• Title/Summary/Keyword: Pain: acute

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Diagnostic Imaging of Solitary Nodular Cecal Lymphoma in a Dog (맹장에 발생한 단일성 결절형 소화관 림프종의 영상 진단 증례)

  • Jung, Joo-Hyun;Kwon, Do-Hyoung;Lee, Seung-Hee;Chang, Jin-Hwa;Oh, Sun-Kyoung;Yoon, Jung-Hee;Choi, Min-Cheol
    • Journal of Veterinary Clinics
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    • v.26 no.1
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    • pp.81-85
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    • 2009
  • A spayed female, 8-year-old, maltese, weighing 1.84 kg with a history of acute severe vomiting, anorexia, depression for 2 day was referred. An abdominal mass was palpated with abdominal pain on physical examination. Radiographic findings included two soft tissue density masses in the mid-abdominal cavity and gas dilated colon. Ultrasonographs showed one heterogeneous hypoechoic round mass including intestinal wall. There were loss of normal wall layering and motility and absence of internal lumen of the intestinal wall. And another heterogeneous hyperechoic mass was identified to the medial side of the intestinal mass. Based on clinical signs, image findings, and the result of fine needle aspiration, intestinal obstruction due to alimentary lymphoma was diagnosed. On surgery, a cecal lymphoma and mesenteric lymphadenopathy were confirmed and the cecal mass was resected.

Three Cases of Cardiac Toxicity after Intake of Symplocarpus Renifolius (앉은 부채 섭취 후 발생한 심장독성 3예)

  • Kim, Tae-Hoon;Kim, Hyun;Kim, Oh-Hyun;Cha, Yong-Sung;Cha, Kyoung-Chul;Lee, Kang-Hyun;Hwang, Sung-Oh
    • Journal of The Korean Society of Clinical Toxicology
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    • v.10 no.1
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    • pp.41-45
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    • 2012
  • Recently, some patients have visited the emergency department for treatment of different symptoms of acute poisoning after intake of unidentified herbs, which can be mistaken for wild edible greens, because wild edible greens are good for health and contain vitamins, enzymes, minerals, fibers, and anticancer materials. Winter or early spring, is extremely high, with rapid onset of severe symptoms of poisoning. There have been no reports of poisoning by SymplocarpusRenifolius in Korea, however, we report on three severe cases involving patients who experienced cardiogenic shock with nausea, vomiting, abdominal pain, chest discomfort, dizziness, numbness, and general weakness.

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Experience of mothers with very low birth weight infant (극소체중아 어머니의 경험)

  • Moon Jin-Ha
    • Child Health Nursing Research
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    • v.8 no.1
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    • pp.110-120
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    • 2002
  • A phenomenological study is conducted to investigate the experience of mothers with very low birth weight. Sample of 8 mothers participate. Seven theme clusters emerge when the formulated meanings were organized into categories. The participants are 8 mothers who gave birth in the general hospital located in Kyunggi-Province and still live there. The data are collected from the intensive interviews on the experience of mothers whose baby is very low birth weight infant. Data collection is through in depth personal interviews two or three times with each mother. On the basis of the meanings of the experience of mothers with very low birth weight infant, the seven essential themes have been obtained Theme 1:Being surprised and perplexed due to the unexpected sudden delivery Theme 2:Experiencing emotional pain such as anxiety, sorrow, fear, confusion and self-blaming caused by a small and feeble baby. Theme 3: Pouring all their time and efforts into the baby under the acute tension Theme 4:Undergoing intolerable difficulties in confronting reality `Theme 5:Raising the special infant into an normal one by themselves Theme 6: Being on the vigilance for their baby even though they can be relieved Theme 7:Finding out a reward for the difficulties they have experienced The results obtained in this study will enable us to comprehensively understand the experience by mothers whose baby is very low birth weight infant and furthermore to provide a new insight which helps baby.

