• Title/Summary/Keyword: abdominal

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Clinical Case Report of PPI-refractory Gastro-Esophageal Reflux Disease (GERD) with Korean Medicine Treatment - A Focus on Evaluation of the Abdominal Examination (한의 복합치료로 호전된 불응성 위식도역류질환 (PPI-refractory GERD) 환자 1례 - 복진소견 평가를 중심으로 -)

  • Lee, Jae-hong;Cho, Soo-ho;Ko, Seok-jae;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.727-735
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    • 2017
  • This case report describes a 60-year-old man who had reflux symptoms despite treatment with proton pump inhibitors (PPIs). Korean traditional medicine, including a herbal prescription, acupuncture, and moxibustion was administered to the patient during his 19 days of hospitalization. The visual analogue scale (VAS), gastrointestinal scale (GIS), and gastrointestinal symptom rating scale (GSRS) scores were assessed on the dates of admission and discharge. An abdominal examination, which is one of the Korean medicine diagnostic tools, was performed every day to evaluate the treatment progress. During the treatment, the improvement of symptoms was clinically correlated with abdominal examination outcomes. We suggest that administration of traditional Korean Medicine on PPI-refractory GERD patients could be effective and we recommend utilization of the abdominal examination as an assessment tool for Korean Medicine treatment.

Effects of Intra-abdominal Pressure with Visual Feedback on Muscle Activation of Upper Trapezius and Sternomastoid during Forced Inspiration in Individuals with Costal Respiration

  • Kim, Kwang-Su;Shin, Hwa-Kyung
    • The Journal of Korean Physical Therapy
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    • v.32 no.2
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    • pp.75-79
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    • 2020
  • Purpose: This study analyzed the immediate effects of intra-abdominal pressure with visual feedback on the muscle activation of the upper trapezius and sternomastoid during natural inspiration and forced inspiration in individuals with costal respiration. Methods: The eighteen individuals with upper costal breathing pattern participated in this study. Surface electromyography was used to analyze the muscle activity of the upper trapezius and sternomastoid during natural inspiration and forced inspiration before and after intra-abdominal pressure. Results: A significant difference in muscle activation was observed with the muscle type, inspiration type, and test session (p<0.05). The muscle activities of the sternomastoid and upper trapezius decreased significantly during forced inspiration after intra-abdominal pressure training (p<0.05). On the other hand, there was no significant difference during natural inspiration in both muscles (p>0.05). A comparison of the difference between the pre-test and post-test during forced inspiration revealed the upper trapezius to be significantly larger than the sternomastoid (p<0.05). No significant difference was noted during natural inspiration (p>0.05). Conclusion: The intra-abdominal pressure has positive effects on correcting the breathing patterns in individuals with costal respiration.

Delayed Clinical Symptoms of Gallbladder Rupture by Gallbladder Mucocele in a Dog (담낭 점액낭종에 의한 담낭 파열의 만성 경과 증례)

  • Noh, Daji;Kwon, Youngsam;Choi, Hojung;Lee, Youngwon;Lee, Kija
    • Journal of Veterinary Clinics
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    • v.33 no.1
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    • pp.58-61
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    • 2016
  • An 11-year-old, intact male Cocker Spaniel dog was presented with history of abdominal distension, dyspnea for 10 days and lethargy for 1 day. Abdominal radiographs showed decreased serosal detail with abdominal distension. Abdominal ultrasounds revealed gallbladder mucocele with generalized peritonitis showing stellate-like sludge in the gallbladder with echogenic fat degeneration of cranial abdomen and abdominal free fluid containing echogenic materials. Loss of gallbladder wall integrity was shown clearly on computed tomography but ambiguously on ultrasound. Ultrasound-guided abdominocentesis was performed and showed amount of yellowish-bloody peritoneal fluid with vegetable matter and mucoid substance. On peritoneal fluid analysis, bilirubin level was elevated over three times than those of the serum. On exploratory laparotomy, gallbladder rupture and generalized bile peritonitis with intestinal adhesions were confirmed and cholecystectomy with peritoneal lavage was performed. One day after operation, patient died. This report describes delayed clinical symptoms of gallbladder rupture by gallbladder mucocele. In addition, this is the first case report using computed tomography made a diagnosis gallbladder rupture in a dog. Computed tomography might be helpful to diagnose gallbladder rupture.

