• Title/Summary/Keyword: Headaches

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The Effect of Headaches and Quality of Life with the Combined Western-Oriental Medicine Massage Program for Chronic Headache Patients (양.한방 혼합 마사지요법이 만성두통 환자의 두통 및 삶의 질에 미치는 효과)

  • Kim, Jung-Soon;Kim, Myoung-Soo;Lee, Sang-Ju
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.170-179
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    • 2011
  • Purpose: The purpose of this study was to identify the effect of combined Western and Oriental medicine headache massage program for chronic headache patients. Methods: This study was designed using the Nonequivalent control group pretest-posttest design. The forty nine patients were divided into an experimental group (25 patients) and a control group (24 patients). Collected data were analyzed by Chi-test, t-test, Fisher's exact test, Repeated measures ANOVA using SPSS/WIN 14.0 program. Results: After treatment in this program, the experimental group had no significan difference in scores for headache intensity and frequency as the length of time in treatment increased compared to the control group. But there were significant decreases in the use of medication (F=4.209, p=.046) and disturbances in the quality of life related to headaches (F=13.097, p=.001) after providing the combined Western-Oriental massage program. Conclusion: This program could have a positive effect on using medication for pain controllers and headache related quality of life. Based on the results of this study, further research focusing on the effectiveness of unique nursing intervention for chronic headache patients is suggested.

Cyclic Vomiting Syndrome: A Functional Disorder

  • Kaul, Ajay;Kaul, Kanwar K.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.4
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    • pp.224-229
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    • 2015
  • Cyclic vomiting syndrome (CVS) is a functional disorder characterized by stereotypical episodes of intense vomiting separated by weeks to months. Although it can occur at any age, the most common age at presentation is 3-7 years. There is no gender predominance. The precise pathophysiology of CVS is not known but a strong association with migraine headaches, in the patient as well as the mother indicates that it may represent a mitochondriopathy. Studies have also suggested the role of an underlying autonomic neuropathy involving the sympathetic nervous system in its pathogenesis. CVS has known triggers in many individuals and avoiding these triggers can help prevent the onset of the episodes. It typically presents in four phases: a prodrome, vomiting phase, recovery phase and an asymptomatic phase until the next episode. Complications such as dehydration and hematemesis from Mallory Wise tear of the esophageal mucosa may occur in more severe cases. Blood and urine tests and abdominal imaging may be indicated depending upon the severity of symptoms. Brain magnetic resonance imaging and upper gastrointestinal endoscopy may also be indicated in certain circumstances. Management of an episode after it has started ('abortive treatment') includes keeping the patient in a dark and quiet room, intravenous hydration, ondansetron, sumatriptan, clonidine, and benzodiazepines. Prophylactic treatment includes cyproheptadine, propranolol and amitriptyline. No mortality has been reported as a direct result of CVS and many children outgrow it over time. A subset may develop other functional disorders like irritable bowel syndrome and migraine headaches.

Effects of Silver Spike Point Therapy on Blood Flow of the Middle Cerebral Arteries in Headache Patients When Applied to Acupuncture Points (경혈에 적용한 은침점 자극치료가 두통환자의 중대뇌동맥 혈류속도 및 통증에 미치는 영향)

  • Seo, Hyo-Seok;Yun, Young-Dae
    • Korean Journal of Acupuncture
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    • v.25 no.3
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    • pp.29-41
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    • 2008
  • Objectives : The aim of this study is to examine the effects of SSP(silver-spike point) therapy, applied to acupuncture points, on the middle cerebral arteries blood flows of sample group(tention-type headache patients, n=12) and control group(non tension-type headache patients, n=12), and on the reduction of their headaches, when applied to acupuncture points. Methods : We stimulated 6 acupuncture points for headache with the SSP(three times a week for three weeks), and measured VAS(visual analogue scale) and the blood flow of the middle cerebral arteries with TCD(transcranial doppler ultrasonography). Results : The blood flow of the middle cerebral artery and VAS of the sample group and the control group were compared four times(initial, 1weeks, 2weeks, 3weeks) and significant differences in the measurements were found at 3 weeks(p<.05). The blood flow of the middle cerebral artery of the sample group was significantly increased, and VAS was significantly decreased in both groups. Conclusions : The silver-spike-point low-frequency electrical-stimulation treatment, applied to acupuncture points, can significantly increase the blood flow of the middle cerebral arteries in headache patients and can thus alleviate their headaches.

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Effect of Mulligan SNAGs on Pain, Neck Dysfunction, and Depression in patients with Cervicogenic headache (멀리건 SNAGs 기법이 경추성 두통 환자의 통증, 경부 기능 장애 및 우울증에 미치는 영향)

  • Park, Jae-myoung;Shin, Eui-joo;Hong, Hyun-pyo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.2
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    • pp.25-34
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    • 2022
  • Background: Cervical headache (CGH) is a common condition that causes serious damage. Mulligan described a sustained natural apophyseal glides (SNAGs) as a manual therapy approach to treat this dysfunction. Although there have been several case studies to evaluate the effectiveness of SNAG, the efficacy of SNAG for cervical headaches is still controversial. Therefore, this study examined the effects of Mulligan's SNAG technique on cervical headache and pain intensity to present basic clinical data. Methods: Thirty-two subjects participated in this study, 16 each in the experimental and control groups. The experimental group applied Mulligan's SNAGs technique and the control group applied the placebo SNAGs technique. Results: Significant differences (p<.05) in the changes in pain, neck disability index (NDI) and Hamilton rating scale for depression (HRSD) were observed between the two groups. Conclusion: The application of Mulligan's SNAG technique to patients with cervical headaches effectively reduced headache, depression, and neck dysfunction. Based on this study, Mulligan's SNAGs technique can be used as an objective research method for additional studies targeting cervical headache patients in the future.

