• Title/Summary/Keyword: muscular skeletal disease

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Effects of Korean Medicine Respiratory Management Program in Public Health Center (보건소 한의약 호흡기관리 프로그램의 효과)

  • Jang, Soobin;Lee, Ju Eun;Kim, Kyeong Han;Park, Sunju;Jang, Bo-Hyoung;Shin, Yong-Cheol;Ko, Seong-Gyu
    • Journal of Society of Preventive Korean Medicine
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    • v.20 no.2
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    • pp.69-75
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    • 2016
  • Objectives : The aim of this study is to introduce the Korean medicine respiratory management program in public health center and to analyze the effects of that program. Methods : The respiratory management program was targeted on 22 soldiers during March 2016. The interventions of this program were herbal medicines (Gilgyung-tang and so on), aromatherapy, peppermint tea, fine dust mask, and health education. Data were collected by retrospective reviewing medical chart and analyzed using SPSS 18.0. Results : Total symptoms scores were measured by 4-point likert scale. Total score was $5.50{\pm}4.848$ at 1st week and $3.27{\pm}3.058$ at 4th week (p=0.008). The severity of respiratory discomfort reduced by $-1.14{\pm}2.46$ compared with last year. The satisfaction score was $7.82{\pm}4.16$. The most hoping program was muscular skeletal disease management program. Conclusions : This study suggests that Korean medical world should prepare countermeasures to cope with diseases caused by air pollution.

Factors that affect the muscular skeletal diseases of some industrial workers working in Changwon-si, Gyeongsangnam-do and the aspects of pain

  • Lee, Jun Cheol;Kim, Kyung
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.1
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    • pp.938-948
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    • 2016
  • In the present study, the general characteristics, job stress, working conditions, and aspects of pain of some industrial workers working in Changwon-si, Gyeongsangnam-do, were surveyed. In analyzing the relationship between job stress and the existence of pain, the variables "working speed" and "opportunities to develop abilities" were shown to have statistically significant relationships with the existence of pain ($p{\leq}.05$). Regarding the relationship between working conditions and the existence of pain, the variables" amount of work per hour," "amount of work per day," "number of parts handled during work," "work production per person," and" inconvenient postures or motions during work" were shown to have statistically significant relationships with the existence of pain($p{\leq}.05$). Regarding aspects of pain", within 1~3 years" was the most common answer to time of occurrence of symptoms, with a percentage of 27.6%; "appear almost always" was the most common answer to frequency of symptoms, with a percentage of 37.1%; "slight pain" was the most common answer to degree of pain, with a percentage of 50.5%; and "moderate" was the most common answer to encumbrance caused by pain to living and work, with a percentage of 41.2%. The aim of the present study was to determine the factors that affect pain due to musculoskeletal diseases in industrial workers and to define the aspects of pain in order to provide basic data for the preparation of measures to prevent musculoskeletal diseases. To control pain due to musculoskeletal diseases, factors that affect pain, as well as the aspects of pain, should be recognized early, and efforts should be made to supplement and improve systems for preventing recurrence.

The Effect of Trunk Motion and Knee Joint Moment during Deep Stand to Sit and Sit to Stand According to the Trunk Weight Increase (쪼그려 앉았다 서기 동작 시 몸통의 무게 변화가 몸통 움직임과 무릎 관절 모멘트에 미치는 영향)

