• 제목/요약/키워드: Headache Migraine

검색결과 100건 처리시간 0.028초

거짓침을 이용한 침연구의 현황 (Current evidence on acupuncture from sham needle studies)

  • 이향숙
    • Korean Journal of Acupuncture
    • /
    • 제23권1호
    • /
    • pp.95-109
    • /
    • 2006
  • Objectives : There has been a considerable debate about how to best control for placebo effects in clinical trials of acupuncture. Recently several sham needles were developed and validated. This study aimed at summarising the validation studies of these needles and evaluating the outcomes of the randomised controlled trials (RCTs) using them. Methods : Computerised literature searches were performed using 'acupuncture' AND 'placebo OR sham' with a limitation of the results to RCTs in Medline via PubMed and the Cochrane Library. Only formally validated sham needle controlled studies were included. Data were extracted regarding study design, condition, sample size, credibility testing, intervention and outcomes. Methodological quality was assessed using a modified Jadad scale. Results : Three validated sham needles by Streitberger, Park, and Fink, were identified. Acupuncture's effectiveness for various conditions was tested using these needles in 12 RCTs. Real acupuncture was superior to sham acupuncture for rotator cuff tendonitis and hypertension. No significant differences between real acupuncture and sham acupuncture emerged for chemotherapy-related nausea and vomiting, postoperative nausea and vomiting, menstrually related migraine, acute stroke rehabilitation, chronic/episodic tension-type headache, neutrophil respiratory burst in healthy volunteers, alcohol withdrawal symptoms and chronic poststroke leg spasticity. Conclusions : The new sham devices have been adequately validated and may be useful tools for investigating specific research question. In spite of the sham needle's limits, the results of RCTs using such devices tend to suggest that the clinical effects of acupuncture are largely due to a placebo response.

  • PDF

중증 리튬 증독 후 발생한 심정지 1예 - 어려운 진단 (A Case of Cardiac Arrest Due to Severe Lithium Intoxication - Difficult Diagnosis -)

  • 안정환;최상천;윤상규;정윤석
    • 대한임상독성학회지
    • /
    • 제3권2호
    • /
    • pp.130-134
    • /
    • 2005
  • Lithium is mainly prescribed for manic and depressive disorder, also frequently prescribed for the other diseases such as migraine, cluster headache, alcoholism, and obsessive-compulsive disorder. An acute lithium intoxication occurs in cases of patients ingesting large amount lithium at a time, a chronic lithium intoxication occurs in patients on chronic lithium therapy. Acute or chronic lithium poisoning occurs frequently in case of patients on chronic lithium therapy ingesting larger dose than prescribed. Manifestations of lithium poisoning are various. It is possible nervous, cardiovascular, renal, gastrointestinal and endocrine systems to be involved. Due to intracellular high concentration, mortality rate is high in acute lithium intoxication patients on chronic lithium therapy. We report a case of acutely intoxicated 40-year-old male on chronic lithium therapy. His chief complaints were deterioration and high fever. On his arrival to an emergency department, he was in cardiac arrest. He restored return of spontaneous circultion (ROSC) 5 minutes later after cardiopulmonary cerebral resuscitation (CPCR) and referred to department of internal medicine for hemodialysis. Vigorous treatment was given to the patient, but he was expired at 4th hospital day.

  • PDF

Current understanding of nociplastic pain

  • Yeong-Min Yoo;Kyung-Hoon Kim
    • The Korean Journal of Pain
    • /
    • 제37권2호
    • /
    • pp.107-118
    • /
    • 2024
  • Nociplastic pain by the "International Association for the Study of Pain" is defined as pain that arises from altered nociception despite no clear evidence of nociceptive or neuropathic pain. Augmented central nervous system pain and sensory processing with altered pain modulation are suggested to be the mechanism of nociplastic pain. Clinical criteria for possible nociplastic pain affecting somatic structures include chronic regional pain and evoked pain hypersensitivity including allodynia with after-sensation. In addition to possible nociplastic pain, clinical criteria for probable nociplastic pain are pain hypersensitivity in the region of pain to non-noxious stimuli and presence of comorbidity such as generalized symptoms with sleep disturbance, fatigue, or cognitive problems with hypersensitivity of special senses. Criteria for definitive nociplastic pain is not determined yet. Eight specific disorders related to central sensitization are suggested to be restless leg syndrome, chronic fatigue syndrome, fibromyalgia, temporomandibular disorder, migraine or tension headache, irritable bowel syndrome, multiple chemical sensitivities, and whiplash injury; non-specific emotional disorders related to central sensitization include anxiety or panic attack and depression. These central sensitization pain syndromes are overlapped to previous functional pain syndromes which are unlike organic pain syndromes and have emotional components. Therefore, nociplastic pain can be understood as chronic altered nociception related to central sensitization including both sensory components with nociceptive and/or neuropathic pain and emotional components. Nociplastic pain may be developed to explain unexplained chronic pain beyond tissue damage or pathology regardless of its origin from nociceptive, neuropathic, emotional, or mixed pain components.

