• Title/Summary/Keyword: musculoskeletal disease

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A Study of the Recent Diseases in Korean Pediatrics and Adolescent Patients Treated with Oriental Medicine (최근 국내 한방 진료를 받은 소아·청소년 환자의 질환 진단명 분석)

  • Kim, Kyeong Ri;Lee, Jin Hwa
    • The Journal of Pediatrics of Korean Medicine
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    • v.32 no.1
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    • pp.54-74
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    • 2018
  • Objectives The purpose of this study is to investigate recent trend of diseases in Korean pediatrics and adolescent patients treated with oriental medicine. Methods Using data from the Korean statistical information service and healthcare bigdata hub, top 500 diseases pediatrics and adolescents that were treated with oriental medicine from 2012 to 2016 in admission and outpatient department was collected. Results From the inpatient study, majority of the subjects were between 15 to 19 years old (62.74%), followed by 10 to 14 years old, 5 to 9 years old and under 5 years old. In the outpatient department study, majority was 15 to 19 years old (36.51%), followed by 10 to 14 years old, under 5 years old, 5 to 9 years old. In systemic division of admission part, the most common disease was musculoskeletal related which was 72.32%, followed by brain, nerve, respiratory, dermatology and digestive related diseases. In systemic division of outpatient department, respiratory disease was the most common (41.81%), followed by digestive, dermatology, brain and nerve diseases. For under 5 years old patient group, respiratory disease was the most common, 29.86%, followed by dermatology, musculoskeletal, digestive related diseases. For 5 to 19 years old group of patients, musculoskeletal disease was most common. For the 5 to 14 years old patient group, respiratory related disease was the most common followed by dermatology and digestive diseases. For 15 to 19 years old patient group, digestive disease was the most common followed by respiratory and dermatology related diseases. For under 5 to 9 years old outpatient group, respiratory disease was the most common, and for under 5-year-old group, digestive, growth development, and dermatology disease were common. For the 5 to 9 years old group of patients, musculoskeletal related disease was the most common followed by digestive and dermatology related diseases. For the 10 to 19 years old patient group, musculoskeletal was the most common. For the 10 to 14 years old patient group, respiratory related disease was the most common followed by digestive, dermatology disease. For the 15 to 19 years old patient group, digestive related disease was the most common followed by respiratory, dermatology diseases. Musculoskeletal disease increased every year, in both inpatient and outpatient. Respiratory, brain, nerve, digestive related diseases were generally decreased. In outpatient, respiratory diseases were increased every year but brain, nerve, digestive related diseases were generally decreased. Conclusions More studies about the oriental medicine in chronic disease, such as allergy, metabolic syndrome, in Korean pediatrics and adolescents are needed.

Comparison of Requirement and Activity of Workers' Health Promotion according to Business Type and Enterprise Size (사업장 업종과 규모에 따른 근로자 건강증진 요구도 및 활동도 비교)

  • Lee, Jinhwa;Lee, Bokim
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.2
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    • pp.131-138
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    • 2018
  • Purpose: The purpose of this study was to examine the differences in requirement and activity related to workers' health promotion according to business type and enterprise size. Methods: This study is a secondary analysis of data extracted from a survey on the Enterprise Health Promotion Index. For the present analysis, 7,784 companies were selected. Results: Requirements for lifestyle management and activities to prevent musculoskeletal disorders were the highest. The requirement and activity of musculoskeletal disorders and cerebrovascular disease were high in the manufacturing industry. Meanwhile, in the non-manufacturing industry, the requirement and activity of job stress management were high. Small-sized companies had a high requirement to prevent musculoskeletal disorders and cerebrovascular disease. Conclusion: Government support should be strengthened in workers' lifestyle management. Additionally, workers' health promotion in small-sized companies needs to focus on preventing musculoskeletal disorders and cerebrovascular disease.

Prevalence and Indicators of Musculoskeletal Diseases on Nurses: An Integrated Review (통합적 고찰을 통한 간호사들의 직업 관련 근골격계 질환 유병률과 예측요인)

  • Choi, Eun Hee
    • Journal of muscle and joint health
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    • v.27 no.1
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    • pp.1-11
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    • 2020
  • Purpose: The purpose of this study was to explore prevalence and causal factors of musculoskeletal diseases on nurses. Methods: This study was an integrated review. Documentations were searched through electric databases using SAGE journals, EBSCOhost, Pubmed, RISS, NDSL and KCI. Terminology for this review was "Nurse" and "Musculoskeletal" and language versions were Korean or English. Number of final articles was 70 (Korean articles were 11 and english versions were 59). Results: Studies related to musculoskeletal diseases on nurses started in Sweden and USA from 1995. Subjects of studies were general hospital nurses in 50 out of 70 studies. Lower back in Korea and waist in other countries were highest areas of muculoskeletal disease's prevalence. Revisable factors of musculoskeletal diseases on nurses included physical, psychosocial and environmental factors that were more than unrevised factors. Conclusion: This study suggests to develop programs for preventing musculoskeletal disease of lower back or waist in general hospitals because of high frequency. Interventions to prevent musculoskeletal diseases need to consider prevalence and quality indicators on nurses.

