• Title/Summary/Keyword: Effectiveness Score

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Effectiveness of tramadol compared to lignocaine as local anesthesia in the extraction of firm teeth: a randomized controlled trial

  • Goel, Manu;Sen, Pinaki;Maturkar, Tushar;Latke, Siddhesh;Dehankar, Tejasvini
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.3
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    • pp.245-252
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    • 2021
  • Background: The aim of this study was to compare the local anesthetic effect of tramadol with that of lignocaine in the extraction of immobile (grade 0) maxillary first molars. Methods: This was a randomized, double-blind, equally balanced, controlled trial conducted on a sample population of 116 patients. The patients were randomly divided into two groups: group A (control) and group B (study). Group A and group B participants received 1.8 ml of 2% lignocaine without adrenaline and 1.8 ml of 5% tramadol, respectively through the supra-periosteal infiltration technique before extraction. Intraoperative pain was recorded on the Visual Analog Scale (VAS) and was evaluated using two unpaired t-tests. Results: Intraoperative pain was evaluated in both the control and study groups. In the control group, the mean VAS score was 0.71 ± 0.81, while in the study group, the mean intraoperative VAS score was 1.21 ± 0.86, with the difference between the two mean values being statistically significant (P = 0.001). Conclusion: Tramadol has a less potent local anesthetic effect than lignocaine. As a higher dose of tramadol is required to obtain the desired anesthetic effect, it should be used as a supplement to lignocaine in extensive surgical procedures. It can also be used in patients allergic to lignocaine.

Combined Korean Medicine Treatment of Lumbosacral Transitional Vertebra with Localized Bone Marrow Edema: A Case Report (이행성 척추에 동반된 골수부종 환자의 복합한방치료: 증례보고)

  • Chai, Jiwon;Lee, Yunha;Choi, Dongjoo;An, Sang-joon;Choi, Hyunjin;Hwangbo, Sengyoon;Baek, Hyekyung
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.1
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    • pp.125-131
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    • 2022
  • This study was to investigate the effectiveness of combined Korean medicine treatment on a patient who was diagnosed on lumbosacral transitional vertebra (LSTV) with localized bone marrow edema. The patient was treated with acupuncture, pharmacopucture, cupping and herbal medicine. We evaluated patient's progress using range of motion (ROM), EuroQol-5 dimensions (EQ-5D), Oswestry disability index (ODI), numerical rating scale (NRS), patient global impression of change, self-walkable distance. NRS of back pain decreased from 7 to 5, at the same time NRS of lower limb decreased from 4 to 3. EQ-5D score increased from 0.24 to 0.646. ODI score improved 80 to 62. Self-walkable distance and lumbar spine ROM also increased. As a result, clinical improvements were found in a patient. In conclusion, this study shows that Korean medicine treatment can be considered as effective conservative care for LSTV with localized bone marrow edema.

A Case Report of Parkinson's Patient Complaining of Chest Pain Treated with Jungsongouhyul Pharmacopuncture (중성어혈약침으로 호전된 흉통을 호소하는 파킨슨 환자 치험 1례)

  • Jeon, Gyu-Ri;Yim, Tae-Bin;Hwang, Ye-Chae;Choi, Jeong-Woo;Cho, Seung-Yeon;Park, Jung-Mi;Ko, Chang-Nam;Park, Seong-Uk
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.22 no.1
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    • pp.57-70
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    • 2021
  • This case study is to report the effectiveness of Korean medicine in the treatment of musculoskeletal chest pain in Parkinson's patient. The Parkinson's patient with chest pain was treated with Jungsongouhyul Pharmacopuncture for 15 days. The severity of chest pain was assessed using Face Pain Scale-Revised, Short Form McGill Pain Questionnaire(SF-MPQ) and King's Parkinson's Disease Pain Scale(KPPS). Additionally, duration of the pain and standing state was evaluated. After treatment, chest pain was removed. SF-MPQ score was decreased from 6 to 0, and KPPS score 21 to 0. As a result this case showed the effect of Jungsongouhyul Pharmacopuncture on musculoskeletal chest pain in Parkinson's disease.

A Retrospective Chart Review of 114 Patients with Knee Pain at a Korean Medicine Hospital Who Had Been Involved in a Traffic Accident

