• Title/Summary/Keyword: physical pain

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Surgical Repair of Proximal Humeral Fracture in Common Kestrel (Falco tinnunculus)

  • Jang, Jin-ho;Lee, Moon-hee;Park, Young-seok;Kim, Moon-jung;Yun, Young-min
    • 한국임상수의학회지
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    • 제35권2호
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    • pp.46-49
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    • 2018
  • A common kestrel was admitted to Chungnam wild animal rescue center, having been unable to fly. On the physical examination, the bird was presented with contusion and swelling on its right humerus closed fraction and had pain response. Radiographic examination was explicitly revealed closed fracture on right proximal humerus. Its closed fracture was reduced with tie-in fixator and figure-of-eight tension band, and inserted pins on its right humerus surgery were removed on the $14^{th}$ day after the surgery. As Falco tinnunculus was able to move its wings from Day $21^{st}$ day, its rehabilitation was done at outdoor facility and it was successfully released. Proximal humerus reduction with tie-in fixator and the wire was a success, and this treatment with reference to this study will be surely effective to support the other wildbird's reduction stability.

우심방에 발생한 원발성 섬유성 육종: 1례 치험 보고 (Primary Fibrosarcoma of Right Atrium: A Case Report)

  • 이성행
    • Journal of Chest Surgery
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    • 제10권1호
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    • pp.173-178
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    • 1977
  • A 51 year old man was admitted to the Thoracic and Cardiovascular Department of Kyungpook University Hospital on April 7, 1976, with chief complaints of orthopnea and the chest pain for about 3 months. Physical examination showed narrow pulse pressure, puffy face, engorged neck veins at sitting position, distant heart sound, enlarged liver and edematous upper extremities. The chest roentgenogram demonstrated markedly enlarged cardiac silhouette. Low voltage and the low to diphagic T`s were noted on the electrocardiogram. Paroxysmal ventricular tachycardia was developed intermittently and was subsided spontaneously. Repeated pericardiocentesis were performed each of which yielded from 100 to 300ml. but intractable cardiac failure was progressed. The bacteriology and cytology of the pericardial fluid were not revealed any specific findings. The pericardiectomy was performed to release the intractable cardiac tamponade. Pericardium was found to be thickened and cardiac constriction was noted. The thickened pericardium was easily removed. A large hen`s egg sized dark blue tumor mass occupied the anterior wall of the right atrium and two thumb tip sized pearl gray tumors were placed at the just below portion of the main pulmonary artery. The biopsy report revealed primary fibrosarcoma of the heart. The patient was improved from the symptoms of the cardiac failure during the postoperative course.

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한방치료로 호전된 관절와순 파열환자 2례에 대한 증례보고 (Case Report on the Case of Patient with Labral Tear)

  • 김성진;이현종;최이정;이봉효;이윤규;권효정;임성철;정태영;김재수
    • Journal of Acupuncture Research
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    • 제29권5호
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    • pp.197-204
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    • 2012
  • Objectives : The purpose on this study is to show the clinical effects of oriental medical treatments for labral tear. Methods : The patients were treated using acupuncture, pharmacopuncture, herbal medication, moxibustion, physical treatment and cupping treatment. And the effects for labrum tear have measured in VAS, ROM of shoulder joint. Results : VAS of shoulder pain went down to 2 in case 1, 4 in case 2. ROM of shoulder joint was improved. Conclusions : From the above results, It is demonstrated that oriental medical treatments is effective on labral tear.

보조기 착용 후 사암어혈방(舍岩瘀血方)과 가미궁귀탕가록용(加味芎歸湯加鹿茸)을 병행한 족관절 외과 단독 골절 치험 1례 (One Case of Ankle Fracture Treated with SAAM(舍岩)-Acupuncture and GamigungguitangGaNokyong after Short Leg Casting)

  • 김재수;이윤경
    • Journal of Acupuncture Research
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    • 제24권6호
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    • pp.207-213
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    • 2007
  • Objectives : This study was designed to investigate the effect of SAAM-Acupuncture and GamigungguitangGaNokyong(GMGGTN) on Ankle Fracture. Methods : SAAM-Acupuncture was administered once daily. The following points were selected: $SP_3$(太白), $LU_9$(太淵), $LI_{11}$(曲池). After short leg casting, GMGGTN was taken 3 times per a day from March 28th to April 30th. We evaluated the patient using the Visual Analogue Scale(VAS) and Ankle Range of Motion(ROM). Results : After about 3 weeks of treatment, the patient's short leg cast was removed a week earlier than expected and the patient could walk without crutches and physical therapy. Their VAS changed from 10 to 1. And after added treatment for 2 weeks, there was no pain and limitation of ROM. Conclusions : According to the results, SAAM-Acupuncture and GMGGTN may have rapid effects on ankle fractures. But further studies are required to confirm this effect.

