• Title/Summary/Keyword: 상과염

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Effects of Self-efficacy Promotion Program for Patients with Epicondylitis (상과염 환자에서 자기효능증진 프로그램의 효과)

  • Kim, Sun Hwa;Kim, Bog Ja
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.2
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    • pp.43-55
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    • 2010
  • Purpose: This study was done to evaluate the effects of program promoting self-efficacy patients with epicondylitis. Methods: Forty-three patients with unilateral epicondylitis were enrolled in this study between January, 2 and April, 28, 2009. The patients were assigned to one of two groups: Nineteen patients in the intervention group were given the self-efficacy promotion program with specific home instruction and the 24 in the control group were treated with conventional treatment. Pain by numeric rating scale, anxiety, and the self-efficacy of exercise were evaluated before the program, and 4 weeks after completing the intervention. The number of exercises was checked after the intervention. The data were analyzed using descriptive statistics, t-test, Chi-square test, paired t-test, Pearson's correlation coefficients with SPSS 14.0 program. Results: Anxiety in the intervention group was significantly lower than the control group(p=.018). Maximal and resting pain in the control group were lower than the intervention group( p=.000, p=.003). The self-efficacy of exercise and the number of exercises increased in the intervention group but there was no significant difference (p=.057, p=.052). Conclusion: The results of this study indicate that a program promoting self-efficacy for patients with epicondylitis could be a useful nursing intervention to reduce anxiety.

Clinical Assessments and MRI Findings Suggesting Early Surgical Treatment for Patients with Medial Epicondylitis (내측상과염 환자의 임상항목과 자기공명영상 항목 중 조기 수술적 치료가 필요한 환자군이 갖는 인자에 관한 분석)

  • Hyungin Park;Seok Hahn;Jisook Yi;Jin-Young Bang;Youngbok Kim;Hyung Kyung Jung;Jiyeon Baik
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.613-623
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    • 2021
  • Purpose To evaluate the MRI findings and clinical factors that are characteristic of patients who ultimately undergo surgery for medial epicondylitis. Materials and Methods Fifty-two consecutive patients who were diagnosed with medial epicondylitis and underwent an elbow MRI between March 2010 and December 2018 were included in this retrospective study. The patients' demographic information, clinical data, and MRI findings were evaluated. All variables were compared between the conservative treatment and surgical treatment groups. Logistic regression analyses were conducted to identify which factors were associated with surgical treatment. Results Common flexor tear (CFT) tear size showed a statistically significant difference in both the transverse and longitudinal planes (p < 0.001, p = 0.013). The CFT abnormality grade significantly differed in both the transverse and longitudinal planes (p = 0.022, p = 0.003). A significant difference was also found in the medial collateral ligament abnormality (p = 0.025). Logistic regression analyses showed that only the transverse diameter of the CFT tear size (odds ratio: 1.864; 95% confidence interval: 1.264-2.750) was correlated with surgical treatment. Conclusion Of patients diagnosed with medial epicondylitis, patients with a larger transverse CFT tear size tend to undergo surgical treatment ultimately.

전력설비에 대한 염진해 대책

  • 이광우
    • 전기의세계
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    • v.28 no.5
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    • pp.18-23
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    • 1979
  • 우리나라는 삼면이 바다에 연하여 있어서 각종 해풍의 영향으로 바다의 해염입자가 내륙으로 비산되어 해안근지구역의 애자가 오염되고 있다. 또 최근 산업의 대규모화와 중화학공업의 발전으로 공업지역이 점차 확대되고 있어서 이 지역에서 발생하는 매연등으로 애자의 오손상태는 더욱 심확되어 가고 있다. 이러한 오손애자는 평상시의 건조상태에서 별다른 이상은 없으나 비, 이슬, 안개등의 온윤상태에서는 내락사고로 진전되는 경우가 많다. 이와같이 발생되는 사고(염진해 사고)로 인하여 각국의 전력회사는 물론 한국전력에서도 하나의 문제점으로 대두되고 있다. 그래서 효과적인 방지대책을 찾아내기 위하여 계속 연구하고 있다. 여기서는 지금까지 조사연구된 염진해현상과 그 대책에 대하여 기술코저 한다.

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Arthroscopic Resection of Synovial Plica in Elbow (관절경을 이용한 주관절 활막 추벽의 제거)

