• Title/Summary/Keyword: Visual analogue scale for fatigue

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A COMPARATIVE STUDY ON THE VITAL SIGN AND BEHAVIOR APPEARANCE DEPENDING ON THE ROUTE OF FLUMAZENIL ADMINISTRATION IN CONSCIOUS SEDATION BY MIDAZOLAM (Midazolam을 이용한 의식진정시 flumazenil의 투여경로에 따른 생징후 및 행동양상의 비교 연구)

  • Kim, Hyun-Sik;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.2
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    • pp.159-167
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    • 2002
  • The purpose of this study was to evaluate the efficacy and safety depending on the route of flumazenil, as an antagonist against midazolam. The subjects of this study were 15 volunteers of $22{\sim}24$ years old. They were sedated with midazolam 0.2mg/Kg intranasal spray, and then 40 minutes after midazolam administration, they were given flumazenil 0.2mg intranasal spray for their reversal. For evaluation of the efficacy and safety of intranasal spray for flumazenil, they were monitored with pulse-oxymeter(Nellcor symphony N-3000, Nellcor Puritan CO. USA) and electric sphygmomanometer (Heartcare 200, National CO. Japan), and were assessed themselves using visual analogue scale(VAS) for tranquilization, sleep, fatigue and attitude. All of these subjects were reduced completely without any undesired situations. The results from this study can be summarized as follows ; 1. Nasaly administered flumazenil using spray device produced much more rapid reduction than intravenously administered flumazenil, but soon after fell in more deep sedated state than intravenously administered flumazenil. 2. There were no considerable side effects or bad influence on vital signs of both nasaly administered flumazenil and intravenously administered flumazenil. These results suggested that the flumazenil administered nasaly using spray device for reversal, we could treat patients safely and effectively under conscious sedation using midazolam administration. But, We will have to research about its optimal dosages for flumazenil, used as intranasal spray for reversal agents against the midazolam by evaluating the blood plasma concentration of midazolam and flumazenil.

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A Case Report of Erythematotelangiectatic Type Rosacea and Peripheral Facial Palsy Improved by Korean Medicine Treatment with Soshioho-tang Gagambang (소시호탕가감방(小柴胡湯加減方) 등 한방 치료를 통해 호전을 보인 홍반-혈관확장형 주사피부염과 말초성 안면마비 치험례)

  • Kim, Hae-Na;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.35 no.3
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    • pp.123-132
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    • 2022
  • Objectives : The purpose of this study is to report a case of erythematotelangiectatic type rosacea and peripheral facial palsy improved by Korean medicine treatment with Soshioho-tang gagambang. Methods : The patient visited our clinic due to facial flushing and peripheral facial palsy symptoms. Based on Sanghallon provision, we treated this case with Soshiho-tang gagambang. The result of treatment was evaluated by Visual Analogue Scale(VAS), Dermatology Life Quality Index(DLQI) and House-Brackmann Grading System(HBGS). Results : After 12 days of taking Soshiho-tang gagambang, VAS of rosacea was decreased from 9 to 4 and DLQI was decreased from 22 to 5. After treatment, rosacea with facial flushing was improved and HBGS was reduced from 3 to 1. Conclusions : This study shows the possibility of taking Soshiho-tang gagambang for erythematotelangiectatic type rosacea and peripheral facial palsy derived from stress, fatigue and sleep disturbance according to Sanghallon provision.