  • Park, Ji Won;Shin, Won Bin;Choi, Hyo Jung;Back, Hye Kyung;Kim, Doo Ri
    • Journal of Acupuncture Research
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    • v.38 no.2
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    • pp.134-139
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    • 2021
  • Background: This study aimed to investigate the demographic characteristics of patients with knee pain caused by traffic accidents and test the effectiveness of Korean medicine (KM) treatment. Methods: The medical charts of 114 inpatients with knee pain caused by a traffic accident were reviewed from July 1, 2019 to October 31, 2019 at Bucheon Jaseng Hospital of KM. The patients' demographics including gender, age, period of hospitalization, and type of pharmacopuncture and herbal medicine prescribed were reviewed. The Numeric Rating Scale scores and Western Ontario and McMaster Universities Osteoarthritis Index scores were used to assess subjective knee pain. Results: There were more females (55%) than males in this study. Patients were more likely to be in their 30s (27.2%), be hospitalized for 11-14 days (41.2%), treated with Hwangryunhaedok pharmacopuncture (78.1%), and be prescribed Hwalhyeoljitong decoction (62.3%).The mean Numeric Rating Scale score for patients with knee pain caused by a traffic accident decreased significantly from 4.26 ± 1.39 to 2.53 ± 1.60 (p < 0.001), and the mean Western Ontario and McMaster Universities Osteoarthritis Index score also decreased significantly from 32.72 ± 18.36 to 23.40 ± 15.80 (p < 0.001) following KM treatment. Conclusion: As a result of analyzing 114 hospitalized patients with knee joint pain due to TAs, inpatients were more likely to be female (55%), a patient in their 30s (27.2%), and be a patient hospitalized for 11-14 days (41.2%). KM treatment of traumatic knee injury using pharmacopuncture therapy and herbal medicine can be an may be effective at reducing pain, and healing functional disorders of the knee.

A Case Report of Patient with Restless Legs Syndrome Improved by Gami Ssanghwa-tang (가미쌍화탕으로 호전된 하지불안증후군 환자 치험 1례)

  • Yim, Tae-Bin;Jeon, Gyu-Ri;Lee, Hye-Jin;Kim, Seo-Young;Cho, Seung-Yeon;Park, Seong-Uk;Ko, Chang-Nam;Park, Jung-Mi
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.22 no.1
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    • pp.1-10
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    • 2021
  • ■ Objectives The purpose of this case study is to report the effectiveness of Gami Ssanghwa-tang on the restless legs syndrome patient. ■ Methods The patient was treated with Korean medicine, including herbal medication Gami Ssanghwa-tang for 26 days and acupuncture for once a week as an out patient. The evaluation was performed using the Korean versions of the International Restless Legs Scale(K-IRLS). ■ Results After 34 days of treatment, the K-IRLS total score improved from 24 to 8. And at the follow up session(7 days after end of treatment), the K-IRLS total score improved to 0. ■ Conclusion This study suggested that herbal medicine, Gami Ssanghwa-tang might be effective in Restless legs syndrome.

Lycium barbarum Polysaccharide Inhibits Lipid Oxidation and Protein Degradation in Tan Sheep Meatballs during Frozen Storage

  • Yu, Jiangyong;Guo, Mei;Liu, Guishan;Zhang, Jingjing;Fan, Naiyun;Li, Xiaorui;Sun, Yourui;Yuan, Jiangtao;Huang, Rui
    • Food Science of Animal Resources
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    • v.42 no.4
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    • pp.580-592
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    • 2022
  • The aim of the present study was to evaluate the effectiveness of Lycium barbarum polysaccharide (LBP) on lipid oxidation and protein degradation in Tan sheep meatballs during the frozen period. The meatballs were treated with LBP at 0.01%, 0.02%, and 0.03% and stored at -18±1℃ for 0, 3, 6, 9, and 12 weeks. The effects of LBP treatment were investigated using the contents of total volatile basic nitrogen (TVB-N), texture profile (TP), thiobarbituric acid reactive substances (TBARS), colour, and pH values, compared with 0.02% butylated hydroxytoluene treatment and the blank control. The results showed that LBP treatment significantly decreased TBARS content compared with the control, which confirmed LBP to be a highly effective component in preventing lipid oxidation of Tan sheep meatballs during frozen storage, and protein degradation in Tan sheep meatballs had a significant inhibition effect because of TVB-N value reduction. In addition, the colour, TP and pH values of meatballs treated with LBP were improved dramatically. To further determine the quality changes of the blank control and all treated groups during storage, the comprehensive score evaluation equation based on principal component analysis was obtained: Y=0.51632Y1+0.29589Y2 (cumulative contribution rate=81.221%), and the 0.02% LBP-treated group had a higher comprehensive score than the other groups, and the quality of LBP-treated meatballs was better as well. In summary, LBP may reduce or inhibit lipid oxidation and protein degradation, and enhance overall quality and shelf-life in prepared meat products.