  • Kwon, Moon-Seok;Kim, Sang-Kyu;Shin, Seong-Hyoo
    • Korean Journal of Applied Biomechanics
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    • v.17 no.4
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    • pp.89-98
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    • 2007
  • The purpose of this study was to evaluate the trunk motion and knee joint moment during deep stand to sit and sit to stand according to the trunk weight increase. These experimental subjects were 9 males, who had no skeletal muscular disease. They were performed a SATS(stand to sit), STS(sit to stand) according to the trunk weight increase. Trunk weight increase were classified into 4 bearing trunk weight of 0%, 8%, 16%, 24% of the subject' weight. 1-way(4) RM ANOVA is applied to get the difference of trunk displacement movements and knee joint moments according to he trunk weight increase. significant level of each experiment is set as $\alpha$=.05. 1. Significant difference was classified into 3 bearing trunk weight of 0%, 16%, 24% in maximum forward backward displacement of trunk COM(center of mass). Significant difference was classified into 4 bearing trunk weight of 0%, 8%, 16%, 24% in maximum upward downward displacement of trunk COM during the SATS, STS. 2. Significant difference was classified into 4 bearing trunk weight of 0%, 8%, 16%, 24% in maximum extension knee joint moment. Significant difference was classified into 2 bearing trunk weight of 0%, 16% in maximum internal rotation knee joint moment during the SATS, STS. Therefore we expect that biomechanical model of this study will used to study for mechanical characteristics of obese people.

A Way to Avoid Muscular Fibrosis in the First Dorsal Interosseous Muscle after Acupuncture Injection Therapy

  • Wong, Yiu Ming
    • Journal of Pharmacopuncture
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    • v.20 no.3
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    • pp.227-229
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    • 2017
  • Fibrosis of skeletal muscle following acupuncture is an iatrogenic disorder. The present case illustrates a patient with a unilateral fibrotic formation on a thumb muscle after acupuncture injection therapy with red sage. The patient in the present case was a counter-terrorism police officer with right-handedness; he noted a palpable nodule three months after injection therapy at his left first dorsal interosseous in which the acupuncture point LI4 (He Gu) is located. He also found a reduction in the strength of his left pinch grip that noticeably affected his left handgun marksmanship. However, being ambidextrous in single-hand pistol shooting is an essential requirement for counter-terrorism police officers. Based on the patient's medical history and claims, no underlying disease or trauma was found to be associated with his current complaint. During physical examination, a fibrotic formation in his left first dorsal interosseous muscle was visualized by using diagnostic ultrasound; also, as confirmed with dynamometry, the strength of his left pinch grip was significantly lower than that of the right counterpart. Because acupuncture injection therapy has three components, antiseptic practices, the mechanical action of syringe insertion, and the pharmacological effect of the sterile herb extract, any one of the components may have contributed to the present adverse event. The first dorsal interosseous muscle is small in dimension and rather vascular; thus, it is not an ideal site for intramuscular injection. When a clinician needs to treat a patient by performing acupuncture at the LI4 acupoint and injecting a herbal extract simultaneously, the clinician should only mechanically stimulate the LI4 acupoint while injecting the herbal medicine into the LI14 (Bi Noe) acupoint on the same meridian, the LI14 acupoint being located in the distal portion of the deltoid muscle and being fairly close to the universally agreed upon site on the upper arm for safe administration of an injection.

Clinical approach for treatment modality of obstructive sleep apnea: focus on the role of dentists (폐쇄성수면무호흡증(Obstructive Sleep Apnea)의 치료에 대한 치과의사의 임상적 접근)

  • Shin, Won-Chul;Lee, Deok-Won;Jung, Yu Jin;Kim, Tae-Kyung
    • The Journal of the Korean dental association
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    • v.53 no.1
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    • pp.47-56
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    • 2015
  • Obstructive sleep apnea (OSA), most common respiratory disorder of sleep, is characterized by intermittent partial or complete occlusions of the upper airway due to loss of upper airway dilating muscle activity during sleep superimposed on a narrow upper airway. Termination of these events usually requires arousal from sleep and results in sleep fragmentation and hypoxemia, which leads to poor quality of sleep, excessive daytime sleepiness, reduced quality of life and numerous other serious health consequences Untreated OSAS can cause various problems such as hypertension, diabetes, stroke, cardiac disease, daytime sleepiness. Various treatments are available, including non-surgical treatment such as medication or modification of life style, surgical treatment, continuous positive airway pressure (CPAP) and oral appliance (OA). Oral appliance is known to be effective in mild to moderate OSA, also genioglossus muscle advancement (GA) or maxillomandibluar advancement (MMA) is a good option for OSA patients with muscular or skeletal problems. Although the prevalence of OSA is increasing, the proportion of the patient treated by dentist is still very law. Dentists need to understand the mechanism of OSA and develop abilities to treat OSA patients with dental problems. The purpose of this paper is to give a brief overview about OSA and the dentist's role in OSA patients.

