• Title/Summary/Keyword: clinician

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Diagnosis of Articular Disc Perforation: A Case Series

  • Ko, Daeun;Nam, Hyun;Shim, Young-Joo;Kang, Jin-Kyu
    • Journal of Oral Medicine and Pain
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    • v.44 no.4
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    • pp.189-194
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    • 2019
  • Perforation of articular disc of temporomandibular joint is a unusual condition and diagnosed through magnetic resonance imaging (MRI), arthrography or arthroscopic surgery. We attempted to investigate the suspicious findings of articular disc perforation through examination commonly used in temporomandibular disorder (TMD) patients. We retrospectively analyzed the clinical and imaging findings of five TMD patients whose articular discs were perforated based on MRI. The most meaningful finding was the abnormal width of the joint space in cone-beam computed tomography. Thus, the clinician should perform a thorough assessment of the joint space in TMD patients and conduct additional investigation to determine what caused the abnormal joint space.

Cervical Radiculopathy Caused by Vertebral Artery Loop Formation : A Case Report and Review of the Literature

  • Kim, Hoon-Soo;Lee, June-Ho;Cheh, Gene;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.48 no.5
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    • pp.465-468
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    • 2010
  • Vertebral artery loop formation causing encroachment on cervical neural foramen and canal is a rare cause of cervical radiculopathy. We report a case of 61-year-old woman with vertebral artery loop formation who presented with right shoulder pain radiating to her arm for 2 years. Plain radiograph and computed tomography scan revealed widening of the right intervertebral foramen at the C5-6 level. Magnetic resonance imaging and angiogram confirmed the vertebral artery loop formation compressing the right C6 nerve root. We had considered microdecompressive surgery, but the patient's symptoms resolved after conservative management. Clinician should keep in mind that vertebral artery loop formation is one of important causes of cervical radiculopathy. Vertebral artery should be visualized using magnetic resonance angiography in suspected case.

C2 Ganglion Block for Treatment of Cervicogenic Headache -A Case Report- (2예의 Cervicogenic Headache의 치료 경험 -증례보고-)

  • Kim, Young-Jin;Shin, Dong-Yeop;Hong, Ki-Hyuk;Lee, Hyo-Keun;Kim, Chan
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.273-276
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    • 1994
  • The cervicogenic headache is not well defined for its characteristics and development of disease. It is developed by many causes including trauma principally. But, most cases have no radiologically specific clue for diagnosis. So, past hisory and clinical symptoms and signs are important for clinician to detect and diagnose the disease. Our clinic had treated the 2 cases of cervicogenic headache with different methods, and the patients were well respond the therapy.

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Radiologic Finding of Patients with Neck Pain (목덜미 통증 환자의 방사선 소견)

  • Kim, Kyung-Tae;Song, Chan-Woo
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.102-104
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    • 1996
  • Disorders related to the cervical spine can present a variety of signs and symptoms because of the many tissues and systems associated with this region. Therefore the challenge for the clinician is to organize the information from examination into a treatment plan that addresses the potential influences of the problem. the examination process should gather pertinent information from the patients, relating the pain pattern resulting loss of function. Our patients' X-rays showed absence of any abnormalities except loss of curvature. We therefore concluded that the main cause of posterior neck and shoulder pain was caused by muscle spasm, not cervical disc herniation not degenerative change.

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Rationales and Evidence of Elastic Taping: A clinician's perspective

  • Langendoen, John;Fleishman, Caren;Kim, Soon Hee;An, Ho Jung
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.1
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    • pp.979-988
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    • 2016
  • The purpose of this systematic review is to investigate the effects of tape application on improving body conditions. The search strategy for this review included a literature search by members of the International Kinematic Academy in 12 countries between January 2014 and February 2015 using PubMed, CINAHL, Cochrane, Google Scholar, websites and national journals. The search words included "Kinesiotape, Kinesio tape, kinesiotaping, elastic taping, taping, functional taping, myofascial taping, sensomotor taping". The review included all articles, even those published in different languages. These searches resulted in 821 publications. There are several effects of tape application were revealed such as improving blood circulation, lymphatic circulation, body range of motion, activation of mechanoreceptor and joint stability, and decreasing pain. No one negative about the positive effects of taping, however the more effort is required to find evidence of effects of tape application.