Effectiveness of Additional Acupuncture Therapy for Lung Cancer Patients - A single group before-and-after, preliminary study - (폐암 환자에 대한 부가적인 침치료 효과 - 단일군, 전후, 예비임상 연구 -)

  • Kim, Do Hyung;Jeon, Doo Soo;Park, Seung Chan;Lee, Seung Eun;Cho, Woo Hyun;Han, Chang Woo;Kim, So Yeon;Choi, Jun-Yong;Kim, Yun Seong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.1
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    • pp.82-88
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    • 2014
  • This study is a single group before-and-after study aimed to evaluate the effectiveness of additional acupuncture therapy for lung cancer patients being treated with chemotherapy. Acupuncture therapy was conducted twice a day at least for a week. The effectiveness outcome measures were the Korean Functional Assessment of Cancer Therapy (FACT-L) and the Korean Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) at the baseline, discharge and four weeks after discharge, and visual analogue scale(VAS) checked daily from the baseline to discharge. Ten patients were enrolled, one patient had excluded due to acute exacerbation of lung cancer. The data of nine patients showed some improvement in all of FACT-L, FACIT-F and VAS, however, there were no statistical significance. Additional acupuncture therapy for lung cancer patients treated with chemotherapy might be beneficial to improve the quality of life(QoL) and to improve fatigue. Prospective trials with complex traditional Korean medicine interventions are needed to further investigation.

Effects of the Nuegra from Male Silkworm Extract on Enhancement of the Masculine Function and Activation of Overall Physical Function

  • Kim, D. C.;Kim, Y. W.;Park, M. S.;J. K. Suh;Lee, D. S.;Lee, S. H.;B. H. Chun;Y. K. Jun
    • International Journal of Industrial Entomology and Biomaterials
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    • v.5 no.1
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    • pp.109-122
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    • 2002
  • The purpose of this investigation is to evaluate the effects of the Nuegra on enhancement of the masculine and physical activities in general through measuring changes of the testosterone, FSH and subjective symptoms like fatigue, insomnia, urinary stream, muscular weakness, libido and erectile dysfunction. Total 168 male subjects were enrolled from 12 urology, internal medicine clinics and general practitioner, During the 6-week investigational period, 2 capsules of Nuegra were given to the subjects right after meal for 4 weeks, and 1 capsule of Nuegra was added each time in subjects with no or minimal effect. Testoster-one and FSH levels were measured at first visit and last visit, for evaluating masculine activities. To avoid bias and standardize the test results, only one clinic was assigned as a central lab, and all blood samples were transferred. General information and subjective symptoms were evaluated at first visit and at 2 weeks interval, week 2, 4 and 6 using VAS (Visual Analogue Scale). The mean age of the subjects were 51.8${\pm}$8.2 years old (range: 36.1-82.1). Based on the subjects who were tested on testosterone and FSH levels at day l and week 6, the means were 4.4${\pm}$1.4 nmol/L (range: 2.6-7.7), 8.6${\pm}$9.6 mIU/mL (range: 0.3-40.4), respectively at day 1. At week 6, the results were 4.9 ${\pm}$1.6 (2.6-8.9 range), 9.4${\pm}$13.1 (1.0-53.9 range), respectively. Marginally significant difference between pre-dose and post-dose was present. Statistically significant differences were revealed in general assessment for subjective symptoms, fatigue, insomnia, erectile dysfunction, etc. In fatigue, response rates were 39.6, 65.4 and 76.4% at week 2, 4 and 6, respectively (P < 0.0001). Response vates for erectile dysfunction were 13.4, 41.2 and 72.7% at week 2, 4, and 6 (P < 0.0001), respectively, Response rates for libido were 13.6, 51.6 and 73.5% at week 2, 4, and 6 (P < 0.0001), respectively. For urinary stream response rates were 26.9, 44.7 and 66.8% at week 2, 4, and 6 (P < 0.0001), respectively. VAS for muscular weakness did not show significant results that response rates were 40, 60 and 80% at week 2, 4, and 6 from 8.2 (P = 0.24), respectively. Response rates for insomnia were 50, 60, 100% at week 2, 4, and 6 (P < 0.0001), respectively. The results shows that Nuegra tends to enhance masculine activities including libido, erectile dysfunction and urinary stream and also effective for improving general conditions especially insomnia, muscular weakness and fatigue. In conclusion, this investigation has demonstrated that Nuegra does not only have tendency to increase masculine activities through increased secretion of the testosterone and FSH but also improve general conditions such as erectile dysfunction, libido, fatigue and muscular power.