  • Yoo, Yon-Sik
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.50-58
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    • 2007
  • Purpose: To report our experience with nine cases of pathologic synovial plica on radiohumeral joint which symptom of painful snapping elbow was improved by arthroscopic resection. Materials and Methods: Between 1999 and 2004, 43 cases of elbow arthroscopy were performed by one surgeon. Eight patients with nine cases showed pathologic synovial plica in conjunction with snapping or posterolateral elbow pain. The mean age of eight patients (man: 7, woman: 1) was 29 years (range $16{\sim}56$ years). All patients had a trial of conservative treatment at least six months (range $6{\sim}16$ months). The diagnosis was confirmed before surgery in six cases and at the time of surgery in three cases. Pain, snapping, and subjective results were evaluated at least 12 months in the average(range $12{\sim}24$). Results: All patients showed a hypertropic lateral synovial plica with local synovitis. Seven of them had an associated lesion of chondromalacia on radial head. One of them was associated with radiocapitellar arthritis and had a wrapping over the radial head. Six patients experienced improved posterolateral pain at the end of study (VAS<1). However, the other two patients had occasional pain with activity. One of them persisted with mechanical symptoms, which was treated with additional arthroscopic procedure. Conclusion: Synovial plica in elbow should be considered as an important entity of common elbow disease, especially when pain in the lateral aspect of the elbow with a snapping sensation during motion is featured in patients. The arthroscopic resection seems to be safe and efficient in the short and long term treatment of plica in the elbow joint.

Epicondylitis (상과염)

  • Chung Sun-Gun
    • Clinics in Shoulder and Elbow
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    • v.8 no.2
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    • pp.81-87
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    • 2005
  • Epicondylitis, as a tendinopathy characterized by fibroblast and microvascular hyperplasia, is a common musculoskeletal problem especially related with repetitive hand and wrist motion. It has a prevalence of between 0.2% and 5% in general population depending on the amount of exposure to manual labor jobs. Although it is known that the pathological lesions lie in the flexor or extensor common tendons, there could be collateral ligament lesions and/or reactive synovitis accompanied, which may make a case unresponsive to the treatment aimed only at the tendinopathy. Epicondylitis is easy to diagnose with typical pain, tenderness, and positive provocation tests. However, many conditions can mimic epicondylitis that further imaging or electrodiagnostic studies should be undertaken to exclude other possible problems. Ultrasonography provides information about the existence and extent of tendinopathy with relatively high specificity. Magnetic resonance imaging is often required to rule out other problems and confirm the diagnosis of the cases intractable to long term treatment. Many options of treatment are available for epicondylitis while numerous conflicting evidences have been noted, debating one treatment method is better than the others. Since it was reported that over 80% of epicondylitis improved within a year no matter what was done as treatment, it is a challenge to make accurate diagnosis and combine effective therapeutic regimens for the 20% of intractable cases.

The Effects of Taping on the Pain in Patient with Medial Epicondylitis (테이핑이 내측 상과염 환자의 통증에 미치는 효과)

  • Seo, Young-Gyo;Kim, Ki-Chul;Lee, Jae-Hong;Choi, Jeong-Hee;Kim, Shin-Gyun;Lee, Su-Jin
    • PNF and Movement
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    • v.10 no.4
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    • pp.57-63
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    • 2012
  • Purpose : The Purpose of this study was to investigate the effects of taping on the pain decrease in patient with medial epicondylitis. Methods : A total of 20 patients participated in this study. Group 1 of 10 subjects performed taping intervention three times a week. Group 2 of 10 subjects only therapeutic modalities for 30 minutes. We analyzed the descriptive statistics and one-way ANOVA by SPSS 12.0 for windows. Results : In comparison of VAS between pre and post value, the decrease of pain was significant in the experimental and control group(p<.05). In comparison of the difference of VAS score between the groups was significant difference at (p<.05). Conclusion : Taping techniques helped to lower VAS score in patients with medial epicondylitis. Further tirials, which give attention to these parts, are needed before any firm conclusions may be made.

Influences of the Starting Salts on the Powder Characteristics of the Pb(Zr, Ti)$O_3$ Powders Prepared by Ultrasonic Spray Pyrolysis (원료염의 종류가 초음파 분무 열분해법에 의해 제조된 Pb(Zr, Ti)$O_3$미분말의 특성에 미치는 영향)

  • Kim, Hui-Bong;Lee, Jong-Heun
    • Korean Journal of Materials Research
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    • v.5 no.8
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    • pp.905-912
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    • 1995
  • Influences of the starting salts on the phase and morphology of the Pb(Zr, T)O$_3$powders prepared by ultrasonic spray pyrolysis were studied. The Phases of the Powders Prepared from the combination of metal nitrate(or oxynitrate), acetate(or oxyacetate), and alkoxide were the Pb(Zr, Ti)O$_3$with or without minor PbTiO$_3$. The pores on the surface of the spherical particles increased with the nitrate content in the starting solution and their formation was thought to result from the decomposition characteristics of metal nitrate. Pb acetate, Zr oxyacetate, Ti oxynitrate, and Ti (isopropoxide+acetylacetonate) was suitable as the starting salts for the preparation of Pb(Zr, Ti)O$_3$powders by ultrasonic spray pyrolysis in the viewpoint of the phase and morphology of the powders.