Effect of Cymbidium Root Extracts on Oxidative Stress-induced Myoblasts Damage (산화스트레스에 의해 유도된 근세포 손상에서 심비디움 뿌리추출물의 효과)

  • Kim, Wan Joong;Kim, Han-Sung;Opitz, Joerg;Kabayama, Kazuya;Kim, Tack-Joong
    • Journal of Life Science
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    • v.24 no.9
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    • pp.1019-1024
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    • 2014
  • Skeletal muscle atrophy can be defined as a decrease in or a disease of the muscle tissue, or as a disorder of the nerves that control the muscle, through injury or lack of use. This condition is associated with reactive oxygen species (ROS), resulting in various muscular disorders. Exposure to ROS induces muscle atrophy through several biological factors, such as SOD1 and HSP70. We found that cymbidium root extract reduced the $H_2O_2$-induced viability loss in C2C12 myoblasts and inhibited apoptosis. In addition, we showed that the cymbidium root extract increased the expression of HSP70 and decreased the expression of SOD1 in the $H_2O_2$-induced C2C12 myoblasts. These results suggest that cymbidium root extract might have therapeutic value in reducing ROS-induced muscle atrophy.

Health status and musculoskeletal symptoms according to work environment of dental hygienist (치과위생사의 근무환경에 따른 건강상태와 근골격계 자각증상)

  • Go, Eun-jeong
    • Journal of Korean Dental Hygiene Science
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    • v.2 no.1
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    • pp.19-30
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    • 2019
  • To prevent the musculoskeletal diseases from repeated dental treatment, the health status and subjective symptom according to the working environment of dental hygienists were examined in 185 Gyeongnam dental hygienists from October 01, 2017 to October 30. The health status of the study subjects (χ2=40.21, p<.001), the physical burden of work (χ2=47.68, p<.001) and the mental fatigue of work (χ2=66.98, p<.001) were significantly different according to working experience. The level of mental fatigue depended on the number of dental hygienists in the clinics (p=0.032). 94.1% of the subjects knew musculoskeletal diseases and there were significant differences according to working experience (χ2=77.85, p<.001), the numbers of patients in a day (χ2=41.08, p<.001) and daily standing time (χ2=6.96, p=.008). Currently, 73.0% of the dental hygienists have musculoskeletal diseases. There was a significant difference according to the number of patients (χ2=51.01, p<.001) and daily standing time (χ2=25.15, p<.001). The presence of injured parts due to musculoskeletal disorders showed a significant difference according to the numbers of patients (χ2=18.98, p<.001) and daily standing hours (χ2=33.20, p<.001). The musculoskeletal diseases examination of dental hygienists is needed based on subjective symptoms of musculoskeletal diseases and prevention and management of measures musculoskeletal diseases are required.

A Preliminary Study for Evaluating on Demonstration Project of Community-based Home Health Care Nursing Services by the Seoul Nurses Association (지역사회중심 가정간호 시범사업 성과평가를 위한 기초연구- 서울시 간호사회 주관 -)

  • 유호신;이소우;문희자;황나미;박성애;박정숙;최행지;정기순;한상애
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1488-1502
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    • 2000
  • This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services. 1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%). 2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%). As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status. Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers.

