• Title/Summary/Keyword: physical pain

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The Relationship between Treating, after Treated of Osteoarthritis, Osteoporosis and Quality of Life in Korean Adults: Based on the 2010 Korean Community Health Survey

  • Jegal, Hyuk;Jun, Hyun Ju;Kim, Ki Jong
    • Journal of International Academy of Physical Therapy Research
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    • v.6 no.1
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    • pp.828-832
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    • 2015
  • The purpose of this study was to investigate the relationship the quality of life, osteoarthritis and osteoporosis in the Republic of Korea. This study was utilized raw data from the 2010 KCHS. In total, 229,229 individuals participated in the 2010 survey. The final analysis was identified 22,545 individuals who had been diagnosed by a doctor with arthritis or osteoporosis. To identify the relationship between the quality of life - related after treated or treating of arthritis, osteoporosis, A multiple linear regression analysis was performed. Treating group for osteoarthritis of their quality of life has statistically been less than after treated group(B=-.068, p<.001). Treating group for osteoporosis of their quality of life has statistically been less than after treated group(B=-.083, p<.001). Non-treatment group who was diagnosed by doctor, but no treated subject for osteoarthritis of their quality of life has statistically been less than after treated group(B=-.075, p<.001). Non-treatment group that was diagnosed by doctor, but no treated subject for osteoporosis of their quality of life has statistically been less than after treated group(B=-.045, p<.001). Non-treatment group who was diagnosed by doctor, but no treated subject for osteoporosis and arthritis of their quality of life has statistically been less than after treated group(B=-.0121, p<.001). as a result of those data, we understand that the decision maker for treatment has been chosen by quality of life, including pain, mobility activity and so on.

Glomus Tumor of the Hand

  • Lee, Won;Kwon, Soon Beom;Cho, Sang Hun;Eo, Su Rak;Kwon, Chan
    • Archives of Plastic Surgery
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    • v.42 no.3
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    • pp.295-301
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    • 2015
  • Background Glomus tumors were first described by Wood in 1812 as painful subcutaneous tubercles. It is an uncommon benign neoplasm involving the glomus body, an apparatus that involves in thermoregulation of cutaneous microvasculature. Glomus tumor constitutes 1%-5% of all hand tumors. It usually occurs at the subungual region and more commonly in aged women. Its classical clinical triad consists of pain, tenderness and temperature intolerance, especially cold sensitivity. This study reviews 15 cases of glomus tumor which were analyzed according to its anatomic location, surgical approach and histologic findings. Methods Fifteen patients with subungual glomus tumors of the hand operated on between January 2006 and March 2013, were retrospectively reviewed. Patients were evaluated preoperatively with standard physical examination including ice cube test and Love's test. Diagnostic imaging consisted of ultrasonography, computed tomography, and magnetic resonance imaging. All procedures were performed with tourniquet control under local anesthesia. Eleven patients underwent excision using the transungual approach, 3 patients using the volar approach and 1 patient using the lateral subperiosteal approach. Results Total of 15 cases were reviewed. 11 tumors were located in the nail bed, 3 in the volar pulp and 1 in the radial aspect of the finger tip. After complete excision, patients remained asymptomatic in the immediate postoperative period. In the long term follow up, patients exhibited excellent cosmetic results with no recurrence. Conclusions Accurate diagnosis should be made by physical, radiologic and pathologic examinations. Preoperative localization and complete extirpation is essential in preventing recurrence and subsequent nail deformity.

Surgical Correction of Single Extrahepatic Portosystemic Shunt Using Ameroid Constrictor in a Dog (Ameroid Constrictor를 이용한 개에서의 단순 간외성 간문맥전신단락증의 치료)