Review of the Neurophysiological Therapeutic Exercise Approach (신경생리학적 운동치료접근의 재조명)

  • Bae Sung-Soo;Kwon Mi-Ji;Chung Hyung-Kuk
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.133-139
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    • 2000
  • Neurophysiological therapeutic exercise had started 1940-1960 that used for CNS patient's rehabilitation is the world. In America, PNF, Bobath, Brunnstrom technique are reviewed through the NUSTEP and II STEP on 1967. The NUSTEP provide common interest of neurophysiological therapeutic exercise. The II STEP provide new concept of neurophysiological therapeutic exercise from scholar, professor and clinician. New concept include not only using the reflex but also motor learning, motor control and motor behavior. It is including neurobiologic interaction, biomechanics and motor science. Therefore, neurophysiological therapeutic exercise have to change with the purpose of the therapeutic exercise.

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Pain Management of Post-herpetic Neuralgia (대상포진 후 신경통의 통증관리)

  • Bae, Weon-Ho;Whang, Chung-Han;Min, Byung-Woo
    • The Korean Journal of Pain
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    • v.1 no.1
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    • pp.9-15
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    • 1988
  • Postherpetic neuralgia, the most feared complication of acute herpes zoster, may agonize the pain clinician because the appropriate management of intractable pain can fail inspite of various and prolonged therapeutic techniques. Of all patients with herpes zoster, approximately 5~10% will develop postherpetic neuralgia. Postherpetic neuralgia is very rare in young patient but very common in patients over 60. In other words, the older, the higher incidence. In our pain clinics, 13 postherpetic neuralgic patients were treated with sympathetic blocks, local infiltration with local anesthetics and steroids, TENS, Laser and various drugs including antiderpressant. The results of management of pain in 13 patents were as follows. 1. Excellent pain control :4(30.8%) 2. Good pain control :3(23.0%) 3. Fair pain control :2(15.4%) 4. No effect :4(30.8%).

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The Diagnosis and Ancillary Tests of Brain Death (뇌사의 진단과 진단을 위한 보조적 검사)

  • Kim, Cheon-Sik
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.1
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    • pp.64-68
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    • 2004
  • Brain death is defined as the irreversible cessation of all brain function. The diagnosis of brain death is primarily based on a careful neurological examination demonstrating unresponsiveness, absent of brain stem reflexes, and no respiratory activity. Several conditions which may mimic brain death must be excluded. In some cases investigations such as electroencephalography, angiography, transcranial doppler or evoked potentials can contribute to the diagnosis. The brief review will introduce medical technologist and clinician to the key issues in the definition and management of brain death.

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Cone beam CT findings of retromolar canals: Report of cases and literature review

  • Han, Sang-Sun;Park, Chang-Seo
    • Imaging Science in Dentistry
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    • v.43 no.4
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    • pp.309-312
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    • 2013
  • A retromolar canal is an anatomical variation in the mandible. As it includes the neurovascular bundle, local anesthetic insufficiency can occur, and an injury of the retromolar canal during dental surgery in the mandible may result in excessive bleeding, paresthesia, and traumatic neuroma. Using imaging analysis software, we evaluated the cone-beam computed tomography (CT) images of two Korean patients who presented with retromolar canals. Retromolar canals were detectable on the sagittal and cross-sectional images of cone-beam CT, but not on the panoramic radiographs of the patients. Therefore, the clinician should pay particular attention to the identification of retromolar canals by preoperative radiographic examination, and additional cone beam CT scanning would be recommended.

A critique: The good and bad of a review

  • McMullen, Debbie;McClean, Rhett;Pak, Sok Cheon
    • CELLMED
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    • v.5 no.3
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    • pp.16.1-16.3
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    • 2015
  • Evidence based medicine involves using both the individual clinician's expertise and the current best available external clinical evidence from systematic research in deciding on the appropriate care for individual patients. The current approach to evidence based practice in healthcare adds a third component which is patient values. Evidence based practice is thus a triad, in which the practitioner's expertise, research evidence and the patient's values are all given consideration. The balance to be struck between them depends on the individual case. The literature indicates that complementary medicine practitioners are moving away from traditional knowledge and towards the use of evidence based practice in their clinical discussions. In the context of the daily practice of complementary medicine practitioners and their continuing development of their knowledge base of evidence based practice, this short review discusses the good and bad of a review journal article.