• 제목/요약/키워드: pain intervention

검색결과 1,433건 처리시간 0.025초

Comparison of Peak EMG Amplitude on Low Back Muscles according to Asymmetric Load Center of Gravity and Trunk Lateral Bending while Lifting (들기 작업시 중량물의 비대칭 무게중심 및 상체 옆으로 기울임에 따른 허리근육의 Peak EMG 진폭 비교)

  • Han, Seung Jo;Kim, Sun-Uk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • 제13권10호
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    • pp.4629-4635
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    • 2012
  • This study was aimed at the relationship between peak EMG amplitude on low back muscles acting on L5/S1 and load center of gravity, trunk lateral bending while lifting an object. Musculoskeletal disorders including low back pain can occur even when handling heavy objects only once as well as when doing non-heavy materials repeatedly. 11 male subjects with average 23 age were required to lift a 15.8kg object symmetrically three times. Peak EMG amplitudes on 6 muscles related with L5/S1 were recorded and analyzed. The lifting conditions consisted of lifting symmetric load with no trunk lateral bending, asymmetric load with no trunk lateral bending, and asymmetric load with trunk lateral bending to the load center of gravity within an object. The results showed that peak EMG amplitude on back muscles contralateral to load center of gravity was observed greater in comparison with the symmetric load. Also, in case of lifting asymmetric load the posture with trunk lateral bending increased peak EMG amplitude on muscles contralateral to load center of gravity more than with no trunk lateral bending. This research can be used as one administrative intervention in order to reduce the low back pain incidence with suggesting workers that they keep the trunk not bending to load center of gravity if possible when lifting a heavy asymmetric object.

Discomfort of Donors associated with Bone Marrow Donation (골수공여자들의 불편감)

  • Yu Ha Jeung;Park Sun Nam;Moon Jung Soon
    • Journal of Korean Public Health Nursing
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    • 제15권1호
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    • pp.157-171
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    • 2001
  • The study was designed to provide the fundamental information for understanding discomfort of bone marrow donors and for promoting an individual comfort by comparing the difference on discomfort between unrelated donors and related donors. The subject of the study was fifty related donors and thirty unrelated donors who was in the C University Hospital. This survey had been carried out and collected from October, 1998 to March, 1999. The scale of discomfort of donors associated with bone marrow donation were assessed by the questionnaire deviced by Kim Sang Dol and amended by the researcher. Data was analyzed by $x^2-test$, t-test, two-way ANOVA, and Pearson Correlation Coefficients. The results were as follows. 1. Considering the general characteristics of bone marrow donors according to gender, male was consisted of $60\%$ and female was consisted of $40\%$. Of those related donors are consisted for $62.5\%$ and accounted for $37.5\%$ of those unrelated donors. Considering the classification to the job, employee of company were major donors which was $35\%$, and next order was student, individual businessman, and housewife. Considering the education level. college students were $48.7\%$ and students who have less than high school level were $42.5\%$. 2. According to the above the results regarding discomfort of bone marrow donation, it is especially shown that the major cause for discomfort of bone marrow donors is on physical factor. The concrete examples for physical factor are pain in the region of bone marrow harvest and pain in the injection part by fluid therapy and blood-sampling, an immovability of the body after bone marrow harvest, and difficulties on walking. Considering physiological factor, there are an uneasiness about leading to injure their health, vague fear about the hospital. and a tedium at hospital. Environmental factors for discomfort of bone marrow donors are insufficient explanation for needle gauge and procedure of bone marrow donation and difficulty on following medical schedule. Therefore. it is necessary to establish more effective and systematically organized program for nursing intervention based on the research results. An effective program is only useful in getting rid of discomfort of bone marrow donors.