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A Study on the Rest Methods of Patients & Nursing Activities inducing them to Rest (환자의 안정방법과 안정을 유도하는 간호활동에 관한 연구)

  • 최명애;전금자
    • Journal of Korean Academy of Nursing
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    • v.8 no.2
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    • pp.15-23
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    • 1978
  • This study was conducted to see the present situation of rest in a military hospital. 120 medical patients but acute af critical cases were interviewed by the investigators during the period of August 20 to September 10, 1978. The questionnaire was consisted of questions regarding the general characteristics of tile respondents, rest methods and nursing activities inducing them to rest. 1, Of the rest methods, tying down on the bed comfortably placed first at 29.1 percent, followed by sleeping at 20,1 percent, reading at 16.8 percent, taking a moderate exercise, being free from their concerns of diseases & surrounding matters at 11.7 percent, respectively, playing the game of Badook or Chess at 6.7 percent , others at 3.9 percent in that order. 2. They mainly utilized the Lying down method for comfort & rest, but there were some differences depending on their educational backgrounds. 3. Some differences were observed in the methods of rest by the religions. 4. The differences between diseases af rest methods except bed rest af sleeping were observed. 5. Of the nursing activities inducing them to rest, counseling stood first at 43.3 percent, followed by teaching at 28.4 percent, relief of pain af discomfort at 20 percent, active attitudes of nurses to help them at 8.3 percent in that order. 6. There was no significant difference between the level of education or religions and nursing activities inducing them to rest. 7. Nursing activities which induced comfort & rest by diseases were mainly counseling & teaching.

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The Effects of an Asthma Management Education Program for Preschoolers (천식관리 교육 프로그램이 학령전기 아동의 천식치료 적응에 미치는 효과)

  • Yim, Soyoun
    • Journal of Korean Academy of Nursing
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    • v.44 no.2
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    • pp.189-197
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    • 2014
  • Purpose: This study was conducted to develop an asthma management education program for preschool children using Roy's adaptation theory as a framework and examining the effects of this program on adaptation to asthma treatment. Methods: A non-equivalent control group pre-post-test design was used with 43 preschool children diagnosed with asthma and required to be hospitalized for inhalation therapy. An intervention group (n=23) participated in the educational program and a control group (n=20) received regular treatment. The education program was conducted and evaluated from June 30 to October 31 2012, a maximum 3 times every 24 hours during hospitalization. Two nurses conducted the program using the teaching method of Gagn$\acute{e}$ and Briggs; instruction design theory through questionnaires to measure perception of disease, behavior of adaptation to treatment with inhalation therapy. Results: Effects of asthma management education program; scores for face-pain rating decreased and time of adaptation to treatment increased significantly in the experimental group compared to the control group but no significant differences were found for perception of the disease's cause and treatment. Conclusion: Results indicate that the asthma management education program has positive effects on adaptation to asthma treatment of preschoolers.

MRI Findings of Obstructed Hemivagina and Ipsilateral Renal Agenesis (OHVIRA syndrome) with a Blind Megaureter: Case Report

  • Cho, Yun Hee;Sung, Deuk Jae;Han, Na Yeon;Park, Beom Jin;Kim, Min Ju;Sim, Ki Choon;Cho, Sung Bum
    • Investigative Magnetic Resonance Imaging
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    • v.19 no.3
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    • pp.196-199
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    • 2015
  • Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is an uncommon congenital abnormality of the female urogenital tract characterized by the triad of uterine didelphys, obstructed hemivagina, and ipsilateral renal agenesis. A 13-year-old female presented with acute lower abdominal pain. Magnetic resonance imaging (MRI) revealed uterine didelphys, hematometrocolpos, obstructed hemivagina, and right ipsilateral agenesis, consistent with OHVIRA syndrome. Also, a well-defined mass with fluid signal intensity, mimicking adnexal neoplasm was seen in the right lower pelvic cavity adjacent to the posterior wall of the bladder. Vaginal septotomy and drainage of hematometrocolpos were done initially, but unilateral hysterectomy was later performed to relieve the patient's symptoms. The cystic mass in the right lower pelvic cavity was also excised and confirmed as a blind megaureter.