Evaluation of sleep quality and stress response in patients requiring dental prosthetic treatment (치과보철치료를 요하는 환자에서의 수면질과 스트레스 반응 평가)

  • Jeon, Hye-Mi;Jung, Kyoung-Hwa;Choi, Na-Rae;Song, Jae-Min;Lee, So-Hyoun;Kim, So-Yeun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.181-189
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    • 2021
  • Purpose: The purpose of this study is to investigate the stress response and sleep state of the new patients who visit the hospital for prosthodontic treatment due to tooth loss to make reference to further treatment direction. Materials and methods: Examinations, consultations, and surveys were conducted on 236 patients (94 males, 142 females, and 24-86 years old), who newly registered at the department of prosthodontics at Pusan national university hospital, for 2 years from 2018. The number of remaining teeth, edentulous arch, possibility of mastication, and future prosthetic treatment directions were recorded. The visual analogue scale (VAS), stress response inventory (SRI) and Insomnia severity index (ISI) were used as tools to measure patient's subjective discomfort, stress response, and sleep status. Results: Among the entire prosthodontic patient group, the average value of 'fatigue' was significantly higher among the 7 items of SRI, and the value of 'aggression' was significantly lower (P<.001). There are a significant difference between the edentulous and full dentition in the oral discomfort value measured by VAS (P=.004). In cases where less than 20 teeth remain, mastication is impossible, and patients who are planning treatment with removable prostheses, VAS value and 'depression' and 'fatigue' values in SRI were higher than those in the reverse case (P<.05). The patients showed severe level in VAS value have high value of 'tension', 'somatization', 'depression', 'fatigue'and 'frustration'in SRI than non-serious patients (P<.05). Clinical insomnia occurred in 11.4% of all patients, and women had significantly lower sleep quality than men (P=.044). Patients with insomnia showed significantly higher scores on the VAS value and all 7 SRI items than those of normal sleepers (P<.05). Conclusion: The new prosthetics had high 'fatigue' value among the 7 items of SRI. The oral condition, number of residual teeth and mastication function and clinical insomnia affected oral discomfort and the stress response.

Effects of sleep-inducing juice on sleep quality and heart rate variability in adults with disturbed sleep

  • Kim, Choun-sub;Kim, Maengkyu;Kim, Min-ju;Jung, Hyeyoung
    • Nutrition Research and Practice
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    • v.14 no.6
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    • pp.606-620
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    • 2020
  • BACKGROUND/OBJECTIVES: Although some juices affect subjective sleep quality, there is a lack of information on the effect of a specific juice on objective sleep quality and heart rate variability (HRV) during sleep; thus the present study investigated whether a blended juice made from natural extracts influenced sleep quality and HRV during sleep in adults with disturbed sleep. SUBJECTS/METHODS: A randomized, crossover study was conducted on twenty-five adults (15/10, female/male) complaining of difficulty initiating or maintaining nighttime sleep (Pittsburgh sleep quality index [PSQI] ≥ 5). During feeding sessions (FS), subjects received sleep-inducing juice made of natural ingredients (250 mL/trial) twice a day for 8 weeks or non-FS (N-FS) for 8 weeks while maintaining normal activities. Sleep quality and parameters were recorded via wearable actigraph for 7 consecutive days, and PSQI scores were assessed before and after the intervention. HRV was also monitored at rest and during sleep. RESULTS: After receiving the sleep-inducing juice intervention (FS), PSQI scores were significantly decreased (P < 0.001) and correlated with a significant decline in fatigue severity scale and visual analogue scale levels (P < 0.05; both). HRV indices of vagal activity were significantly improved during FS (P < 0.05), and no significant differences in N-FS were observed. Sleep efficiency and total sleep time increased significantly (P < 0.05) and sleep latency, total counts, sleep fragmentation index, and movement index, decreased significantly (P < 0.05, all 4) during FS, with no significant differences-observed during N-FS. CONCLUSIONS: This study results demonstrated that an 8-week course of sleep-inducing juice has led to improve sleep quality, suggesting an enhanced cardiac vagal tone during sleep. Thus, it could be a well-tolerated option for adults with disturbed sleep.