  • 정성목;이충호;양정환;김완희;최민철;윤정희;이주명;권오경;남치주
    • Journal of Veterinary Clinics
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    • v.18 no.4
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    • pp.442-447
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    • 2001
  • A 2-year-old 4.0-kg female Shih Tzu with history of hematemesis and melena was referred to Veterinary Medical Teaching Hospital, Seoul national University for further evaluation and treatment. During physical examination, the dog revealed mild depression, dry mucous membrane and abdominal pain. Hematologic values were normal and serum chemical values showed increased serum bile acid (53.47 umol/l, preprandial), fasting serum ammonia concentration (184 g/dl), alanine transferase (98 U/L), alkaline phosphatase (871 U/L) and gamma glutamyl transpeptidase (21 U/L), and decreased blood urea nitrogen (4 mg/dl), total protein (4.1 g/dl) and albumin (1.2 g/dl). Microhepatica was shown in abdominal radiography. During the ultrasound examination, dilated tortuous vein communicating with caudal vena cava ws observed near the stomach. Intraoperative jejunal vein portography was performed during laparotomy to confirm the location and size of shunt vessel. According to history taking, physical examination, hematologic and serum chemical examination and radiographic study, it was diagnosed as single extrahepatic portosystemic shunt. The anomalous vessel (7 mm, o.d.) that enter the caudal vena cava from the left gastric vein, near the level of the diaphragm, was identified. A Ameroid constrictor (5 mm, i.d.) was applied to the shunting vessel near the caudal vena cava. Hematologic and serum chemical values recovered gradually and were revealed normal values 4 months after surgery. Four month after surgery serum bile acids concentrations were 0.56 $\mu$mol/l (preprandial) and 18.45 umol/l (postprandial). Abdominal radiograph showed normal gastric axis and it revealed normal size of the liver. Fine texture and increased echogenecity of liver and enlargement of portal vein were shown in ultrasonography. Single extrahepatic portosystemic shunt might be treated surgically using Ameroid constrictor.

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A SEMG analysis of knee joint angle during close kinetic chain exercise and open kinetic chain exercises in quadriceps muscle (단일관절운동과 복합관절운동 시 슬관절 각도에 따른 대퇴사두근의 표면 근전도 비교 분석)

  • Han Sang-Wan
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.192-204
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    • 2004
  • The surface electromyographic(sEMG) analyses were knee joint angle during open kinetic chain exercise (OKC) and close kinetic chain exercise (CKC) in vastus medialis (VM), vastus lateralis (VL), and rectus femoralis (RF). Ten subjects with normal , aged 20 to 30(X=27.4, SD=3.23), were randomized Statistical techniques for data analysis were applied paired t-test. The 0.05 level of significane was used as the critical level for rejection of the null hypotheses for the study. And the results were: 1) Both OKC and CKC improved the strength of quadriceps muscle as the knee joint flexion was increased. 2) In OKC, the strength of VM was improved the most at the 30 degree angle. 3) In CKC, the strength of VM was improved the most at the 30 degree angle. 4) The VM/VL ratio was the largest at the 10 and 20 degree angles in OKC and CKC. 5) The VM/VL ratio at 10, 20, and 30 degree angles was significantly different between OKC and CKC (P < 0.05). Base on the results, the OKCE is recommended for the knee joint patients, especially for the patellofemoral pain syndrome patients, during the early phase of rehabilitation. In order to improve strength of the quadriceps, muscle strength training at 30 degree angle is recommended. In order to improve VM/VL ratio, 10 and 20 degree angles are recommended during OKCE and CKCE, respectively. Future researches are warranted comparing electromyographic analysis between OKCE and CKCE in the quadriceps at a certain work lead, and muscle strength performance in the quadriceps at different positions of foot.

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A Case Report of a Somatization Disorder Patient with Histrionic Personality Disorder (연극성 성격장애를 지닌 신체화장애 환자 치험 1례 -최면치료, EFT 중심으로-)

  • Kim, Soo-Jung;Ryu, Chun-Gil;Cho, A-Ram;Seo, Joo-Hee;Kim, Ji-Na;Sung, Woo-Yong;Park, Jang-Ho
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.2
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    • pp.85-98
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    • 2012
  • Objectives : The histrionic personality disorder(HPD) is characterized by a pattern of excessive emotion and attention-seeking behavior, including a seductive behavior. It is known that HPD is closely related to a somatization disorder. The somatization disorder is characterized with various physical symptoms that have no pathologic manifestation. This report is on a case of 55 years old woman with HPD, who has been suffering from various physical symptoms that are coincided with diagnostic criteria for somatization disorder by DSM-IV. Methods : The patient was treated with oriental medical treatments (acupuncture, moxibustion, cupping therapy, and herb-medication), hypnotic therapy, and emotional freedom techniques. The effects of treatment were measured by VAS. Results : Chest pain was improved by hypnotic therapy and oriental medical treatments. But the patient's pantalgia and abdominal discomfort were controlled effectively by emotional freedom techniques. Conclusions : This result suggests that EFT might be effective for the defensive and dependent somatization disorder patient with HPD.