A Study on the Separation of Fetal ECG from a Single Channel Abdominal ECG (단일채널 복부 심전도를 통한 태아 심전도 분리)

  • Park Kwang-Li;Lee Kyoung-Joung;Lee Jeon
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.54 no.3
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    • pp.198-205
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    • 2005
  • In this paper, we proposed a new algorithm for the separation of fetal ECG from single channel abdominal ECG. The algorithm consists of a stage of demixing vector calculation for initial signal and a stage of fetal beat detection for the rest of signal. The demixing vector was obtained by applying independent component analysis technique to projected signals into time-frequency domain. For the test of this algorithm, simulation signals, De Lathauwer's data and some measured data, which was acquired from 8 healthy volunteers whose pregnant periods ranged from 22 weeks to 35 weeks and whose ages from 27 to 37, were used. For each data, the accuracy of fetal beat detection was $100\%$ and with the location of fetal beats, fetal heart rate variability and morphology could be offered. In conclusion, this proposed algorithm showed the possibility of fetal beat separation with a single channel abdominal ECG and it might be adopted to a fetal health monitoring system, by which a single channel abdominal ECG is acquired.

Effects of the Pelvic Control Method on Abdominal Muscle Activity and Lumbopelvic Rotation Angle during Active Straight Leg Raising in Patients with Chronic Low Back Pain (만성요통환자의 능동 하지직거상 동작 시 골반조절 방법에 따른 복부 근활성도와 요골반부 회전각도에 미치는 영향)

  • Kim, Dae-Hyun;Park, Jin
    • PNF and Movement
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    • v.18 no.2
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    • pp.223-231
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    • 2020
  • Purpose: The purpose of the study was to compare the effects of different methods of pelvic control on abdominal muscle activity and lumbopelvic rotation angle during active straight leg raising (ASLR) in patients with chronic back pain. Methods: The study participants were patients with low back pain (n = 30). They were instructed to perform ASLR with pelvic control, ASLR with pelvic belt, and ASLR only. Surface electromyography data were collected from the ipsilateral rectus femoris (IRF), ipsilateral internal oblique (IIO), contralateral external oblique (CEO), and ipsilateral rectus abdominal (IRA) muscles, and lumbopelvic rotation angle was measured using a motion analysis device. Results: Activation of all abdominal muscles was greater in the ASLR with pelvic control group than in the ASLR with pelvic belt and ASLR groups. The lumbopelvic rotation angle was lower in the ASLR with pelvic control group than in the other two groups (p < 0.05). Conclusion: These results suggest that ALSR with pelvic control is an effective means of increasing abdominal muscle activity and reducing unwanted lumbopelvic rotation in patients with chronic low back pain. Controlling the pelvis using the opposite leg is an effective form of ASLR exercise for patients with chronic low back pain.

A Review on Clinical Studies of Abdominal Acupuncture Treatment for Endometriosis (자궁내막증 환자의 복부 침 치료 효과에 대한 임상 연구 고찰)

  • Bang, Seung-Won;Yoon, Young-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.4
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    • pp.23-35
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    • 2020
  • Objectives: The purpose of this study is to confirm the effectiveness and safety of acupuncture for Endometriosis. So providing a clinical basis for abdominal acupuncture treatment helping to develop clinical practice guideline. Methods: Clinical studies applying acupuncture on Endometriosis were searched through Pubmed, China Academic journal (CAJ), Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), Oriental Medicine Advanced Searching Integrated System (OASIS). Interventions and results of the selected clinical studies were analyzed. Results: 8 Clinical studies were finally included according to inclusion and exclusion criteria. Those were randomized controlled studies. All of those studies were searched in China Academic journal (CAJ) in Chinese. Interventions of control group were made with simple acupuncture and oral administration of Danazol or herbal medicine. Outcome measurements included Treat effect, Relief in related symptoms, and CA-125. All studies reported statistically significant results on abdominal acupuncture and there were no serious adverse effects. Conclusions: This study suggested abdominal acupuncture has statistically significant treat effect. Thus this treat helps improve quality of life for patients. However the results should be taken cautiously as more clinical studies are needed.

Prediction of Suitable Site to Measure Abdominal Skin Fold Thickness and Correlation among Obesity Indicators in Patients with Type 2 Diabetes Mellitus (제2형 당뇨병 환자에서 피부두겹두께의 측정부위 예측 및 비만지표들 간의 관련성)