5 Cases of Climacteric Syndrome Patients with Hwa-Byung (火病을 동반한 갱년기 환자 치험 5례)

  • Song, Yu-Rim;Park, Kyung-Mi;Yang, Seung-Jeong;Lee, Eun-Kyu;Kim, Hye-Hwa;Cho, Seong-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.29 no.4
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    • pp.80-90
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    • 2016
  • Objectives: The purpose of this study is to evaluate the effects of Korean traditional treatments for Climacteric Syndrome Patients with Hwa-Byung. Methods: From February 2015 to May 2015, We treated 5 Cases Patients with Korean traditional treatments for a month. We measured treatment effects by Menopause Rating Scale (MRS), Beck's Depression Inventory (BDI), Visual Analogue Scale (VAS) and Digital Infrared Thermal Imaging (DITI). Results: After treatment, First, the scores of MRS, BDI were decreased. Second, the symptoms such as hot flush, pantalgia, palpitation, insomnia, fatigue were significantly improved. Also, the difference of 膻中 (CV17, Danjung) and 關元 (CV4, Guanyuan) temperatures were significantly decreased after treatment. Conclusions: This study suggests that Korean traditional treatments such as Gamicheonglijagam-hwan, acupuncture, moxibustion are effective on Climacteric Syndrome Patients with Hwa-Byung.

The Effect of Foot Massage on Stress in Student Nurses in Clinical Practice (간호학생의 임상실습 스트레스경감을 위한 발마사지의 효과)

  • Won Jong-Soon;Kim Keum-Soon;Kim Kyung-Hee;Kim Won-Ock;Yu Jae-Hee;Jo Hyun-Sook;Jeong Ihn-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.192-207
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    • 2000
  • The purpose of this study was to identify the effects of foot massage on the stress of student nurses in clinical practice. The research design was a nonequivalent control group pretest-posttest design. The subjects of this study were 52 student nurses from three junior colleges and one university. The subjects were assigned to one of two groups : the experimental group(26 students), and the control group(26 students). The study was conducted from October to November 1999. For the experimental group the foot massage was performed once a day for 3 days, starting from the first day of clinical practice. Subjects' mood, fatigue, blood pressure and pulse rate were measured as dependent variables. The Instrument for mood and fatigue state was a 100mm visual analogue scale. For the experimental group pre and post tests were done just before and after every 3 foot massages and on the 7th clinical practice day. For the control group pretest was done on 1st clinical day and posttest was done on clinical practice 7th day. The data was analyzed by the t-test and paired t-test and the results are summarized as follows: 1. The mood state scores were significantly higher for the experimental group as compared to the control group after the foot massage(t=13.73, p<.001). 2. The fatigue state scores were significantly lower for the experimental group as compared to the control group after the foot massage(t=8.69, p<.001). 3. The systolic blood pressure was significantly different between the experimental group and the control group after the foot massage(t=3.0073, p<.01). 4. The diastolic blood pressure was not significantly different between the experiment group and the control group after the foot massage. 5. The pulse rate was not significantly different between the experiment group and the control group after foot massage. 6. The mood state scores on the 1st, 2nd, 3rd massage day was significantly improved right after the foot massage. 7. The fatigue state scores on the 1st, 2nd, 3rd massage day were significantly lower right after the foot massage. 8. Systolic blood pressure on the 1st and 2nd massage day was significantly decreased right after the foot massage. Diastolic blood pressure and pulse rate were decreased right after massage but the change was not statistically significant. On the basis of the above findings, this study suggests that foot massage can be an effective stress relieving method for student nurses in clinical practice.