Impact of the oral health-related quality of life(OHIP-14) of industrial workers in some area (일부지역 사업장 근로자의 구강건강관련 삶의 질에 미치는 영향)

  • Cheon, Hye-Won
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.859-869
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    • 2014
  • Objectives: The purpose of this study was to examine the subjective oral health awareness, oral health knowledge, oral health behavior and OHIP-14 in industrial workers. Methods: A self-reported questionnaire was filled out by 243 workers in Jeonbuk May 7 to June 10, 2014. Except incomplete answers, 230 data were analyzed. The questionnaire consisted of general characteristics of the subjects(sex, age, career, marital status, abd family), oral health recognition characteristics(oral health attention, subjective oral health status, and oral health concern), oral health knowledge, oral health behavior, and oral health related quality of life. The instrument was 14 questions od OHIP-14 including functional restriction(2 questions), physical pain(2 questions), psychological discomfort(2 questions), physical ability decease(2 questions), psychological function decease(2 questions), social activity decrease (2 questions), and social discomfort(2 questions). Cronbach's alpha was 0.949 in this study and it was reliable. Results: Oral health interests showed that 57.8% of the workers had concern for oral health interests and 50.4% perceived that their subjective oral health was moderate status. 55.6% of the workers answered that their oral health status was very worried. Women had more knowledge about the oral health. Those who were in fifties tended to have more knowledge of oral health than the other age groups. Those who had more concern for oral health included female workers, married workers, and workers above 21 years. The concern for oral health made the workers keep good oral health. Higher score of OHIP-14 means good oral health. Conclusions: Good oral health-related quality of life is proportional to continuous management of oral health and subjective oral health status. It is necessary to develop the tailored oral health education program for the workers.

A Methodological Approach on the Evaluation of Patient Satisfaction: Focused on the Importance Performance Analysis(IPA) (환자만족도 평가에 대한 방법론적 접근: IPA기법을 중심으로)

  • Park, Jae-San
    • Health Policy and Management
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    • v.18 no.3
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    • pp.1-17
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    • 2008
  • The measurement and management of patient satisfaction has become one of the key issues in the last two decades. Hospitals must thoroughly understand the needs of their customers and design products and health services that meet and exceed their expectations. The importance-performance analysis(IPA) is a widely used analytical technique that yields strategies for managing customer satisfaction in a variety of applications. IP A is a two-dimensional grid based on customer-perceived importance of quality attributes and attribute performance. Depending on the interplay of these two dimensions, four strategies can be derived. The aim of this study is to develop the management strategies for improving patient satisfaction in university hospitals using the I-P analysis. The attributes on inpatient service quality in 4 university hospitals was investigated using the Martilla and James(l977)' s a mean adjusted I-P grid where the axes of the grid cross at the average rating point of all items. The patient satisfaction questionnaires were completed by 600 hospital inpatients. The main statistical methods are path analysis and IPA with SPSS 12.0 and AMOS 4.0 statistical softwares. The two attributes, physician and medical service, administrative staff kindness attributes position in first quadrant(Keep Up the Good domain). The nurse and nursing service attributes position in second quadrant(Possible Overkill domain). The two attributes, convenience of check-in service, facilities and physical environment position in third quadrant(Low Priority domain). Finally the quality of inpatient service(food etc.) attributes position in fourth quadrant(Concentrate Here domain). These findings show various implications on the development of strategies in university hospitals in the future. It was determined that quality of inpatient service(food etc.) need to concentrate more on investments. These investments include a taste, price, proper provision of food service and quick response of pain management. A low priority was given to investment in streamlining the check-in process of inpatient and hospital facilities and physical environment in the long run.