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전방머리자세의 정도와 심박변이도 및 기립자세 균형요소와의 상관관계 (Correlations of Forward Head Posture to Heart Rate Variability and Standing Posture Balance Factors)

  • 기성훈;송윤경
    • 한방재활의학과학회지
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    • 제24권4호
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    • pp.163-176
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    • 2014
  • Objectives To investigate the relationship of forward head posture to heart rate variability and standing posture (pelvic tilt, knee flexion, calcaneal eversion). Methods In the present study, thirty two subjects were recruited by convenience sampling. The forward head posture was measured via the craniovertebral (CV) angle. The pelvic tilt angle, the knee flexion angle, the calcaneal eversion angle, and the heart rate variability were measured. The correlations of forward head posture to heart rate variability and standing posture (pelvic tilt, knee flexion, calcaneal eversion) were analyzed. Results In the present results, there was a significant negative correlation between X-ray CV angle and other regions except the headache. There was a weak positive correlation between Posture CV angle and SDNN. Significant positive correlation was found between KFA and difference between Lt. & Rt. CEA. Significant weak negative correlation was found between SDNN and difference between Lt. & Rt. CEA. Conclusions Biomechanical associated with physical pain and heart rate variability, and it is related to the forward head posture changes and also suggest that clinical care is needed for this.

악하부종괴에 대한 임상적 연구 (CLINICAL STUDY ON SUBMANDIBULAR MASSES)

  • 장현석;유준영
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권4호
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    • pp.701-705
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    • 1996
  • There are many kind of diagnostic entities in submandibular or neck masses, and we can set up treatment plan and estimate treatment result, prognosis by accurate diagnosis. By reasoning medical and dental history, physical examination, anatomical consideration of masses in submandibular or neck area, location of masses, laboratory and radiographic studies, we can formulate a clinical diagnosis or differential diagnosis. Although a clinical diagnosis might suffice in some instances, a definitive(microscopic) diagnosis is frequently required for proper treatment. In order to get some information about making accurate diagnosis and setting up appropriate treatment plan, we did clinical study and histopathologic classification of 82 patients who visited and were operated for submandibular masses at Department of Oral and Maxillofacial Surgery in Seoul National University Hospital from 1988 to 1992. The result were as follows : 1. Submandibular masses occured most frequently in forties and fifties, and there was no sex predilection. 2. Chief complaints were in order of mass, swelling, pain and consistency were soft mass, mobile hard mass, firm mass, diffuse swelling in descending order. 3. Most frequent pathologic finding was lymphadenitis. 4. Site of submandibular masses were submandible, neck, submental, retromandible in descending order, and there was no predilection between left and right side. 5. Accuracy rate between clinical impression and result was 51.2%.

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한국 노인의 허약 경험: Colaizzi의 현상학적 방법으로 (Experience of Frailty in Korean Elderly: A Phenomenological Study Utilizing the Colaizzi Method)

  • 박진경
    • 대한간호학회지
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    • 제47권4호
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    • pp.562-574
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    • 2017
  • Purpose: This study attempts to explore the subjective experience of frailty among elderly individuals in Korea. Methods: From June to August in 2014, 11 elderly persons who had experienced frailty in a community were interviewed. For data analysis, the method suggested by Colaizzi was applied as a phenomenological method. Results: According to the analysis, the study participants' frailty process was structured in seven categories: (a) 'natural phenomenon with ageing,' (b) 'life force comes to an end,' (c) 'the light in my heart turns off,' (d) 'unavoidable situation,' (e) 'continuous and connected vicious cycle,' (f) 'the limit of recovery energy already passes,' and (g) 'life is supported by someone's help.' Conclusion: The frailty experience in the participants is a natural process of aging, which cause vicious cycle acting with each other among physical, psychological, and social health. It is said that the cycle of frailty was started from weight loss and insufficient sleep, and boostered by pain. The participants from repetition of the vicious cycle become exhausted and pass the threshold of their recovery energy at some points. If they meet with sudden accidents such as falling, traffic accident and so on, they become to live a dependent life supported by someone's help in a moment. To prevent frailty and worsening conditions in Korean elderly individuals, it is recommended to provide a interventional programs using this study's results.

