• 제목/요약/키워드: low extremities

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하지운동과 탄력압력스타킹 적용이 일종합병원 간호사의 하지부종과 하지통증에 미치는 영향 (Effects of the Application of Lower Extremities Exercise and Elastic Compression Stockings on Edema and Pain of Lower Extremities in Nurses)

  • 최영순
    • 한국산학기술학회논문지
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    • 제16권11호
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    • pp.8037-8045
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    • 2015
  • 본 연구는 하지운동과 탄력압력스타킹 적용이 간호사의 하지부종 및 통증에 미치는 효과를 검증하기 위한 비동등성 대조군 전 후시차설계를 이용한 유사실험연구이다. 연구대상자는 E시에 소재하는 일개종합병원에 근무하는 간호사 30명으로 탄력압력스타킹 적용군 10명, 하지운동 적용군 10명, 대조군 10명으로 구성되었다. 자료수집은 2015년 8월 10일부터 2015년 8월 31일까지 이루어졌다. 실험처치는 실험군인 탄력압력스타킹 적용군은 근무 중 탄력압력스타킹을 착용하며 하지운동 적용군은 근무 전 하지운동을 적용하였다. 종속변수인 하지부종은 줄자를 사용하여 측정하였고, 하지통증은 숫자척도를 사용하여 측정하였다. 자료분석을 위해 SPSS WIN 21.0 프로그램을 이용하였다. 연구결과, 하지운동 적용군, 탄력압력스타킹 적용군과 대조군간의 하지부종에 대한 차이에 대한 비교는 지지되었으며(오른쪽 종아리 F=0.645, p=.000, 왼쪽 종아리 F=21.941, p=.000), 하지운동 적용군, 탄력압력스타킹 착용군과 대조군간에는 하지통증에 대한 차이에 대한 비교는 지지 되었다(오른쪽: F=7.320, p=.000 왼쪽: F=10.623, p=.000). 또한 하지운동 적용군과 탄력압력스타킹 적용군은 근무 후 발목둘레와 종아리둘레가 감소하였으나 대조군의 경우는 발목둘레와 종아리둘레가 오히려 증가하는 결과를 보였다. 이에 하지운동 적용과 탄력압력스타킹 적용은 간호사와 같이 장시간 서서 일하는 직업 종사자들의 하지부종 감소 및 통증완화를 위해 효과적인 중재방법임을 알 수 있다.

Bone scintigraphy in patients with pain

  • Shin, Seung Hyeon;Kim, Seong Jang
    • The Korean Journal of Pain
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    • 제30권3호
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    • pp.165-175
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    • 2017
  • Nuclear medicine imaging is widely used in pain medicine. Low back pain is commonly encountered by physicians, with its prevalence from 49% to 70%. Computed tomography (CT) or magnetic resonance imaging (MRI) are usually used to evaluate the cause of low back pain, however, these findings from these scans could also be observed in asymptomatic patients. Bone scintigraphy has an additional value in patients with low back pain. Complex regional pain syndrome (CRPS) is defined as a painful disorder of the extremities, which is characterized by sensory, autonomic, vasomotor, and trophic disturbances. To assist the diagnosis of CRPS, three-phase bone scintigraphy is thought to be superior compared to other modalities, and could be used to rule out CRPS due to its high specificity. Studies regarding the effect of bone scintigraphy in patients with extremity pain have not been widely conducted. Ultrasound, CT and MRI are widely used imaging modalities for evaluating extremity pain. However, SPECT/CT has an additional role in assessing pain in the extremities.

폐실질내 신경초종 (A Case Report of Intrapulmonary Schwannoma)

  • 박승규;김종원
    • Journal of Chest Surgery
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    • 제22권3호
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    • pp.494-497
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    • 1989
  • Schwannomas are rare and distinctive nerve sheath tumors. They occur commonly along the course of central and peripheral nerves, especially on the skin of the head, neck and extremities. Histologically, they are characterized by Antoni A and Antoni B tissues of high and low cellularity. 2 cases of intrapulmonary Schwannomas were reported worldwide by 1980. We report a case of twenty seven-year-old male patient with intrapulmonary Schwannoma, who had multiple nodules on the skin of the both upper extremities and scrotum with their characteristic findings.

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사지 재건에 있어 서혜부 유리 피판술의 적응증 및 예후 인자 (Indications and Prognostic Factors of Groin Flap for Reconstruction of the Extremities)

  • 김보람;한수봉;강호정;최윤락;김선용
    • Archives of Reconstructive Microsurgery
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    • 제18권2호
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    • pp.41-48
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    • 2009
  • There are several advantages for groin flap, but its small and unpredictable vessels of pedicle have made it to lose its initial popularity. Although it would be ideal flap when it is focused on its useful advantages such as relative larger size, low donor site morbidity and possible bone graft, there have been few studies for prognostic factors for successful groin flap. Authors intended to determine prognostic factors which are relative with success of free groin flap. From January 1985 to December 2007, 107 patients who underwent groin flap for reconstruction of extremities were selected consecutively. Univariate and multivariate analysis were performed to determine prognostic factors which were related with success of groin flap. Eighty of 107 (74.8%) flaps survived. There was significant difference in success rate according to the recipient site. Nineteen of 20 cases (95%) survived in upper extremities, but 61 of 87 cases (70.1%) survived in lower extremities, which was statistically significant (p=0.022). Univariate analysis showed that mean diameter of donor veins was significantly larger in success group (p=0.021). Groin flap is recommended for reconstruction of upper extremities than lower extremities. It is thought to be critical that surgeons try to match vessel diameters between donor and recipient site.