Prevalence of rotator cuff diseases in adults older than 40 years in or near Chuncheon city, Korea

  • Kim, Do-Young;Hwang, Jung-Taek;Lee, Sang-Soo;Lee, Jun-Hyuck;Cho, Min-Soo
    • Clinics in Shoulder and Elbow
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    • v.23 no.3
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    • pp.125-130
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    • 2020
  • Background: To determine the prevalence of rotator cuff diseases in a population older than 40 years in or nearby Chuncheon city, Republic of Korea. Methods: Sixty shoulders of 30 people older than 40 years who participated in a health lecture were examined for free by an orthopedic surgeon. Visual analog scale of pain and American Shoulder and Elbow Surgeons scores were assigned, and routine physical examination was performed. Ultrasonography was performed on the shoulder. Results: On ultrasonographic examination, there were one shoulder with full thickness rotator cuff tear, 20 of 60 (33%) with partial thickness rotator cuff tear, five of 60 (8%) with calcific tendinitis, one of 60 (2%) with tear of the long head of the biceps, and five of 60 (8%) with tendinitis of the long head of the biceps. Participants older than 60 years showed significantly high proportions of lesion of the long head of the biceps and rotator cuff diseases (P=0.019 and P=0.015, respectively). Participants who performed physical labor had high proportions of rotator cuff tear and rotator cuff disease (P=0.001 and P<0.001, respectively). Conclusions: Rotator cuff diseases showed a high prevalence in aged persons and resulted in a decrease in shoulder function.

Randomized controlled clinical trial of oral health-related quality of life in patients wearing conventional and self-ligating brackets

  • Othman, Siti Adibah;Mansor, Noorhanizar;Saub, Roslan
    • The korean journal of orthodontics
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    • v.44 no.4
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    • pp.168-176
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    • 2014
  • Objective: The aim of this randomized controlled clinical trial was to compare oral health-related quality of life (OHRQoL) of patients treated with conventional, active self-ligating (ASL), and passive self-ligating (PSL) brackets in different therapeutic phases. Methods: Sixty patients (mean age 18.3 years; 29 males and 31 females) requiring orthodontic treatment were randomly and equally assigned to receive conventional (Victory Series), ASL (In-Ovation R), or PSL (Damon 3MX) brackets. OHRQoL was measured with a self-administered modified 16-item Malaysian version of the Oral Health Impact Profile for immediate (soon after the visit) and late (just before the subsequent visit) assessments of the bonding and activation phases. Data were analyzed with the Kruskal-Wallis and chi-square tests. Results: The PSL and ASL groups showed more immediate and late impacts in the bonding phase, respectively; the conventional group was affected in both the assessments. The first activation phase had similar impacts in the groups. After the second activation, the conventional group showed more immediate impacts, whereas the PSL and ASL groups had more late impacts. The commonly affected domains were "physical disability," "functional limitation," "physical pain," and "psychological discomfort." No significant differences in the prevalence and severity of immediate and late impacts on OHRQoL of the patients were noted in any therapeutic phase. Conclusions: No bracket system seems to ensure superior OHRQoL. This information could be useful for explaining the therapeutic phases, especially the initial one, and selecting the optimal bracket system based on the patient's preference.

The Effect of Kinesio Taping and Icing on Blood Lactate Density and Heart Rate Recover Pace After Shuttle Run Test (키네시오 테이핑과 아이싱 처치가 셔틀런 테스트 후 혈중 젖산 농도 및 심박수의 회복속도에 미치는 영향)

  • Heo, Seung-Jae;Kim, Yong-Jin
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.431-438
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    • 2016
  • This study will be targeting 21-24 years old college students majoring in physical education. This study covers the effect of kinesiology taping and icing treatment on the recovery rate of blood lactate concentration, and cardiovascular function so that it can provide the basic data for improving physical performance. As a result of this study, Kinesio taping and icing aid the recovery rate of the maximum load of lactic acid recovery rate and 30 minutes after exercise heart rate after exercise, but increased, after 15 minutes, immediately after exercise heart rate, exercise lactate and heart rate, and 30 minutes after exercise lactate showed no difference. In conclusion, Kinesio taping and icing treatment, reduce pain and fatigue but it is not satisfactory. Further study, applying a more accurate and technical form of exercise programs needs to continuously research the effects of Kinesio taping and icing treatment