황칠나무(Dendropanax morbifera)의 부정근 유도 및 기내증식조건 (Induction and in vitro proliferation of adventitious roots in Dendropanax morbifera)

  • 배기화;김지아;최용의
    • Journal of Plant Biotechnology
    • /
    • 제36권2호
    • /
    • pp.163-169
    • /
    • 2009
  • Dendropanax morbifera (Araliaceae) is an endemic species in Korea and distributed in the southern part of Korea. The roots and stems of this plant have been used for folk medicine for the treatment of migraine headache, dysmenorrheal, and remove wind dampness and for Vanishes production. Production of adventitious roots in D. morbifera by in vitro cultures could be used as alternatives materials. Leaf, stem, and root segments from D. morbifera seedling were cultured on Murashige and Skoog (MS) medium supplemented with 3.0 mg/L IBA and 30 g/L sucrose. After 4 weeks of culture, the highest induction of adventitious roots was obtained from the leaf segment. Frequency of adventitious root formation on medium with various kinds of auxins (IAA, NAA, 2,4-D, and IBA) and various concentrations of IBA (0, 0.1, 0.5, 1.0, 3.0, and 5.0 mg/L) was tested. The maximum induction of adventitious root was obtained on medium with 1.0 mg/L IBA. In liquid culture, growth of root was best 1/2MS medium supplemented with 1.0 mg/L IBA and 30 g/L sucrose. Adventitious roots were cultured in 5 L bioreactor containing 1/2 MS medium supplemented with 1.0 mg/L IBA and 30 g/L sucrose and mass-production of adventitious roots was successfully achieved. This study demonstrated for the first time to produce adventitious roots in D. morbifera.

2000년부터 독일에서 수행된 대규모 침 임상연구들에 대한 고찰: ASH, ART, ARC, GERAC (Review of the Large-Scale Clinical Researches on Acupuncture in Germany: ASH, ART, ARC, and GERAC)

  • 윤주연;한국인;정진수;이승호;장인수
    • Korean Journal of Acupuncture
    • /
    • 제30권1호
    • /
    • pp.21-26
    • /
    • 2013
  • Objectives : The purpose is to introduce the recent large-scale clinical researches for safety, efficacy and effectiveness of acupuncture in Germany. Results : In 2000, the German Federal Committee of Physicians and Health insurer proposed that large research initiatives on acupuncture, Acupuncture Model Projects(Modellvorhaben Akupunktur), could be conducted by health insurance companies for several pain that acupuncture is syndromes to justify the insurance-based reimbursement. Accordingly, 4 clinical researches were carried out; the Acupuncture Safety and Health economics studies(ASH), the Acupuncture Randomised Trial(ART), the Acupuncture in Routine Care studies(ARC), and the German Acupuncture trial(GERAC). Meanwhile, ASH is a prospective observational study for safety and costs. ART and GERAC are composed of RCTs for efficacy. ARC includes 6 pragmatic RCTs with additional non-randomized cohort study for effectiveness. We investigated the papers related to them and discussed about the outcomes. The researches showed that acupuncture is effective in practice for several chronic conditions such as migraine, tension-type headache, chronic low back pain, osteoarthritis of knee, dysmenorrhea, and allergic rhinitis. Based in part on them, the German health authorities decided that acupuncture would be included into routine reimbursement by social health insurance funds for chronic low back pain and chronic osteoarthritis of the knee in 2006. Conclusions : The German clinical researches may suggest the clues for establishing the evidence of acupuncture treatment.

Melkersson-Rosenthal Syndrome -증례보고- (Melkersson-Rosenthal Syndrome -Report of a Case-)

  • 김태정;박욱;이성근;김일호;송후빈;황경호;김선종;김성열
    • The Korean Journal of Pain
    • /
    • 제2권1호
    • /
    • pp.57-60
    • /
    • 1989
  • The Melkersson-Rosenthal (M-R) syndrome consists of a triad of (1) recurrent peripheral facial nerve paralysis which develops alternately on both sides of face, (2) non-inflammatory facial edema, and (3) fissuring of tongue. A 59 years old female patient developed the left facial palsy on September, 1988. Right facial palsy developed continuously 2 months later after the spontaneous remission of left facial palsy. On February, 1989, we have found out M-R syndrome which accompanied with migraine type of intermittent headache, and hypertension in one attack of cerebral stroke several years ago, there were no diabetes mellitus, pulmonary tuberculosis and brain tumor in clinical studies. Although the causes of this syndrome were not noted, we performed the stellate ganglion block and transcutaneous electrical nerve stimulation for treatment of the palsy, but the clinical effectiveness of these were not satisfactory.