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Antioxidant and Cytoprotective Effects of Socheongja and Socheong 2, Korean Black Seed Coat Soybean Varieties, against Hydrogen Peroxide-induced Oxidative Damage in HaCaT Human Skin Keratinocytes (HaCaT 인간 피부 각질세포에서 과산화수소 유도 산화 손상에 대한 소청자 및 소총2호의 항산화 및 세포보호 효능)

  • Choi, Eun Ok;Kwon, Da Hye;Hwang, Hye-Jin;Kim, Kook Jin;Lee, Dong Hee;Choi, Yung Hyun
    • Journal of Life Science
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    • v.28 no.4
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    • pp.454-464
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    • 2018
  • Black soybeans are used as food sources as well as for traditional medicines because they contain an abundance of natural phenolic compounds. In this study, total phenolic contents (TPCs) of Korean black seed coat soybean varieties Socheongja (SCJ), Socheong 2 (SC2) and Cheongja 2 (CJ2) as well as their antioxidant capacities were investigated. Among them, TPCs were abundantly present in the order of CJ2$H_2O_2$-stimulated HaCaT human keratinocytes. Our results revealed that treatment with SCJ and SC2 prior to $H_2O_2$ exposure significantly increases the viability of HaCaT cells, indicating that the exposure of HaCaT cells to SCJ and SC2 conferred a protective effect against oxidative stress. SCJ and SC2 also effectively inhibited $H_2O_2$-induced apoptotic cell death through the blocking of mitochondrial dysfunction. SCJ and SC2 also attenuated the phosphorylation of Histone H2AX. Furthermore, they effectively induced the levels of thioredoxin reductase (TrxR) 1, a potent antioxidant enzyme, which is associated with the induction of nuclear transcription factor erythroid-2-like factor 2 (Nrf2); however, the protective effects of SCJ and SC2 were significantly reversed by Auranofin, a TrxR inhibitor. These results indicate that they have protective activity through the blocking of cellular damage related to oxidative stress via the Nrf2 signaling pathway. In conclusion, our study indicated that SCJ and SC2 might potentially serve as novel agents for the treatment and prevention of skin disorders caused by oxidative stress.

A Study on Role Development for Social Workers Providing Health Center-based Health and Welfare Services for the Elderly in Community (사회복지사의 보건소 노인보건복지사업 참여를 위한 사회복지사 역할개발연구)

  • Cho So-Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.1
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    • pp.138-162
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    • 1997
  • This study was conducted to, develop the social workers role participating health and welfare services production of health centers The sharp increase rate on the elderly population in Korea lead the social issues as that health and social services are not developed enough to cope with the increase on the elderly's hearth care needs. The priority in the elderly's care service development should be put on public sectors. so that could prevent financial catastrophy of the elderly's care. The pulbic sector was concerned with health center services : as health center in Korea provide :mainly medical-oriented services. this study focused on to combine the existing health center's services into social services. The study method was based on needs survey with 322 patients aged over than 55 in rural area. "The needs survey include general health and disease care needs and daily life caring needs. The latter was applied with ADL and IADL with modificiation for the use of Korea environment. The findings were as follows : Social workers should be able to care diseases of muscular and skeletal. circulatory, digestive and general chronic disease in social service needs. aspect. Mostly the chronic pateints quit their care services because of shortage of finanical support$(18.3\%)$ and transportation problem$(19.5\%)$, but still prefer to be cured and cared from general hospitals. and at least clinic and health centers in community. The univisible dramatic effect. of health. care services also should be concerned and cared by xocial workers. The ADL and! IADL shown the most needs on transportation needs and problems caused by weaken legs. Mostly daily activities were supported by family members $(53.3\%\;spousers\;and\;35.0\%\;children)$, and the most demands were shown on helps for transportation visiting hospitals$(37\%)$ and getting similar care services for health care needs $(31.2\%)$ and daily hygeieal needs$(11.2\%)$ Social workers' role should include health care participation with social and health promotion approach as well as socio-economic supports: during health care receiving. Social workers also should provide social services for the elderly's daily needs solving for these are not in available family supporters.

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