Application of Clinical Laboratory Tests in Musculoskeletal Diseases (근골격계 질환에서 진단의학검사의 활용)

  • Ha, Won-Bae;Geum, Ji-Hye;Shin, Seon-Ho;Lee, Jung-Han
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.13 no.2
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    • pp.109-125
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    • 2018
  • Objectives : It is difficult to make accurate diagnosis of musculoskeletal disease because of its multiple, subjective and non-specific symptoms. It is possible to reduce errors of differential diagnosis through detailed history taking and physical examination in parallel with laboratory tests based on clinical decision. Methods : Korean and foreign on-line databases(Pubmed, Cochran Library, NDSL, KISS and OASIS) were researched for articles discussing laboratory tests in musculoskeletal diseases. Results : Laboratory tests could be applied usefully for various musculoskeletal diseases, In this review, available laboratory components in these musculoskeletal diseases are summarized, and then significance and usefulness of disease-specific laboratory examination are described. Conclusions : When examining musculoskeletal patients, it needs to accurate differential diagnosis by full interview and physical examination, to select required tests by understanding laboratory tests thoroughly, and to judge the prognosis precisely.

A Study on Relation Fatctors of Musculoskeletal Disease among selected Female Hair Dressers (일부 여성 미용종사자들의 근골격계 증상의 관련 요인)

  • Song, Mi-Ra
    • Journal of environmental and Sanitary engineering
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    • v.21 no.2 s.60
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    • pp.57-68
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    • 2006
  • This study was designed to provide basic data on preventive plans by affecting factors that have analysed on musculoskeletal diseases. The survey were conducted from July 1 to 30, 2004 among 600 hair dressers working in Seoul and Gwangju using self-administration questionnaire. The results of this study are summarized as follows: The pain experience rate of musculoskeletal diseases. in the last one yea was 55.2%. 35.7% of respondents answered they had pain on shoulders, 30.6% had pain on legs and feet, 28.9% had pain on waist, 26.8% had hands, fingers and wrist, 22.3% had pain on necks and 17.6% had pain arms and elbows more than disease on necks, shoulders, arms and elbows, hands, fingers and wrists, waist, shoulders legs and feet. The prevalence rate of the last week was 40.3%. The prevalence rate in each body parts of the last week was 23.3% on legs and feet, 21.2% on shoulders, 20.8% on waist, 14.9% on hands, fingers and wrists, 14.4% on necks, 9.3% on arms. The affecting factors on musculoskeletal disease index were analysed by multiple linear regression analysis. there are working posture$(\beta=0.27)$; authority of task$(\beta=0.18)$, self-conscious stress $(\beta=0.16)$, age$(\beta=0.14)$, physical burden from work$(\beta=0.13)$, and task required$(\beta=0.10)$. Determinant coefficients was 22.7%. Based on the results above, working posture, job stress and physical burden from task are highly related with pain. In order to prevent musculoskeletal disease of hairdressers, working posture shall be improved and leisure opportunities to relieve stress, and health management education shall be provided.

Risk Factors of Work-related Upper Extremity Musculoskeletal Disorders in Male Shipyard Workers: Structural Equation Model Analysis

  • Park, Byung-Chan;Cheong, Hae-Kwan;Kim, Eun-A;Kim, Soo-Geun
    • Safety and Health at Work
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    • v.1 no.2
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    • pp.124-133
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    • 2010
  • Objectives: This study was conducted to develop a model describing the interaction between lifestyle, job, and postural factors and parts of the upper extremities in shipyard workers. Methods: A questionnaire survey was given to 2,140 workers at a shipyard in Ulsan City. The questionnaire consisted of questions regarding the subjects' general characteristics, lifestyle, tenure, physical burden, job control, posture and musculoskeletal symptoms. The overall relationship between variables was analyzed by a structural equation model (SEM). Results: The positive rate of upper extremity musculoskeletal symptoms increased in employees who worked longer hours, had severe physical burden, and did not have any control over their job. Work with a more frequent unstable posture and for longer hours was also associated with an increased positive rate of musculoskeletal symptoms. Multiple logistic regression analysis showed that unstable posture and physical burden were closely related to the positive rate of musculoskeletal symptoms after controlling for age, smoking, drinking, exercise, tenure, and job control. In SEM analysis, work-related musculoskeletal disease was influenced directly and indirectly by physical and job stress factors, lifestyle, age, and tenure (p < 0.05). The strongest correlations were found between physical factors and work-related musculoskeletal disease. Conclusion: The model in this study provides a better approximation of the complexity of the actual relationship between risk factors and work-related musculoskeletal disorders. Among the variables evaluated in this study, physical factors (work posture) had the strongest association with musculoskeletal disorders.