  • PDF

이완요법(弛緩療法)이 안면(顔面) 체열(體熱) 변화(變化)에 미치는 영향(影響) (The effect of relax therapy on the change of facial temperature by D.I.T.I.)

  • 조정훈;이경섭
    • 대한한방체열의학회지
    • /
    • 제3권1호
    • /
    • pp.27-35
    • /
    • 2004
  • Today, everybody lives in the stress. So 50% to 80% or 60% to 80% of the modern diseases are estimated what is caused by the stress. And one of the most important point of the stress is a too serious and continuos tension state. Therefore the best way to promotion, persistence, prevention and treatment of the modern man's health will be the relaxion from the tension state. The relax therapy as known as am effective method to the disease which as concerned with stress. that can be adapted to the treatment of anxiety-related diseases, insomnia, hypertension, tension headache, migraine, asthma, preparation of delivery, G-I disorders and menstrual disorders. Until now we guess the change of a relaxed state by the observation to the change of autonomic nervous system(ANS) and EEG. From the point of the ANS, sympathetic nervous system progresses slowly but parasympathetic nervous system increases the activity. In the EEG, both the alpha-wave concerned with the deep physical relaxed state and emotional stability and the theta-wave appeared in the state of meditation are increased. Current studies show that among the biochemical changes, especially serotinin like body hormone is increased by the feeling of the stability or the happiness. So, to see the change of the relaxed state in the image of the D.I.T.I., we used the deviational differences between the pre-relaxed state and the post-relaxed state of 70 people. As a result, the portional deviation of the face is decreased in the image of the D.I.T.I. So it can be thaught that we can determine the changes of the relaxed state by the D.I.T.I.

  • PDF

갈근탕 혼합단미엑스제 및 전탕액의 성분 및 생리활성 비교 연구 (Comparison of Ingredient and Efficacy of Galgeun-tang (Gegen-tang) Mix Extract Powder and Decoction)

  • 김정옥;김세진;김종범;남원희;이지범;이화동
    • 동의생리병리학회지
    • /
    • 제33권1호
    • /
    • pp.39-47
    • /
    • 2019
  • Galgeun-tang (GGT) is a traditional herbal medicine generally used to treat cold, fever, headache, migraine and convulsion. To investigate the difference of ingredient and efficacy of GGT according to production method, mix extract powder and decoction, the quantities of index components, antioxidant and anti-inflammatory effects of two kinds of GGT formulation were compared. The contents of ten index components were simultaneously analyzed with HPLC. A HPLC method was developed and validated for the simultaneous determination. The GGT mix extract powder contained higher puerarin and daidzin content than the decoction, while the GGT decoction contained higher cinnamic acid and glycyrrhizic acid content than the mix extract powder. But ingredient of GGT mix extract powder and decoction was statistically very similar (r=0.8335). GGT decoction showed higher antioxidant effect than GGT mix extract powder, but the difference was low. The patterns of productions for NO, iNOS, COX-2, TNF-${\alpha}$, IL-$1{\beta}$ and IL-6 were decreased along the increasing dose of GGT formulation in LPS-induced RAW 264.7 macrophages. The inhibitory effects on NO, iNOS, COX-2, IL-$1{\beta}$ and IL-6 in Raw 264.7 cell were very similar to each other. The results obtained in this study could be used as fundamental data for verifying the equivalence and effectiveness of the herbal medicines.

제주도에서 CADASIL 연구의 중요성: 역학, 진단 및 임상양상에 대한 고찰 (Importance of CADASIL research in Jeju: a review and update on epidemiology, diagnosis, and clinical spectrum)

  • 최재철;이정석;김기태
    • Journal of Medicine and Life Science
    • /
    • 제17권3호
    • /
    • pp.65-73
    • /
    • 2020
  • Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a single-gene disease of the cerebral small blood vessels caused by mutations in the NOTCH3 gene on chromosome 19. Although CADASIL was known as a rare disease, recent research has suggested that the NOTCH variants could be found frequently even in the general population. The main clinical features included recurrent stroke, migraine, psychiatric symptoms, and progressive cognitive decline. On brain magnetic resonance imaging, patients with CADASIL showed multifocal white matter hyperintensity lesions, lacunar infarcts, microbleeds, and brain atrophy. Among them, lacunar infarcts and brain atrophy are important in predicting the clinical outcomes of patients with CADASIL. In the Jeju National University Hospital, we have diagnosed 213 CADASIL patients from 2004 to 2020. Most NOTCH3 mutations were located in exon 11 (94.4%), and p.Arg544Cys was the most common mutation. The mean age at diagnosis was 61.0±12.8 years. The most common presenting symptoms were ischemic stroke (24.4%), followed by cognitive impairment(15.0%), headache (8.9%), and dizziness(8.0%). Although the exact prevalence of CADASIL in Jeju is still unknown, the disease prevalence could be as high as 1% of the population considering the prevalence reported in Taiwan. Therefore, it is necessary to discover efficient biomarkers and genetic tests that can accurately screen and diagnose patients suspected of having CADASIL in this region. Ultimately, it is urgent to explore the exact pathogenesis of the disease to identify leading substances of treatment potential, and for this, multi-disciplinary research through active support from the Jeju provincial government as well as the national government is essential.