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SIALOLITHIASIS ON THE MOUTH FLOOR IN A CHILD (소아의 구강저에 발생한 타석증)

  • Lee, Hyo-Seol;Choi, Byung-Jai;Choi, Hyung-Jun;Kim, Seong-Oh;Son, Heung-Kyu;Song, Je-Seon;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • 제36권1호
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    • pp.114-118
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    • 2009
  • Sialolithiasis is the formation of calcific concretions within the ductal system of major or minor salivary glands. The submandibular gland is most involved because of its high viscosity of the saliva and the long, curved duct. It may occur at any age but, it is most common in middle-aged adults and rare in childhood. Clinical symptoms in sialolithiasis are variable but, swelling is the most common, followed by the pain. Clinical examination and radiographic examination(panoramic and mandibular occlusal radiographs, sialography, intraoral-, extraoral- ultrasound, CT scan, MRI and sialoendoscopy) can help to confirm a diagnosis and localize a stone. The treatment is surgical intervention, either removal of the sialolith or sialoadenectomy. However, non-invasive techniques including shock-wave lithotripsy, $CO_2$ laser and endoscopic treatment used in selected cases. A 5-Year-old girl referred from private practice for evaluation of a yellowish mass on the floor of the mouth. She complained that it had became three times bigger than four months ago when it was found for the first time and she had some pain on submandibular gland area occasionally. On physical examination, a firm and yellowish mass could be seen at the orifice of the submandibular duct. Diagnosis is the submandibular sialolithiasis in the anterior Wharton`s duct. Under local anesthesia, stone was removed.

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Early Therapeutic Effects of Cyberknife Radiosurgery on Trigeminal Neuralgia (삼차신경통에 대한 사이버나이프 방사선수술의 조기 치료 효과)

  • Mun Seong-Kwon;Choi Ihl-Bohng;Kang Young-Nam;Jang Ji-Sun;Kang Ki-Mun;Choi Byung-Ock
    • Radiation Oncology Journal
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    • 제24권2호
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    • pp.88-95
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    • 2006
  • Purpose: We evaluated whether Cyberknife radiosurgery is an effective and safe method of therapy for medically intractable trigeminal neuralgia (TN). Materials and Methods: We retrospectively analyzed the outcome of 26 patients, who failed to surgery or were not suitable candidates for invasive intervention and were treated by Cyberknife radiosurgery between March 2004 and May 2005. Radiosurgery doses of $60{\sim}64 Gy$ were delivered to the 80% isodose line prescribed to an 6 mm length of the nerve, sparing the most proximal 3 mm away from the trigeminal nerve root entry zone (median dose: 64 Gy). Results: Follow-up period was $3{\sim}15$ months (median follow-up period: 9 months) Preliminary results from a cohort of 26 patients undergoing Cyberknife radiosurgery for TN showed that pain relief was achieved in 50% (13/26) of patients within the first 24 hrs after treatment. At last follow-up, 96.2% (25/26) of patients reported early pain relief within 7 days. Treatment failure developed in 2 of 26. Poor response occurred in one patient and relapse was observed in the other patient. 3 patients had hypoesthesia (11.5%), which was the only complication observed with any of our patients. Conclusion: With these results, authors assumed that Cyberknife radiosurgery for TN could be one of safe and effective therapeutic methods.

Surgical Management and Outcome of Tethered Cord Syndrome in School-Aged Children, Adolescents, and Young Adults