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Economic evaluation of manual therapy for musculoskeletal diseases: a systematic review and narrative synthesis of evidence (근골격계 질환의 수기요법에 관한 경제성 평가: 체계적 문헌 고찰 및 근거 합성 연구)

  • Kim, Chang-Gon;Lee, Jin-Hyun;Kim, Ka-Na;Shin, Byung-Cheul;Ko, Youn-Suk;Park, Tae-Yong;Ha, Won-Bae;Lee, Jung-Han
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.15 no.1
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    • pp.1-33
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    • 2020
  • 연구 목적 : 본 연구는 근골격계 질환에 대한 수기치료가 갖는 경제적 효과를 체계적으로 평가해 보기 위해 시행되었다. 연구 방법 : 2017년 2월 2일까지 국내외 관련 문헌을 체계적으로 검색 하였으며, 연관된 체계적 고찰 논문의 참고문헌을 조사하였다. 두 명의 연구자가 독립적으로 문헌을 선택하고, 비뚤림 위험 평가 및 경제성 평가 질 평가, 자료 추출을 시행하였다. 연구 결과 : 총 3,327개의 논문을 검토하여 최종적으로 18개의 무작위 대조 연구가 포함되었다. 경제성 평가는 수기요법과 다른 치료방법간의 유효성 비교를 통해 시행되었다. 요부 통증, 견관절 통증 및 외측 상과염 치료에 있어 침치료, 견인치료, 주사치료, 일반의 치료, 척추 안정화 기법 및 통증관리 치료보다 비용 효과적인 것으로 나타났다. 또한 또한, 수기치료는 경항통, 흉통, 고관절염 혹은 슬관절염, 경추신경병증 및 수부손상 치료에 있어 일반적 치료, 물리치료, 자가 치료 프로그램, 견인 치료에 비하여 효과적인 치료인 것으로 확인되었다. 결론 : 18개의 논문 중 10개의 논문에서 근골격계 질환 치료에 있어 수기치료가 경제적으로 효과가 있는 것으로 나타났다. 이러한 결과는 다른 치료방법에 비해 수기요법이 근골격계 질환에 있어서 경제적 가치가 있음을 시사하는 내용이다. 하지만, 근골격계 질환 수기치료의 경제성 평가에 대한 선행 연구는 전반적으로 부족한 실정으로, 보다 정확한 결과를 제시하고 정책결정을 위한 효과적인 제안을 위해서는 체계적인 추가 연구가 필요하다 사료되는 바이다.

Development and Evaluation of a Portable Micro-Current Stimulator for Acute Lateral Epicondylitis (급성 외측 상과염 치료를 위한 휴대용 미세전류자극기 개발 및 효과 검증)

  • Kwon, Hyeok Chan;Lee, Hyun Ju;Tae, Ki Sik
    • Journal of Biomedical Engineering Research
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    • v.40 no.2
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    • pp.68-74
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    • 2019
  • Lateral epicondylitis is caused by repeated use of the wrist, which causes inflammation and pain in the wrist extensor and tendon of the humerus. Delayed onset muscle soreness (DOMS) caused by repetitive resistance exercise affects the tendons connected in series with the muscle, leading to lateral epicondylitis. Although micro-current stimulation has been suggested as a possible treatment for tendinitis, there are insufficient studies on specific variables such as frequency. In this study, 15 healthy adult males and females developed DOMS in the wrist extensor and tendon in the humerus. The experimental group consisted of a low frequency group applying 20 Hz and a high frequency group applying 100 Hz according to the micro-current frequency. Each subject underwent an experiment for 5 days after DOMS, and the recovery rates were compared by measuring AROM, GPT, MST, PPT, and VAS. As a result, the 20 Hz group showed significant changes in AROM, MST, and VAS compared to the control group on the 4th day, and the recovery rate was also higher than that of the 100 Hz group. On the 5th day, recovery rate of 100 Hz group was higher than 20 Hz in AROM and PPT, and MST showed higher recovery rate than 20 Hz group, but there was no significant difference. These results indicate that microcurrent stimulation is effective for the treatment of delayed myalgia and tendon inflammation and that the 100 Hz group has faster recovery than the 20 Hz group.

Effect of Rare Earth Elements on Uranium Electrodeposition in LiCl-KCl Eutectic Salt (LiCl-KCl 공융염에서 우라늄 전착거동에 대한 희토류 원소들의 영향)

  • Park, Sungbin;Kang, Young-Ho;Hwang, Sung Chan;Lee, Hansoo;Paek, Seungwoo;Ahn, Do-Hee
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.13 no.4
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    • pp.263-269
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    • 2015
  • It is necessary to investigate the electrodeposition behavior of uranium and other elements on the cathode in the electrorefining process to recover the uranium selectively from the reduced metals of the electrolytic reduction process since transuranic elements and rare earth elements is dissolved in the LiCl-KCl eutectic salt. Study on separation factors of U, Ce, Y and Nd based on U and Ce was performed to investigate the deposition behavior of the cathode with respect to the concentration of rare earth elements in LiCl-KCl eutectic salt. After electrorefining with constant current mode by using Ce metal as a sacrifice anode, the contents of U, Ce, Y and Nd in the salt phase and the deposit phase of the cathode were analyzed, and separation factors of the elements were obtained from the analyses. Securing conditions of pure uranium recovery in the elctrorefining process was investigated by considering the separation factors with respect to $UCl_3$ and $CeCl_3/UCl_3$ ratio.