• Title/Summary/Keyword: Subjective pain evaluation

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Accurate Evaluation and Treatment of Dyspnea in Patients with Gastrointestinal Cancer (소화기 암환자 호흡곤란의 정확한 평가와 치료)

  • Jong Yoon Lee
    • Journal of Digestive Cancer Research
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    • v.11 no.2
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    • pp.108-113
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    • 2023
  • Dyspnea is a common symptom among patients with gastrointestinal cancer, and a comprehensive evaluation of their respiratory function is essential. Self-reporting aids in the assessment of the degree of dyspnea, while objective examination methods are performed to identify the potential underlying causes when subjective symptoms are present. Standard treatment protocols should be followed for potentially reversible and common causes of dyspnea, such as pleural effusion, pneumonia, airway obstruction, anemia, asthma, exacerbation of chronic obstructive pulmonary disease, pulmonary thromboembolism, or drug-induced interstitial lung disease. Careful and close monitoring is required due to the high frequency of pulmonary thromboembolism and the risk of cardiovascular accidents, drug-induced interstitial lung disease, or other complications from some anticancer drugs. In case of hypoxemia with an oxygen saturation of 90% or less, palliative treatment should comprise standard oxygen therapy such as nasal cannula, mask, or high-flow nasal cannula. If non-pharmacological oxygen therapy is not effective, pain control through systemic narcotic analgesics and anti-anxiety therapy with benzodiazepines may be helpful.

Clinical Evaluation of Selected Naturopathic Therapeutic Procedures in Individuals with Low Back-pain

  • Attanayake, AM Pushpika;Somarathna, KIWK;Vyas, GH;Dash, SC
    • Journal of Naturopathy
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    • v.10 no.2
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    • pp.71-76
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    • 2021
  • Background: The understanding of back-pain as one of the commonest clinical presentations, made the path to the present study. More than three-quarters of the world's population experience back-pain at some time in their lives Purpose: The present study has evaluated the selected Naturopathic therapeutic procedures on individuals with low back-pain. Methods: Thirteen patients were selected for the study and randomly divided into two groups, viz., Group A, Naturopathic group and Group B, Control group. One patient discontinued. Naturopathic group was treated with mud pack, aromatherapy massage with Eucalyptus oil, acupressure, steam, wet trunk pack, exercises, relaxation and breathing exercises. Advice for life style and diet was given for patients of both the groups. The effect of the therapy was assessed subjectively and objectively. Particular scores drawn for Naturopathic group and control group were individually analyzed before and after treatment and the values were compared using standard statistical protocols. Results: Naturopathic intervention revealed 100% relief in both subjective and objective parameters (i.e., 6 out of 14 parameters showed statistically highly significant P < 0.01 results, while 8 showed significant results P < 0.05). Conclusion: Statistically highly significant results of this study point out the successful management of the multi factorial low back-pain with a multi focused Naturopathic treatment approach. Such encouraging results may pave the way for a future study on a large sample in a longer duration incorporating clinical investigations.

Effectiveness of Acupuncture in the Treatment of Post-Disaster Musculoskeletal Pain: A Systematic Review (재난 후 근골격계 통증에 침치료의 유효성: 체계적 문헌고찰)

  • Ka-Hyun Kim;Sung-Won Choi;Hae-Won Hong;Ju-Young Yoon;Yong-Jun Kim;Jung-Hyun Kim
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.3
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    • pp.135-148
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    • 2023
  • Objectives To investigate the effectiveness of acupuncture in the treatment of post-disaster musculoskeletal pain by reviewing relevant clinical studies. Methods A systematic search was conducted across 10 electronic databases to identify relevant clinical studies on acupuncture treatment for post-disaster musculoskeletal pain until May 2023. The methodological quality was evaluated using the Cochrane Risk of Bias 2 and Risk of Bias Assessment tool for non-randomized studies tools. Results Six articles were analyzed, including two randomized controlled trials (RCTs), two before-after studies, one qualitative research, and one case series. Overall, acupuncture therapy showed some improvement in pain scale among musculoskeletal pain survivors. However, no significant improvement was observed in the Short-Form McGill Pain Questionnaire (SF-MPQ-2). Subgroup analysis of participants who completed at least four acupuncture sessions revealed a significant effect on the SFMPQ-2. Additionally, a significant improvement in 36-Item Short Form Survey (SF36P) was observed after 6 months of treatment, but the 2-month treatment period did not show statistically significant effects on SF-36P improvement. The evaluation of the methodological quality of the RCTs identified some concerns of bias. Conclusions The results suggest that acupuncture is effective in alleviating post-disaster musculoskeletal pain. However, considering the limited number of selected studies and the inclusion of subjective evaluation measures, caution should be exercised in interpreting the results. Further large-scale follow-up studies are needed to determine the optimal frequency and duration of acupuncture treatment. Well-designed controlled trials should be conducted to provide more robust evidence regarding the effectiveness of acupuncture for post-disaster musculoskeletal pain.