  • Kang, Joon-Ki;Yoon, Kang-Jun;Ha, Sang-Su;Lee, II-Woo;Jeun, Sin-Soo;Kang, Seok-Gu
    • Journal of Korean Neurosurgical Society
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    • 제46권5호
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    • pp.468-471
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    • 2009
  • Objective : The adolescent presentation of tethered cord syndrome (TCS) is well-recognized, but continues to pose significant diagnostic and management controversies. The authors conducted a retrospective study of clinical outcomes after surgical intervention in 24 school-aged children, adolescents, and young adults with TCS. Methods : All 83 patients with a lipomyelomeningocele (LMMC) underwent untethering surgery for caudal cord tethering between 1987 and 2007. The clinical charts and follow-up data were reviewed. Of these patients, 24 school-aged children, adolescents, and young adults with TCS were studied with respect to the clinical, radiologic, pathologic features, and surgical outcomes. Results : Untethering procedures were performed in 24 patients (age range, 7-25 years) for TCS of various origins (lipoma, lipomyelomeningocele, and tight filum terminale). Specific circumstances involving additional tugging of the already tight conus, and direct trauma to the back precipitated the onset of symptom in 50% of the patients. Diffuse and non-dermatomal leg pain, often referred to the anorectal region, was the most common presenting symptom. Progressive sensorimotor deficits in the lower extremities, as well as bladder and bowel dysfunction, were also common findings, but progressive foot and spinal deformities were noted less frequently. The most common tethered lesions were intradural lipomas, thickened filum and fibrous band adhesions into the placode sac. The surgical outcome was gratifying in relation to pain and motor weakness, but disappointing with respect to resolution of bowel and bladder dysfunction. Of the 24 patients with TCS, pre-operative deficits improved after surgery in 14 (58.3%). remained stable in 8 (33.4%). and worsened in 2 (8.3%). Conclusion : The pathologic lesions of tethered cord syndrome in school-aged children, adolescents, and young adults, are mostly intradural lipomas and tight filum. It is suggested that the degree of cord traction results in neurologic dysfunction in late life due to abnormal tension, aggravated by trauma or repeated tugging of the conus during exercise. Early diagnosis and adequate surgical release might be the keys to the successful outcome in school-aged children, adolescents, and young adults with TCS.

Effect of Moxibustion Heat Therapy on Menstrual Cramps, Dysmenorrhea, and Activities of Daily Living (뜸요법이 생리통과 월경곤란증 및 일상생활수행에 미치는 효과)

  • Lee Inn Sook
    • Journal of Korean Public Health Nursing
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    • 제18권1호
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    • pp.39-49
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    • 2004
  • The purpose of this study was to investigate the effect of moxibustion heat therapy(Koryo hand acupuncture) on menstrual cramps. dysmenorrhea and ADL. The experiment was carried out during the period from March 24 to April 30, 2003. The subjects in the study were drawn from female students attending two colleges in Chungcheongbuk-do and Kyunggi-do. Of all those subjects. 19 and 14 subjects were assigned to the experimental and the control groups respectively. The moxibustion heat therapy were performed three times a week, subjects were treated twice a time. Data was analyzed using SPSS/WIN10.0 by $x^2$test. Wilcoxon sign rank. and Wilcoxon rank sum test. The result of this study were as follows : 1) After moxibustion heat therapy. the graphic rating score of menstrual cramps was decreased significantly from 7.79(SD=1.22) to 4.47(SD=2.25) in experimental group(z=-3.731. p=.000). And there was significant difference in the change of graphic rating score of menstrual cramps between both groups(z=-3.637. p=.000). 2) After moxibustion heat therapy. the score of face rating scale of menstrual cramps was decreased significantly from 3.95(SD=0.71) to 2.32(SD=1.00) in experimental group(z=-3.457. p=.000). And there was significant difference in the change of face rating score between both groups(z=-2.713. p=.007). 3) After moxibustion heat therapy. the score of adjective labor pain rating scale rank (ALPRS) of menstrual cramps was decreased significantly from 23.63(SD=4.19) to 17.27(SD=6.34) in experimental group(z=-2.941. p=.001). But there was no significant difference in the change of adjective labor pain rating score(ALPRS) of menstrual cramps between both groups(z=-1.918. p=.059). 4) After moxibustion heat therapy. the score of dysmenorrhea was decreased significantly from 7.0(SD=2.89) to 5.26(SD=3.54) in experimental group(z=-2.183. p=.029). But there was no significant difference in the change of the score of dysmenorrhea between both groups(z =-1.555. p=.125). 5) After moxibustion heat therapy, the score of ADL difficulty was decreased significantly from 33.26(SD=4.58) to 28.83(SD=9.44) in experimental group(z=-3.552. p=.000). And there was significant difference in the change of score of difficulty of ADL between both groups(z=-4.110. p=.000). The above finding indicated that the moxibustion heat therapy showed a practical effect on reducing menstrual cramps, dysmenorrhea and ADL difficulty in female. Accordingly. we can adopt the moxibustion heat therapy as a useful intervention in the community nursing.