천마분말을 첨가한 식빵의 품질 특성 (Quality Characteristics of Bread Added with Gastrodia elata Blume Powder)

  • 김현주;강우원;문광덕
    • 한국식품과학회지
    • /
    • 제33권4호
    • /
    • pp.437-443
    • /
    • 2001
  • 혈압저하, 간질, 중풍, 두통에 효능이 있는 것으로 알려진 천마분말을 밀가루에 대하여 0%, (w/w) 0.5%, 1.0%, 1.5%, 2.0% 첨가하여 제조한 천마 빵의 제빵 적성을 조사하였다. Farinograph의 stability는 각각 57, 47, 38, 29, 20분으로 일정하게 감소하였다. 천마전분의 크기는 $36-60\;{\mu}m$ 정도였고 긴 타원형이었다. Amylograph 상의 최고점도는 대조구에 비해 천마분말 첨가 시 증가하는 것으로 나타났다. 식빵의 비용적은 $5.00{\sim}4.16$을 나타내었으며 0.5% 첨가시 대조구에 비해 비 용적이 10.2% 증가하였으나 2.0% 첨가시에는 오히려 16.8%의 감소율을 나타내었다. 천마 빵의 수분함량은 대조구에서는 43.57%였으나 천마분말 첨가에 따라 증가하는 경향이었다. 빵의 crust 및 crumb의 색도는 L, a, b 및 ${\Delta}E$값이 대조구와 유의적 차이를 나타내지 않았다. 천마 빵의 조직감에서도 대체로 대조구와 유의적 차이를 나타내지 않았으나 cohesiveness, chewiness, springness는 0.5% 첨가구에서 가장 높았으며 adhesiveness는 1.0%에서 가장 높게 나타났다. 내부특성과 외부특성 및 전반적인 기호도 향미 등에 대한 관능검사 결과 내부적 특성에서는 유의적 차이가 없었으며 전반적인 기호도, 향미, 겉색상, 쓴맛에서는 대조구가 가장 좋았고 부피, 껍질특성, 촉촉한 정도는 천마분말을 첨가가 좋은 것으로 나타났다. 대체로 대조구가 우수하나 천마분말 첨가 시 부드럽고 흰빵을 선호하는 사람들에게 좋은 기호도를 나타내고 0.5% 첨가구가 제빵 적성이 좋은 것으로 사료된다.처 특성간의 상관관계를 분석한 결과, 관능적으로 측정된 뭉치는 정도, 매끄러운 정도, 내부 촉촉함 특성은 기계적으로 측정된 부착성과는 양의 상관관계를 경도 및 껌성과는 음의 상관관계를 나타냈다. 그러나 경도 이외의 특성에서는 기계적 텍스처 특성과 관능적 텍스처 특성간에 상관관계가 매우 낮았다. 연구가 필요한 것으로 판단된다.키는 과정에서 산소 농도의 증가에 따라 formazan 생성량이 증가한 사실과 AsA 농도의 증가에 따라 formazan 생성량이 낮아지는 경향을 보인 사실, 그리고, AsA 농도에 따른 분해율을 조사한 결과, 본 실험에 사용된 $50\;{\mu}M$의 AsA 농도에서는 분해된 양이 거의 변화가 없는 것으로 보아 NBT가 아닌 AsA 자동산화반응 과정에서 생성된 $O_2\bar{{\bullet}}$에 의해 formazan이 생성된 것임이 확인되었다. 한편, Fe(III)이온 및 Cu(II)이온 존재 하에서 $0.01\;{\mu}M$이하의 낮은 농도에서는 $O_2\bar{{\bullet}}$ 생성이 중금속 이온 비존재 하에서의 경우보다 유의적으로 높은 것으로 밝혀졌지만, 그 이상의 농도에서는 낮은 수치를 나타내었다 이상의 결과로 보아 수용성계에서 뿐 만 아니라, 비수용성계에서도 중금속 이온 존재 하에서의 AsA 자동산화반응에서의 $O_2\bar{{\bullet}}$ 생성이 시사되었다.pm, $230^{\circ}C$에서 5.56 ppm으로 점진적으로 감소하였다. 이는 nonanoic acid, palmitic acid, stearic acid등이 고온가열에 의해 생성되었다가 이들이 열분해로 소실되었기 때문으로 생각된다.평균치는

  • PDF