정형외과 간호단위에 적용되는 간호중재 분석 (Analysis of Nursing Interventions used in Orthopedic Nursing Unit)

  • 김혜숙;최순희
    • 기본간호학회지
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    • 제13권1호
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    • pp.33-41
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    • 2006
  • Purpose: This study was done to identify the Domains, Classes, labels and nursing activities of nursing interventions used with 117 patients who were admitted to orthopedic nursing units. Method: Data were collected in January and February, 2004 using a computerized nursing process program that contained nursing diagnosis-outcome-intervention (NNN) linkages. The program was developed by the researcher. Frequencies and percentages were used in the analysis. Results: Sixty-five nursing intervention labels were identified. The Domains of the nursing interventions showed higher percentages for 'physiological: basic' (75.9%), 'physiological: complex' (12.9%), 'behavioral'(7.8%) 'family'(1.3%), and 'safety'(1.1%). The Classes of nursing interventions showed higher percentages for 'activity and exercise management'(30.8%), 'physical comfort promotion'(19.3%), 'immobility management'(14.5%), 'drug management'(8.1%), and 'coping assistance'(5.6%). Nursing intervention labels showed higher percentages for 'pain management'(14.7%), 'body mechanics promotion'(8.0%), 'exercise therapy : ambulation'(7.2%), 'splinting'(5.4%), and 'positioning'(5.1%). In the comparison of numbers between performed nursing activities and nursing activities of NIC according to nursing intervention label, the mean of combined rate was 52.3%. Conclusion: These findings will help in building of a standardized language for orthopedic nursing units and enhance the quality of nursing care.

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일 지역에 거주하는 암환자의 삶의 질, 정신건강 및 주관적 건강상태 조사 (Survey on Quality of Life, Mental Health and Subjective Health Status of Community Dwelling Cancer Patients)

  • 이보영;조희숙;권명숙
    • 한국보건간호학회지
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    • 제24권1호
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    • pp.49-60
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    • 2010
  • Purpose: This study investigated the quality of life, mental health and subjective health status of community dwelling cancer patients. Methods: Subjects were 212 out-patients with cancer at Kangwon University Hospital. The study was conducted from July 10 to August 14, 2008. Quality of life as determined by the Euro Quality of life-5 Dimensions (EQ-5D) was measured using Korea Centers for Disease Control and Prevention(KCDC). Mental health and subjective health status were measured using KCDC. Results: EQ-5D determined degrees of difficulty were 25.5%(mobility), 25.2%(anxiety or depression), 23.6%(pain or discomfort), 20.3%(activities of daily living), and 13.7%(self care). An analysis of the association between several factors and mental health showed that the statistically significant factors were age, gender, medical coverage, and private insurance. An analysis of the association between several factors and subjective health status showed that the statistically significant factor was occupation. Conclusion: Cancer patients suffer from significant psychological distress. Programs that address mental and physical health would be beneficial.

노인의 자살 생각과 위험요인 (Suicidal Ideation and Risk Factors among the Elderly in Korea)

  • 김현경;고성희;정승희
    • 한국보건간호학회지
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    • 제24권1호
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    • pp.82-92
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    • 2010
  • Purpose: This study aimed to identify the incidence and risk factors of suicidal ideation among the elderly in Korea. Methods: This cross-sectional study used secondary data of the 2005 Korean National Health and Nutrition Examination Survey. The participants were 1,097 elderly Koreans who responded to the health survey. Sociodemographics, health related characteristics, and the prevalence of suicidal ideation were obtained through face-to-face interviews. Risk factors of the suicidal ideation were also examined. Descriptive statistics and multivariate logistic regression were used for data analysis. Results: Of the 1,097 respondents, 30.5% had suicidal ideation during the past year. Depression and stress were the important risk factors; others included mobility, pain/discomfort, chronic illness, smoking, sleep, and leisure time physical activity. Sociodemographic characteristics such as gender, education, and marital status affected suicidal ideation. Conclusion: The high frequency of suicidal ideation in the elderly suggests the necessity of community-based interventions directed at depression and stress.