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A Comparative Study of Influencing Factors on Elder Abuse of Public Assistance Recipient Elderlies and Community Elderlies (국민기초생활보장 노인과 일반노인의 노인학대 관련요인 비교연구)

  • Park, Mi-Eun
    • Korean Journal of Social Welfare
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    • 제56권2호
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    • pp.93-119
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    • 2004
  • This article investigates 230 public assistance recipient elderlies and 354 community elderlies in order to find out the current status and influencing factors on elder abuse. It surveyed at Gwangju metropolitan city. The result from the research were 1) the degree of elder abuse is generally low, and the primary type of abuse is psychological abuse and neglect. The victims of abuse experienced psychological pain rather than physical pain. 2) the abuser are mainly in early forties, and very unstable economically. 3) based on personal characteristics of the recipient and non-recipient elderlies, there are significant differences between respondents' sex, age, education level, income, ADL, IADL, chronic disease, depression, social support, and number of friends. 4) the factors affecting elder abuse of public assistance recipient elderlies are depression, alcohol, social support(elderly-related factors), alcohol, childhood abuse(abuser- related factors), and emotional relationship, number of family members(family- related factors). And, the factors affecting elder abuse of community elderlies are childhood abuse, social support(elderly-related), relationship with victims(abuser -related), and emotional relationship(family-related). Finally, the research recommends that differential intervention strategies are needed in order to prevent elder abuse of the public assistance recipient elderlies and the community elderlies.

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A Case of Coronary-Pulmonary Artery Fistula (관상동맥-폐동맥 누공 1예)

  • Lee, Kyung Hae;Wang, Joon Kwang;Shin, Sung Joon;Kim, Mi Ok;Kim, Tae Hyung;Son, Jang Won;Yun, Ho Ju;Shin, Dong Ho;Park, Sung Soo;Kim, Kyung Soo
    • Tuberculosis and Respiratory Diseases
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    • 제56권4호
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    • pp.420-425
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    • 2004
  • Fistula between coronary artery and pulmonary artery is a type of coronary artery anomalies. It can cause atypical chest pain and fatigue, angina pectoris, endocarditis, finally myocardial steal can result in heart failure and myocardial infarction. But only 0.1-0.2% of coronary angiographic studies reveal the communications between coronary artery and other spaces. (heart chamber, pulmonary artery etc.) It is frequently congenital, but acquired types are increasing because chest and heart manipulations such as opertion of tetralogy of Fallot, endomyocardial biopsy, radiation therapy, or penetrating blunt trauma are increasing. There are reports about repair of fistula using thrombogenic tips, coil embolization and surgical intervention. We report a connection between coronary artery and pulmonary artery in 79 years old female. She was 30 pack-years smoker and suffered from dyspnea several years with chronic obstructive pulmonary disease. She presented with atypical chest pain and palpitation after admission. Electrocardiography showed ST-T wave abnormality. Emergency coronary angiography and chest CT scan revealed coronary-pulmonary artery fistula. Transcatheter embolization was performed and she was relieved from discomforts.

Effects of Koryo Hand Therapy on Menstrual Cramps and Dysmenorrhea in College Women Students (고려수지요법이 여대생의 생리통 및 월경곤란증에 미치는 효과)

