is the cerebral embolism operation. Cognitive impairment and neuronal damages have been fully studied using these transient and/or embolic ischemia models. There are, however, few investigations focused the attention on the influence of chronic decrease of CBF on cognitive processes. In the present study, we have chosen a chronic ischemic model which is produced by permanent occlusion of bilateral common carotid arteries (2VO) in rats to investigate the neuronal damage and cognitive deficits through radial maze performance. We investigated furtherly the effects of tetramethylpyrazine (TMP), a constituent isolated from Ligusticum Chuanxiong on such a model.

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Application of Dual-Frequency Ultrasound for Treating the Ulcerative Necrobiosis Lipoidica

  • Hong, Seok Won;Park, Eun Soo;Kim, Seok Hwan;Jung, Min Jung
    • Medical Lasers
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    • v.8 no.2
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    • pp.80-83
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    • 2019
  • Necrobiosis lipoidica (NL) is a rare, idiopathic, chronic granulomatous inflammatory disease of collagen degeneration with the risk of ulceration. Many procedures have been proposed to treat this rare disease. In this study, we applied LDM®-MED for the management of NL, and this condition in our patient was chronic and refractory to other therapeutic options. To the best of our knowledge, no study has explored treatment of NL using ultrasound. Our results suggest that application of LDM®-MED seems to be an effective treatment option for NL. Long-term and systematic studies are needed to determine whether such application of LDM®-MED will be an innovative and effective treatment option for NL and various kinds of chronic wounds.

Pediatric mandibular chronic nonbacterial osteomyelitis: A case report with 12 years of radiologic follow-up

  • Sehyun Choi;Min-Ji Kim;Sang-Hoon Kang;In-Woo Park
    • Imaging Science in Dentistry
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    • v.54 no.1
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    • pp.93-104
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    • 2024
  • Chronic nonbacterial osteomyelitis(CNO) is histologically characterized by nonspecific osteitis. This inflammatory disorder, which lacks an infectious origin, typically presents with chronic pain and swelling at the affected site that can persist for months or even years. However, it is rare for CNO to affect the mandible. A 10-year-old girl presented with a primary complaint of pain in her left mandible. She had no significant medical or dental history. On examination, swelling was visible on the left buccal side, and imaging revealed radiolucent bone deterioration within the left mandible. This case report presents the radiological changes observed over a 12-year follow-up period. Variations in radiopacity, radiolucency, and periosteal reactions were noted periodically. This case highlights the radiological characteristics and findings that are crucial for the diagnosis of CNO, a condition for which no clear diagnostic criteria are currently available.

A Case of Sj$\ddot{o}$gren's Syndrome with Multiple Bullae Secondary to Pulmonary Amyloidosis and Lymphocytic Infiltration of Interstitium and Bronchioles (폐 유전분증(Amyloidosis)과 다발성 수 (Bullae), 폐 간질내 임파구 침윤이 동반된 Sj$\ddot{o}$gren's 증후군 1예)

  • Kim, Dong-Il;Lim, Yun-Jeong;Oh, Yung-Ha;Kim, Hyung-Soo;Lee, Jin-Sung;Kim, Dong-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.6
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    • pp.1426-1432
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    • 1997
  • Sj$\ddot{o}$gren's syndrome(SS) is a chronic inflammatory disorder characterized by lymphocytic infiltration of lacrimal and sailvary glands, which results in dry eyes and dry mouth. SS may exist as a primary condition or as a secondary condition in association with connective tissue disease such as rheumatoid arthritis, systemic lupus erythematosus, or progressive systemic sclerosis. We experienced a patient with primary SS who developed multiple bullae, nodular type of pulmonary amyloidosis and lymphocytic interstitial peumonitis. We believe this to be the first reported case of SS acompanied by these three types pulmonary manifestations at the same time.

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Coping with symptoms after education for self-management of chronic diseases

  • Park, MJ;Noh, Gie Ook;Jung, Hun Sik
    • International Journal of Advanced Culture Technology
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    • v.7 no.1
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    • pp.89-95
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    • 2019
  • One benefit of education for self-management of chronic diseases is to increase the use of cognitive techniques for coping with symptoms. Unfortunately, that benefit can deteriorate over time, and that phenomenon, which is sometimes called "decay of impact", has been studied only rarely. This study was done to understand the decay of impact with regard to the use of cognitive techniques for coping with symptoms, and especially to understand how that decay might be predicted. Data were analyzed from 381 adults suffering from chronic medical conditions, all of whom were involved in education to improve their self-management of their chronic condition(s). During the first year after the educational program, coping was measured four times. Variables associated with the decay of impact were found using statistical modeling (logistic regression). Decay of impact was found in almost half of the participants. The analysis provided moderately good predictions regarding the decay of impact. Given this new information, interventions to further improve coping with symptoms can be appropriately targeted to the people for whom they will be most beneficial.

Clinical study on a case of Pain Disorder with MMPI (MMPI를 통해 관찰한 동통장애 환자 증례)

  • Seo, Joo-Hee;Sung, Woo-Yong;Lim, Ho-Jea;Son, Chi-Hyoung;Sul, Jae-Uk;Jang, Ha-Jeong
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.301-308
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    • 2005
  • Pain disorder is the chronic syndrome that onset and change of pain is associated with mood change. But the patient of pain disorder can't perceive their inner conflict. We experienced a 58 year-old woman who had general pain, and whose condition was improved through oriental medical treatment. In this case, we assessed the pain disorder patient at MMPI. So we learned out the patient's inner conflict and dynamic. The applicability of understanding with MMPI has positive effects on the patient with Panic disorder.

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