Clinical Study on Safety, Clinical Indicators of Polydioxanone Sutures Inserted into Vastus Medialis Muscle in Degenerative Knee Osteoarthritis (무릎 관절염 환자에서 안쪽넓은근에 폴리디옥사논 봉합사 시술 연구)

  • Kim, Ki-Choul;Lee, Hyung-Jun;Lee, Kil-Yong;Park, Hee-Gon
    • Clinical Pain
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    • v.20 no.2
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    • pp.105-121
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    • 2021
  • Objective: Physiologically, the vastus medialis muscle is the first muscle to undergo muscle atrophy, and it was thought that pain in patients with knee osteoarthritis could be reduced if this muscle could be strengthened and stabilized. The purpose of this study was to prove the effectiveness in knee osteoarthritis using polydioxanone sutures that have been tried in other musculoskeletal areas. Method: Forty knee osteoarthritis patients voluntarily participated in the study, and divided into 30 polydioxanone suture needle (MEST-B2375 produced by Ovmedi Co.) and 10 sham needle (without suture). And the needles were inserted into the vastus medialis muscle. In all patients, safety evaluation including blood tests and ultrasonography as well as efficacy evaluation including isometric maximal contractile strength of quadriceps muscle, weight bearing pain, impression of change, quadriceps angle, rescue drug intake were evaluated up to 30 weeks after the procedure. Results: Isometric maximal contractile strength showed a significant improvement at 4 weeks after the procedure in the polydioxanone suture group, and the weight-bearing pain showed a significant improvement at every visit in the polydioxanone suture group compared with baseline values. Patient global impression of change score showed significant improvement at 20 and 30 weeks, and clinical score showed improvement at every visit. Conclusion: Insertion of polydioxanone sutures showed improvement in muscle strength and knee pain by supporting and fixation of the vastus medialis muscle in patients with degenerative knee osteoarthritis. Insertion of polydioxanone sutures is considered to have a therapeutic effect in knee osteoarthritis patients.

Systematic Review and Meta-analysis of Electoacupunture Efficacy on Acute Gout (급성 통풍에 적용한 침전기자극술에 대한 체계적 문헌 고찰 및 메타 분석)

  • Hwang, Ji Hye;Song, Aejin;Song, Ho-Sueb
    • The Journal of Korean Medicine
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    • v.43 no.2
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    • pp.92-109
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    • 2022
  • Objectives: The objective of this study was to appraise the effect of electroacupuncture (EA) for the treatment of acute gout. Methods: Since no suitable study could be found in the domestic database, we performed a literature search up to the end of December 2020 using four international electronic databases. Randomized controlled trials (RCTs) evaluating the effectiveness of EA in the treatment of acute gout were included. The risk of bias was evaluated from the Cochrane risk of bias tool. Results: Eight appropriate RCTs were included and analyzed. Three evaluation tools were mainly used: Total Effective Rate (TER), Uric acid (UA), and Pain score (VAS). In the case of TER, in all eight cases, electroacupuncture alone and combined treatment showed a statistically significant level of improvement compared to Western medicine treatment. In the case of VAS score, electroacupuncture alone and combined treatment showed a more significant effect than Western medicine treatment. In the case of UA level, electroacupuncture combined treatment showed a more significant effect than western medicine treatment. Although not all three evaluation tools were used in all studies, the majority of studies showed that electroacupuncture was effective for acute gout patients. Conclusions: The results of this study suggest that EA treatment may be effective for acute gout. It should be noted, however, that the studies included in this study were geographically biased, small in number, and mostly at high risk of bias. More well-designed studies are needed in the future.

A Case Report of Persistent Drug-Induced Parkinsonism After Drug Discontinuation (약물 중단에도 지속되는 약인성 파킨슨증후군 환자의 한의 치험 1례)

  • Choi, Jeong-woo;Kim, Seo-young;Jun, Gyu-ri;Hwang, Ye-chae;Cho, Seung-yeon;Park, Jung-mi;Ko, Chang-nam;Park, Seong-uk
    • The Journal of Internal Korean Medicine
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    • v.42 no.6
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    • pp.1356-1365
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    • 2021
  • This study examined the effectiveness of Korean medical treatment in a patient with persistent drug-induced parkinsonism after drug discontinuation. The changes in symptoms were assessed using the unified parkinson's disease rating scale (UPDRS), postural instability-gait disturbance (PIGD) score, and the 20 m gait time and steps. After 22 days of hospitalization, the UPDRS, PIGD score, and 20 m gait time and steps showed clinically significant improvement. The improvement persisted after discharge. This study indicated that Korean medical treatment could be an effective alternative therapy for treating persistent drug-induced parkinsonism after drug discontinuation.

Implementation of a Travel Route Recommendation System Utilizing Daily Scheduling Templates

  • Kim, Hyeon Gyu
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.10
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    • pp.137-146
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    • 2022
  • In relation to the travel itinerary recommendation service, which has recently become in high demand, our previous work introduces a method to quantify the popularity of places including tour spots, restaurants, and accommodations through social big data analysis, and to create a travel schedule based on the analysis results. On the other hand, the generated schedule was mainly composed of travel routes that connected tour spots with the shorted distance, and detailed schedule information including restaurants and accommodation information for each travel date was not provided. This paper presents an algorithm for constructing a detailed travel route using a scenario template in a travel schedule created based on social big data, and introduces a prototype system that implements it. The proposed system consists of modules such as place information collection, place-specific popularity score estimation, shortest travel rout generation, daily schedule organization, and UI visualization. Experiments conducted based on social reviews collected from 63,000 places in the Gyeongnam province proved effectiveness of the proposed system.