Effect of taping therapy on the pain and muscle activity of the back pain

  • Shin, Dong-min;Kim, Keun-Hee;Cho, Byung-Jun
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.6
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    • pp.43-49
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    • 2018
  • In this paper, we propose a taping therapy as effective intervention for patients with the back pain. The purpose of this study is to investigate the effects of taping intervention on the VAS evaluated score and he muscular activation degree among 119 paramedics with musculoskeletal injury. In order to achieve the purpose of the study, data was collected from 15 paramediecs in the paramedics department of 3 fire stations under J city's fire defense headquarters. The following results can be obtained by measuring the subjective, the back muscle strength and the buckling-anteflexion before and after the taping for 15 119 paramedics. Through the verification experiment of taping effect to paramedics during the stretcher lifting in this study the VAS evaluated score for the backache are $1.67{\pm}0.62$ before and $0.80{\pm}0.68$ after the application of taping which show statistically significant decrease(p<0.05). In the experimentof joint operation range the measured buckling anteflexion length are $14.62cm{\pm}4.89$ before and $16.41cm{\pm}4.11cm$ after the application of taping which show statistically meaningful difference(p<0.05). In the comparison of muscle activity about paramedics erector spinae(ES) shows the meaningful decrease and external obliques(EO) displays the significant increase. Erector spinae(ES) and internal obliques(IO) show the increasing trend in the muscle activity although they are not significant. the muscle activity for the erector spinae is lowered so that the contribution to the force required for the extensor during the stretcher lifting is resultingly reduced to have the effects of enhancing the activity of abdominal muscles.

The Study on the Moving Rail-chair and Electromotive Scissors for Preventing of the Musculoskeletal Disorders (근골격계 질환 예방을 위한 이동형 레의자와 전동가위에 관한 연구)

  • Chae, Hye-Seon;Kim, Kwan-Woo;Lee, Kyung-Suk;Kim, Chang-Han;Lee, Kyoung-Mi;Choi, Youn-Woo;Park, Keun-Sang
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.1
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    • pp.139-144
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    • 2010
  • Grape weeding work requires Ergonomics improvement, because it performs motion likely to cause Musculoskeletal disorders (MSDs) repeatedly and continuously. The object of this study was to reject workload in Grape weeding works raised MSDs with the Moving Rail-chair and Electromotive Scissors. As objective method of analysis, we used heart rate, EMG, RULA, REBA. As subjective method of analysis, we used questionnaire that indicate lethargy area of body, pain of muscle and bone. As a result, working with Moving Rail-Chair and Electromotive Scissors is lower heart rate and EMG than typical working. Also for the subjective evaluation, reducing of neck and shoulder movement makes improve workload.

Long-Term Evaluation of Conservative Treatment for Craniomandibular Disorders (두개하악장애환자의 보존적 치료에 관한 장기평가)

  • June-Sang Park;Myung-Yun Ko
    • Journal of Oral Medicine and Pain
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    • v.18 no.2
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    • pp.81-96
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    • 1993
  • In order to evaluate the prognosis of conservative treatment for Craniomandibular Disorders, 127 patients were subjected at the Dept. of Oral Medicine, Pusan National University Hospital from 1983 through 1991. All the changes of patients' symptoms and related factors were analyzed before treatment, after treatment and at follow-up examination by means of subjective and objective symptom indicies (Ai, AAI, SDS, Di, CDS, MCO). 1. All the indices were reduced and MCO became increased at follow-up examination (p<0.01). 2. As the duration after treatment became longer, all the indices became reduced and MCO became increased. 3. There were no significant differences in index scores according to sex and age. 4. Long-term patients showed higher index scores and lower MCO than short-term patients(p<0.01). 5. Chronic group showed higher index scores and lower MCO than acute group (p<0.05). 6. Macrotrauma group showed higher index scores and lower MCO than microtrauma group (p<0.05) 7. While muscle group showed the lowest MCO, muscle and joint group showed the highest index scores (p<0.01). 8. The long-term success rate of conservative treatment was more than 80% (p<0.01)

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Difference in Premenstrual Syndrome by Physical Activity Level in High School Girls (여고생의 신체활동 정도에 따른 월경전증후군의 차이)