Complications of nephrotic syndrome

  • Park, Se-Jin;Shin, Jae-Il
    • Clinical and Experimental Pediatrics
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    • v.54 no.8
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    • pp.322-328
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    • 2011
  • Nephrotic syndrome (NS) is one of the most common glomerular diseases that affect children. Renal histology reveals the presence of minimal change nephrotic syndrome (MCNS) in more than 80% of these patients. Most patients with MCNS have favorable outcomes without complications. However, a few of these children have lesions of focal segmental glomerulosclerosis, suffer from severe and prolonged proteinuria, and are at high risk for complications. Complications of NS are divided into two categories: disease-associated and drug-related complications. Disease-associated complications include infections (e.g., peritonitis, sepsis, cellulitis, and chicken pox), thromboembolism (e.g., venous thromboembolism and pulmonary embolism), hypovolemic crisis (e.g., abdominal pain, tachycardia, and hypotension), cardiovascular problems (e.g., hyperlipidemia), acute renal failure, anemia, and others (e.g., hypothyroidism, hypocalcemia, bone disease, and intussusception). The main pathomechanism of disease-associated complications originates from the large loss of plasma proteins in the urine of nephrotic children. The majority of children with MCNS who respond to treatment with corticosteroids or cytotoxic agents have smaller and milder complications than those with steroid-resistant NS. Corticosteroids, alkylating agents, cyclosporin A, and mycophenolate mofetil have often been used to treat NS, and these drugs have treatment-related complications. Early detection and appropriate treatment of these complications will improve outcomes for patients with NS.

Glossitis treated with Acupuncture: case series (설염의 침 치료 : 증례 보고)

  • Noh, Hyeon-Min;Park, Sung-Gu;Park, Hee-Jun;Jung, Ha-Min;Kim, Ji-Won;Jo, Eun-Hee;Park, Min-Cheol
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.3
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    • pp.197-207
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    • 2016
  • Objectives : The purpose of this study is to report the effectiveness of acupuncture treatment on the patients suffered from glossitis.Methods : Total five Korean patients suffering from glossitis, 60 and 37 years old male patients, 61, 71 and 49 years old female patients were participated. Each patient received acupuncture treatment(heart hangyeok) twice to five times in same part of the body.Results : We attained meaningful results which show recovery from pustules, ulcers, redness and swelling in visual symptoms and the relief of acute and chronic pain, recovery from paraesthesia, and dysgeusia in subjective symptoms.Conclusions : In this study, acupuncture treatment(heart hangyeok) was effectively controlled inflammation status of glossitis.

Methylene Blue (메틸렌 블루)

  • You, Ji-Young
    • Journal of The Korean Society of Clinical Toxicology
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    • v.8 no.1
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    • pp.1-6
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    • 2010
  • Methylene blue is a very effective reducer of drug-induced methemoglobinemia. It has dose-dependent oxidation or reduction properties. In most cases, a dose of 1 to 2 mg/kg IV given over 5 minutes and immediately followed by a 15- to 30-mL fluid flush to minimize the local pain is both effective and relatively safe. The onset of action is quite rapid, and the effects are usually seen within 30 minutes. The dose may be repeated after 30 to 60 minutes and then every 2 to 4 hours as needed. The total dose should not exceed 7 mg/kg as a single dose or 15 mg/kg within 24 hours. Repeated treatment may be needed for treating compounds that have prolonged elimination or those compounds that undergo enterohepatic recirculation (e.g., dapsone). Methylene blue can cause dose-related toxicity. At high doses, methylene blue can also induce an acute hemolytic anemia and rebound methemoglobinemia. The reasons for treatment failure with methylene blue include ineffective GI decontamination, the existence of other forms of hemoglobin (e.g., sulfhemoglobin), a low or high dose of methylene blue and the toxicokinetics of some agents, such as aniline, benzocaine or dapsone.

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Spontaneous Intramural Esophageal Dissection Occurred in Middle Aged Woman -One Case Experience - (중년 부인에 발생한 자발성 벽내성 식도 박리 -치험 1예-)

  • Byun Joung-Hun;Cho Soung-Ho;Cho Sung-Rae
    • Journal of Chest Surgery
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    • v.39 no.7 s.264
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    • pp.569-571
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    • 2006
  • Intramural dissection of the esophagus is rare esophageal disorder which has been seen predominantly in women in their seventh or eighth decade and presents as acute chest pain, accompanied by dysphagia. The etiology of this disorder remain uncertain and the diagnosis is made by esophageal endoscopy, contrast esophagography, or both. Patient with this disorder is best managed conservatively with nothing by mouth and intravenous hydration.