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Multiple Tuberculoma Involving the Brain and Spinal Cord in a Patient with Miliary Pulmonary Tuberculosis

  • Park, Hyun-Seok;Song, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • 제44권1호
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    • pp.36-39
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    • 2008
  • Although tuberculosis of the central nervous system is well known, the incidence of intramedullary tuberculomas is low and a combination of intramedullary with intracranial tuberculomas is extremely rare. We report a case of disseminated tuberculoma involving brain and spine with miliary pulmonary tuberculosis in a 66-year-old woman initially presenting with fever, general weakness, back pain and motor weakness of both lower extremities. Despite medical therapy, she developed progressive motor weakness of both lower extremities with muscle strength 1/5 in both lower extremities. Urgent surgical intervention was followed and her muscle power and motor functions were improved gradually. The anti-tuberculous drugs were continued and the follow-up magnetic resonance imaging (MRI) of brain and spine showed that the lesions had become smaller or disappeared.

기존선 틸팅차량 Mcp Car 차체 설계초안의 충돌에너지 흡수특성 고찰 (Impact Energy Absorbtion Characteristics Review on the Initial Design of TTX Mcp Car front-end Structure)

  • 권태수;정현승;구정서;조태민
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2004년도 추계학술대회 논문집
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    • pp.652-656
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    • 2004
  • Crashworthy design of trains is now indispensable procedure in modern railway vehicle design for ensuring the safety of Passengers and crew. It is now widely recognized that a more strategic approach is needed in order to absorb higher level energy in a controlled manner and minimize passenger injuries effectively. The first design step in this strategic approach is the design of the front end structure(so called HE extremities) to absorb a large part of total impact energy and then the structure of passengers non-accommodation zones(so called LE extremities) is designed to absorb the rest of impact energy. In this paper, the passengers entrance door area is selected as the LE(low energy) extremities and the design of the LEE was carried out. The main part of LEE design procedures is the design of energy absorbing tubes. For this purpose, the several tube candidates are introduced and compared to each others with numerical crash simulation.

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종아리 근육 마사지가 균형에 미치는 효과 (Effects of Calf Muscle Massage on the Balance)

  • 노효련
    • 한국임상보건과학회지
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    • 제3권4호
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    • pp.490-494
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    • 2015
  • Purpose. The purpose of this study was to evaluate the effects of calf muscle massage on the balance of low extremities and flexibility of both ankles. Methods. The subjects were 16 healthy adults(men 8, women 8). The group was applied effleurage, tapotement, pressure forms of massage on their calf muscles. The intervention was offered during 3 minutes per one leg, to a total of 6 minutes. We assessed their balance and flexibility of both ankles using Functional reaching test(FRT) and One leg standing test(OLST) with trampoline before and after applying massage. Results. In this study, the data shows the ability of FRT and the ability of OLST with trampoline is improved in massage group. Conclusions. These results suggest that massages help to improve the balance of low extremities and the flexibility of both ankles.

산후풍(産後風)을 동반한 산후 복부 지방 저류 환자의 치험1례 (A Case Study on an Abdominally Obese Patient with Postpartum Disease)

  • 김동환;이인호;이종훈
    • 한방비만학회지
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    • 제6권2호
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    • pp.105-112
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    • 2006
  • We experienced an abdominal obese patient with postpartum disease. From the 15th of July 2006 to the 16th of September 2006 we applied herbal medications (Gungguijohyeoleumgamibang and Taeeumjouitanggamibang), acupuncture, auricular acupuncture, electrolipolysis, low calorie diet, aerobic exercise, behavioral therapy to her. We examined the changes in body weight, BMI, PBF and WHR and the changes in cold hypersensitivity of lower extremities and pain of wrists and ankles. Her weight decreased from 49.6kg to 44.5kg, BMI from $20.9kg/m^2$ to $18.8kg/m^2$, PBF from 27.7% to 23.9%, WHR from 0.84 to 0.78. Cold hypersensitivity of lower extremities and pain of wrists and ankles, symptoms typical of postpartum disease disappeared after treatment. Despite a low calorie diet, lactational performance was not impaired.

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한국형 고속틸팅열차의 중간부 충돌에너지 흡수구조에 대한 연구 (A study on crash energy absorption design of passenger-car extreme structure of tilting train prototype)

  • 권태수;정현승;구정서
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2005년도 춘계학술대회 논문집
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    • pp.326-330
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    • 2005
  • Crahworthy design of trains is now indispensable procedure in modern railway vehicle design for ensuring the safety of passengers and crew. It is now widely recognized that a more strategic approach is needed in order to absorb higher level energy in a controlled manner and minimize passenger injuries effectively. The first design step in this strategic approach is the design of the front end structure(so called HE extremities) to absorb a large part of total impact energy and then the structure of passengers non-accommodation zones(so called HE extremities) is designed to absorb the rest of impact energy. In this paper, the passengers entrance door area is selected as the LE(low energy) extremities and the design of the LEE was carried out. The main part of LEE design procedures is the design of energy absorbing tubes. For this purpose, the several tube candidates are introduced and compared to each others with numerical crash simulation.

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