  • Nam, KeonHee;Lee, YoungHee
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.320-332
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    • 2014
  • Purpose: This study was conducted in order to examine premenstrual symptoms (PMS) according to physical activity of high school girls. Method: Data were collected from 323 high school girls using structured questionnaires, Menstrual Distress Questionnaire (MDQ) and International Physical Activity Questionnaire (IPAQ). The data were analyzed using descriptive statistics, t-test, and AVOVA. Results: The mean score of PMS was low (2.200.81). Among the subcategories, negative feeling (2.491.26) was the highest. Physical activity levels were coded as inactive, minimal activity and health enhancing physical activity, among which minimal activity (53.0%) was the highest. Significant differences in PMS were observed according to subjective health condition (F=10.83, p<.001), alcohol intake (t=-1.99, p=.048), caffeine intake (F=3.04, p=.029), dietary habit (F=4.78, p=.009), amount of menstruation (F=4.57, p=.011), discomfort in daily life (F=28.94, p<.001), degree of menstrual pain (F=41.23, p<.001), method of menstrual pain relief (F=4.29, p=.015), and family history (F=11.45, p<.001). Significant difference in PMS was observed according to the physical activity level (F=3.12, p=.046), and health enhancing physical activity (2.540.87) was the highest. Conclusion: These findings suggest that PMS intervention programs would be considered factors related to PMS. Conduct of further studies is recommended for evaluation of the relationship between physical activity and PMS.

Clinical Evaluation of the Mediastinal Tumors [26 Cases Report] (종격동 종양의 임상적 고찰: 26례 보고)

  • 김종진
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.844-848
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    • 1985
  • Mediastinal tumors which are originated in mediastinum or probably metastasized from other organs have long fascinated the surgeon because of difficulty of diagnosis and treatment. This report is the analysis of the 26 cases of mediastinal tumors, experienced in the Department of the Thoracic and Cardiovascular Surgery, Chosun University Hospital from January 1978 to January 1985. The result are as follows; 1. The age distribution was 10 months to 68 years old and the average mean age was 34.7 years old. 2. Subjective symptom were as follows: Dyspnea [69.2%], Coughing [42.3%], Chest pain [30.8%], Back pain [15.4%] and Numbness of extremities [15.4%]. Objective signs were as follows: Decreased breathing sound [53.3%], Pleural effusion and hemothorax [34.6%], Palpable neck mass [34.6%], SVC Syndrome [19.4%] and Bloody sputum [15.4%]. But, there were no definitive symptoms in 2 cases. 3. The malignant tumors were 19 cases [73.1%]. 4. The germ cell tumors were 2 cases [7.7%], the neurogenic tumor were 3 cases [11.5%], lymphoma were 8 cases [30.8%], thymoma were 2 cases [7.7%], mesenchymal tumor was 1 case [3.8%], cyst was 1 case [3.8%] and carcinoma were 5 cases [19.2%] among the 23 cases, histologically analyzed. 5. The successful complete removal was done in 5 cases among 7 cases of benign tumors. In malignant cases, the surgical removal had been 7 cases and inoperable cases were treated to radiation and chemotherapy.

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A Study of Loadings of Neck Muscles when Bent Backward (위보기 작업 시 EMG를 이용한 목 근육의 부하 평가)

  • Lee, Kwan-Suk;Park, Ju-Won
    • Journal of the Korean Society of Safety
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    • v.27 no.1
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    • pp.111-116
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    • 2012
  • Workers who work with his neck bent backward in the standing posture have often complained of their musculoskeletal stress. The objective of this study was to find how much stress there was for workers who worked with their neck bent backward. The subjective evaluation and electromyography(EMG) were used to check the level of the stress. It was found that all subjects felt extreme pain after working with the neck bent backward and alternating 1 minute work and 0.5 minute rest for 30 minutes. The EMG level(amplitude) of neck muscles increased 80 percent on the average and the center frequency of EMG shifted to the lower frequency level which indicated fatigue of neck muscles. Thus, the intervention of this musculoskeletal stress is strongly recommended.

Intra-Articular Injection of High-Dose ELHLD Peptide for Managing Canine Stifle Osteoarthritis: Kinetic Gait Analysis

  • Jeong, Na-rae;Kang, Byung-Jae
    • Journal of Veterinary Clinics
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    • v.38 no.3
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    • pp.105-114
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    • 2021
  • Intra-articular injection of ELHLD peptide is considered to have a therapeutic effect in osteoarthritis (OA) through the inhibition of transforming growth factor-β1. This study aimed to assess the efficacy of intra-articular injections of high-dose ELHLD peptide (100 ㎍/kg) in canine stifle OA. Six client-owned dogs diagnosed with stifle OA were included. Selected dogs were treated with an intra-articular injection of high-dose ELHLD peptide (100 ㎍/kg). Outcome measures, including orthopedic examination, gait analysis, and Canine Brief Pain Inventory (CBPI) score, were evaluated four times after injection. Orthopedic examination, gait analysis, and owner's assessment (CBPI) improved significantly from 4 weeks after injection. In conclusion, we obtained sufficient evidence from this small sample that high-dose ELHLD peptide improves clinical signs of canine OA not only through subjective assessment but also through objective evaluation.