Central Core Disease : Clinical Characteristics of Family Members Manifested by Autosomal Dominant Pattern through Three Generations (중심핵병 : 삼대에 걸쳐 상염색체 우성 양식으로 발현된 가계 환자들의 임상적 특징)

  • Park, Kee Hyung;Shin, Dong Jin;Kim, Seung Hyun
    • Annals of Clinical Neurophysiology
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    • v.8 no.1
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    • pp.23-28
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    • 2006
  • Background: central core disease is one of the non-progressive benign congenital myopathies characterized by the presence of cores in muscle fibers, which was originally described by Shy and Magee (1956). We describe clinical charcteristics of central core disease in a Korean family manifested by autosomal dominant pattern through three generations. Methods: Clinical, serologic, and electrophysiologic profiles were evaluated in eleven members among 22 family members through three generations. Results: Six family members were symptomatic and five were non-symptomatic. Instead of proximal muscle weakness, musculoskeletal manifestations including non-specific joint pain and stiff sense were the most frequent symptoms. Muscle biopsy performed in two symptomatic patients revealed that type I fiber showed central halo, which is charactreristics of central core disease. No remarkable findings were present in serologic study including CPK level and electromyographic findings suggesting myopathic pattern were only present in two patients among 11 symptomatic group. Conclusions: In evaluating non-specific musculoskeletal complaints from the familial members showing genetic trait, central core disease should be considered to one of the possible diagnosis.

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Medical Approach of Work-related Musculoskeletal Diseases (근골격계 질환의 의학적 접근)

  • Hong, Jung-Yeon;Koo, Jung-Wan
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.4
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    • pp.473-478
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    • 2010
  • For the medical approaches of work-related musculoskeletal diseases, it is important to consider occupational relatedness and occupational fitness. Clinical approach includes physical examination, radiologic tests and other related tests and we should choose proper management which is suitable to workers' status for the prevention of early disease's progression and later disabilities. Also, it suggests that occupational prevention program consultation for work-related musculoskeletal diseases considering workers' variable circumstances should be done via occupational relatedness and occupational fitness.

Chewing difficulty and multiple chronic conditions in Korean elders: KNHANES IV (임상가를 위한 특집 3 - 한국 노인에서 저작불편감과 복합만성질 환의 연관성: 제4기 국민건강영양조사)

  • Han, Dong-Hun
    • The Journal of the Korean dental association
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    • v.51 no.9
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    • pp.511-517
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    • 2013
  • To assess the association between oral health and general health, this study examined the relationship between chewing difficulty and twelve chronic health conditions such as hypertension, hyperlipidemia, diabetes, cerebro- and cardiovascular disease, musculoskeletal disease, respiratory disease, eye/nose/throat disease, stomach/intestinal ulcer, renal dysfunction, thyroid disease, depression, and cancer in Korea. The study population was 3,066 elders aged 65 years old and more from the fourth Korean National Health and Nutrition Examination Survey. Chewing difficulty was measured on a 5-point Likert scale. Chronic conditions were assessed by self-reported questionnaire. Confounders were age, gender, education, income, smoking, drinking, and obesity. Chi-square test, general linear model, and multiple logistic regression model were done with complex sampling design. Musculoskeletal disease (adjusted odds ratio=1.33), respiratory disease (adjusted odds ratio=1.52), and cancer (adjusted odds ratio=1.58) were independently associated with chewing difficulty. Multiple chronic conditions with more than 4 chronic disease showed significant association with chewing difficulty (adjusted odds ratio=1.37).

A Study of the Clinical Application of Thermography in Musculoskeletal Disease (근골격계(筋骨格系) 영역(領域)에서 Thermography의 임상적(臨床的) 활용(活用)에 대(對)한 고찰(考察))

  • Shin, Hyun-Taeg;Chung, Seok-Hee;Lee, Jong-Soo;Kim, Sung-Soo;Shin, Hyun-Dae
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.47-67
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    • 2000
  • The purpose of this study is to assess the usefulness of thermography in patients with musculoskeletal disease. Thermography is noninvasive, easy to reading, objective and physiologic instrument by measuring and imaging infrared energy emitted from skin surface. Thermography can show the skin temperature changes in various conditions of the body with musculoskeletal disease. This literature review was done for the usefulness of thermography in diagnosing musculoskeletal disease. In conclusion, thermography was adapted in radiculopathy, MPS, peripheral neuropathy, RSD, Raynaud's phenomen, TMJ dysfunction, etc. It was useful as a secondary diagnostic method in those diseases, also possible as a primary diagnostic method in RSD, Raynaud's phenomen. And, it might be reliable tool for estimating disease procedure and consequence after treatment. But, the objectivity of the reading and the development of the operating method are required for further adaptation in musculoskeletal disease.

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