  • Hwang, Moon Sook
    • Journal of Korean Biological Nursing Science
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    • v.22 no.1
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    • pp.36-44
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    • 2020
  • Purpose: The purpose of this study was to predict measuring site suited for abdominal skin fold thickness (ASFT) by measuring the distribution of abdominal subcutaneous fat thickness (AScFT) and ascertain the correlations among obesity indicators. Methods: The size of analysis materials was 124 secondary data measured by ultrasonic device, bioelectrical impedance analyzer and caliper. Data were analyzed using t-test, and Pearson's correlation. Results: The average of AScFT was 10.63± 6.79mm with its range 1.39-36.16 mm, and AScFT of female and of central parts were thicker than those of male and outer parts in the abdomen. The average of ASFT was 29.26±12.59 mm. Site 5 on Figure 1 was most similar to the average of AScFT in both sexes. Body mass index (BMI) and waist hip ratio (WHR) were 23.65±3.98 and 0.88±0.05 respectively. The body weight, BMI, WHR, visceral fat, ASFT vs AScFT revealed in significant correlation (r= .29, r= .55, r= .39, r= .33. r= .29). Conclusion: BMI and WHR seem more useful than other obesity indicators, when obesity control is necessary for Type 2 diabetes patients. Site 5 on Figure 1 is most suitable site to measure ASFT.

Gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference in Korea adults

  • Kim, Gwang-Seok
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.11
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    • pp.113-120
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    • 2016
  • The present study was conducted to assess gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference (sIAD) in Korean adults. In this paper, we propose a 410 adults (235 men and 175 women) who were over 30 years old and had undergone a health check participated from June to November 2013. The incidences of high sIAD (sIAD ${\geq}10mmHg$) in males and females were 24.6% and 15.3%, respectively. We conducted a logistic regression analysis after adjusting for variables such as age, smoking, drinking, exercising, TC, TG, HDL-C, and FPG. Key study results were as follows: First, in men, the odds ratio (OR) of high sIAD of the obesity group was significantly higher than that of the normal weight group [2.25 (95% confidence interval (CI), 1.19-4.25)], but abdominal obesity was not associated with high sIAD. Second, in women, the OR of high sIAD of the abdominal obesity group was significantly higher than that of the non-abdominal obesity group [2.52 (95% CI, 1.03-6.13)], but obesity status was not associated with high sIAD. In conclusion, Obesity is associated with the incidence of high sIAD in Korean men, and abdominal obesity is associated with the incidence of high sIAD in Korean women.

Effects of Aroma Massage on Constipation in Women College Students (아로마 복부마사지가 여대생의 변비에 미치는 효과)

  • Chung, Mi Young
    • Journal of Korean Academy of Rural Health Nursing
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    • v.6 no.2
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    • pp.78-86
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    • 2011
  • Purpose: The purpose of this study was to identify the effects of abdominal aroma massage on constipation in college women with functional constipation. Methods: The participants were 24 college women residing in a dormitory of D college located in Gangwon Province. Thirteen were selected for the abdominal aroma massage group (experimental) and 11 for the simple abdominal massage group (control). The experimental treatment was abdominal aroma massage given 5 days a week for 2 weeks. The aroma massage was given using aroma oil mixed with lemon, lavender, rosemary, and cyprus with carrier oil. Weekly defecation frequency, length of time for defecation, and constipation assessment score were measured before the treatment and at 1 week, and 2 weeks after the treatment. Effects of the treatment were tested using repeated measures ANOVA with the SPSS program. Results: There was no significant difference between the two groups, but there was a significant difference within the experimental group in length of time for defecation (1st and 2nd week) and in constipation assessment score (2nd week). Conclusion: Results of this study indicate that abdominal aroma massage is useful in relieving constipation and can contribute to the reduction of use of stool softeners, suppositories, or enemas. after different duration of experiment.

Korean Medical Treatment of Sequela Following Abdominal Surgery with Hyperthermic Intraperitoneal Chemotherapy for Ovarian Cancer: a Case Report (난소암 환자의 복부 수술 및 온열항암화학요법 후유증에 대한 한방 치험 1례)

  • Cho, Su-Yun;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.29 no.4
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    • pp.57-68
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    • 2016
  • Objectives: This paper aims to report the effects of Korean medical treatment on a patient who underwent abdominal surgery with hyperthermic intraperitoneal chemotherapy for ovarian cancer. Methods: An ovarian cancer patient underwent abdominal surgery and got Korean medical treatment during 7-day hospitalization. About 2 years later, with metastasis to the lymph nodes detected, she had abdominal surgery with hyperthermic intraperitoneal chemotherapy and got Korean medical treatment during 10-day hospitalization. The treatment included herbal medicine and acupuncture. Numerical Rating Scale (NRS) of symptoms was measured every morning. Results: After the treatment, sequela following surgery decreased, and general conditions improved. During 1st and 2nd hospitalization, NRS of general weakness, heartburn and dorsal chill significantly decreased (10 to 5, 10 to 5 and 10 to 2, respectively) while edema in both legs remained the same. Conclusions: This case shows that Korean medical treatment is effective for a patient who underwent abdominal surgery with hyperthermic intraperitoneal chemotherapy for ovarian cancer.