  • Kim, Chung-Nam;Chang, Young-Sim
    • Research in Community and Public Health Nursing
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    • 제14권3호
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    • pp.432-444
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    • 2003
  • Purpose: This study attempted to verify the effect of Koryo hand therapy on menstrual cramps and dysmenorrhea among college students. Method: This study performed the quasi-experimental design with nonequivalent control group and the pre and post-test design from August 28 to November 4, 2002. The subjects of this experimental study consisted of 64 college students in the nursing college of K University in D city and K college students in K city, who had more than 5.0 GRS score of menstrual cramps. Among them, 16 people belonged to the experimental group A by using Ceramic Seo Am moxa therapy, 16 to the experimental group B by using Seo Am pellet therapy, 16 to the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and 16 to the control group. Three different kinds of methods were used three times per week for $5{\sim}6$ weeks(a total of $15{\sim}18$ times) interventions were completed. For the experimental group, A Ceramic Seo Am moxa therapy was given for 40 minutes per each treatment; for the experimental group, B Seo Am pellet therapy was given for 4 hours: for the experimental group, C combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy was given. To measure menstrual cramps, the graphic rating scale (GRS) was used and to measure dysmenorrheal, a dysmenorrhea scale (15 contents) was used, which was modified from Han &Hur's scale (13 contents). Cronbach's was 0.78 in the pre-test, 0.83 in the first post-test, 0.89 in the following post-test. Data were analyzed by one-way ANOVA, 2 test, repeated measures ANOVA, time contrast test and Sheffe test with the SPSS/Win 11.0 program. Results: ? The first hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy and the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy will have different graphic rating scores of menstrual cramps', was supported (F=6.77, p=0.000, Interaction: p=0.000). ? The second hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy, the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and the control group will have a significantly different level of dysmenorrhea', was supported (F=6.88, p=0.000, Interaction: p=0.000). From the above results, it can be an effective nursing intervention to give Koryo hand therapy to college students who have menstrual cramps and dysmenorrhea. Conclusion: These findings indicate that Koryo hand therapy could be applied to improve the quality of life and to prevent drug misuse among college students who are physically, mentally and psychologically suffering from menstrual cramps and dysmenorrhea. Furthermore, Koryo hand therapy could be developed as an effective Korean alternative and complementary care in the future. and it could also provide a guideline to apply Koryo hand therapy to other pain and difficulties.

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The Effect of Dachaihu Decoction for Hyperlipidemic Acute Pancreatitis: A Systematic Review and Meta-Analysis (고지혈성 급성 췌장염에 대한 대시호탕의 효과 : 체계적 문헌고찰과 메타분석)

  • Kim, Yoon-jung;Jung, Yu-jin;Park, Dong-il
    • The Journal of Internal Korean Medicine
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    • 제41권3호
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    • pp.306-325
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    • 2020
  • Objectives: The aim of this study is to investigate the effect of a Dachaihu decoction for hyperlipidemic acute pancreatitis (HLAP) by systematic review and meta-analysis of Chinese clinical studies. Methods: China National Knowledge Infrastructure (CNKI) was utilized as the major search engine. The date of the literature search was March 7, 2020. Randomized controlled trials (RCTs) about using a Dachaihu decoction for HLAP were included in this study. Meta-analysis was performed by synthesizing outcome data, including total effective rate, abdomen pain relief time, first bowel movement time, blood amylase recovery time, and triglyceride (TG) levels (mmol/L). The selected literature was assessed using Cochrane's risk of bias (RoB). Results: Twelve of 44 RCTs met the inclusion criteria. Most studies were evaluated with RoB as having unclear risk. The total effective rate of herbal medicine treatment based on the Dachaihu decoction was significantly higher than that of symptomatic supportive treatment in 10 articles (risk ratio=1.15, 95% CI: 1.08 to 1.21, p<0.00001, I2=0%). Herbal medicine treatment based on a Dachaihu decoction was significantly more effective than symptomatic supportive treatment in terms of reducing abdomen pain relief time (in all articles; mean difference=-1.70, 95% CI: -1.91 to -1.41, p<0.00001, I2=45%), first bowel movement time (in 7 articles; mean difference=-1.46, 95% CI: -1.86 to -1.05, p<0.00001, I2=73%), blood amylase recovery time (in 8 articles; mean difference=-1.48, 95% CI: -2.04 to -0.92, p<0.00001, I2=90%), and TG levels (in 8 articles; mean difference=-1.59, 95% CI: -2.28to -0.91, p<0.00001, I2=90%). Only one article reported side effects of treatment among the intervention group and control group, citing pancreatic ulcer and pancreatic pseudocyst formation. Conclusions: This study suggests that herbal medicine treatment based on a Dachaihu decoction could yield higher efficacy for HLAP than symptomatic supportive treatment alone. However, the results might be somewhat biased because of the poor quality and small sample size of the included RCTs. Well-qualified clinical studies are needed to prove the effectiveness of Dachaihu decoction therapy for HLAP.