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Effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women: A single-subject study (브로거 운동을 병행한 산전운동프로그램이 임산부의 허리 통증 및 균형에 미치는 영향 단일 사례 연구)

  • Kim, Sun Min;Jang, Sang Hun
    • Journal of Korean Physical Therapy Science
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    • v.28 no.1
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    • pp.85-96
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    • 2021
  • Background: The purpose of this study was to effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women. Design: A Single-Subject Study. Methods: This study was applied to 28 weeks of pregnant women who complained of low back pain for a total of 4 weeks. A total of 10 prenatal exercise programs in this study consists of sessions, and each session was applied with a Bruger exercise for 1 minute before the start. For the fatigue and safety of pregnant women, a break for 1 minute was provided for each session and was conducted under the supervision of the therapist The visual analogue scale (VAS), Oswestry disability index (ODI), and static balance (BT-4) were measured to evaluate the pregnant women's low back pain and balance ability before and after the intervention Results: The change in back pain after the intervention was VAS 5 before the intervention, but the VAS gradually decreased at 4 weeks after the intervention. Reduced to VAS 2 after 4 weeks of intervention. The Oswestry Disability Index (ODI) was 54%, which was at the level of severe disability, but the dysfunction index gradually decreased 4 weeks after intervention, reaching 19% in 4 weeks, and there were no problems with daily life. As for the static balance ability, the sway area and the sway distance values gradually decreased after the intervention in both the eyes open and closed state, showing an improvement in the static balance ability of pregnant women after the intervention than before the intervention. Conclusion: The prenatal exercise program combined with Brugger's exercise was effective to improve low back pain and static balance in pregnant women. The result of this study may helpful as basic data for obstetric physical therapy.

The Effect of Intradermal Acupuncture Therapy at Kyeonjeong, Cheonryo and Kokji on the Shoulder Pain (견정(肩井), 천요(天?), 곡지(曲池)의 피내침 요법이 견통(肩痛)에 미치는 효과)

  • Yoon, Hyun-Min;Kim, Jong-Hee;Lee, Ji-Won
    • Journal of Acupuncture Research
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    • v.23 no.5
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    • pp.155-165
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    • 2006
  • Objectives : This study was to examine the effect of Intradermal Acupuncture therapy at Kyeonjeong, Cheonryo and Kokji on the shoulder pain. The research was conducted with non equivalent control group non-synchronized design. Methods : IThe subjects were the women who was suffering for shoulder pain, who are employed at two hospitals in Busan, from April to June, 2006. The 24 women were experimental group who were applied to Intradermal Acupuncture Therapy at Kyeonjeong, Cheonryo and Kokji, while the 20 women were control group who weren't applied to any treatments. The severity of shoulder pain and the extent of the subjective symptoms of shoulder pain were pre-measured. The Intradermal Acupuncture therapy was done a total of 4 times, 2 times a week over 2 weeks and from 11 a.m. to 2 p.m. as an experimental treatment. As a post survey, the severity of shoulder pain, the frequency of shoulder pain and the extent of the subjective symptoms of shoulder pain were measured after one week and two weeks of experimental treatment. Research tools are Visual Analogue Scale by Cline et al. for measuring the severity of shoulder pain and the tool developed by Japan's industrial fatigue research committee of the industrial hygienics society and modified. Results : There was a significant difference(F=4.132, p=0.019) for the severity of shoulder pain on the interaction between time and group. There was a significant difference(F=11.193, p=0.000) for the extent of the subjective symptoms of shoulder pain on the interaction between time and. group. Conclusion : Based on the above results, it can be determined that Intradermal Acupuncture Therapy at Kyeonjeong, Cheonryo and Kokji can be used as the effective treatments for reducing of shoulder pam.

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