A Comparison of Three Constitution Types of Korean Hand Therapy (Seogeum Therapy) for Migraine Care (편두통환자와 건강인의 삼일체형 분류 비고)

  • Kim, Young-Hae;Lee, Nae-Young;Kang, Youn-Whang
    • Journal of East-West Nursing Research
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    • v.15 no.2
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    • pp.135-140
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    • 2009
  • Purpose: This study examines the relationship between the occurrence of migraine headaches and three constitution types of Korean Hand Therapy (Seogeum Therapy). Methods: A total of 684 subjects comprised the study data: 500 healthy individuals and 184 migraine sufferers. The data were analyzed according to three constitution types of Seogeum Therapy. The subjects were classified according to their constitution types and body sides. Results: There were significant differences between the three types. Among the healthy group, the Yang Type and Shin Type Constitutions were more predominant than the Eum Type; the Yang and Shin Types were also more predominant than Eum Type with respect to both sides of the body. Among the migraine sufferers, the Eum Type Constitution was more predominant than the Eum Type; the Eum Type was also more predominant than the other types with respect to both sides of the body. Conclusions: These results suggest that the Eum Type Constitution might be associated with migraine headaches.

Effects of Auricular Acupressure on Headache and Its Impact on Daily Activities of Nurses (귀 지압이 간호사의 두통과 일상생활 두통 영향에 미치는 영향)

  • Kang, Hye-Won;Kim, Ja-Woon;Kim, Eun-Mi;Moon, Bo-bae;Jung, Jin-Young;Lee, Eun-Jin
    • Journal of East-West Nursing Research
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    • v.29 no.1
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    • pp.86-94
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    • 2023
  • Purpose: The purpose of this study was to examine the effects of auricular acupressure on headaches and its impact on daily activities in nurses. Methods: The design of this study was a randomized controlled trial. Data were collected from April 1 to April 14, 2022. Nurses suffering from headaches were recruited from a hospital in a city. Twenty nurses were assigned to the experimental group and 20 nurses to the control group. The experimental group received auricular acupressure for 2 weeks, and the control group was put on the waiting list. Results: Auricular acupressure reduced headache over 2 weeks compared to the control group. Auricular acupressure reduced the effect of headache on daily activities compared to control group. Headache effect on daily activities in the control group did not change. Conclusion: Based on the results of this study, it is suggested to repeat the study using various combinations of acupressure points other than the acupressure points used in this study or to use participants other than nurses.

Example of Air Exposure Assessment for Fire Extinguishing Agent Residues (소화약제 잔류물질에 대한 공기 중 노출평가 사례)

  • Daesung Lim
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.34 no.1
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    • pp.14-17
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    • 2024
  • Objectives: This is a case of air exposure assessment conducted after researchers complained of headaches and odor due to residual substances from fire extinguishing agents spread throughout the laboratory due to a malfunction of the fire extinguishing facility. Methods: A component analysis was conducted on the residual substances of a fire extinguishing agent spread in a laboratory using Py-GC-MS (pyrolysis gas chromatography mass spectrometry) at the research institute's own central equipment research center. As a result of the component analysis, several types of substances were detected. Among these, five types of substances subject to work environment measurement in the aromatic hydrocarbon series, which can affect headaches and odor, were selected as substances subject to exposure assessment in the air, and the measurement and analysis methods of the target substances were conducted in accordance with the KOSHA Guide for each substance. Conclusions: The measurement results showed that all 5 types of substances were not detected at locations A, B, and C. This is believed to be the result of the residual substances in the fire extinguishing agent being measured when approximately two months had elapsed after being exposed to the test bench, and the substances already exposed had volatilized and disappeared. In this survey, it is believed that the measurement process is more important than the measurement results.

A Study of Psychiatric Problems of North Korean Refugees Who Visited a Psychiatric Clinic (한 정신건강의학과에 내원한 북한이탈주민의 정신의학적 문제 고찰)

  • Kang, Hee-Young;Byeon, Seong-Hye;Shin, Sang-Ho;Kim, Hyun-Chung;Lee, So-Hee;Yoo, So-Young
    • Sleep Medicine and Psychophysiology
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    • v.19 no.1
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    • pp.35-41
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    • 2012
  • Purpose: According to the statistics announced by the Ministry of Unification, the number of North Korean refugees living in South Korea has increased by 200 on average monthly in 2010. The number of refugees increased only by 300 annually until 2000. The total number of refugees as of February 2012 was 20,956. This study aims to investigate the psychobiology of the North Korean refugees who consulted psychiatric clinics among those living daily life in South Korea. Methods: The subjects of this study were 85 North Korean refugees that consulted psychiatric clinics from January 1, 2005 to July 2011. This study obtained demographic and psychiatric information in a retrospective approach. Results: Among the 85 North Korean refugees, 75 (88.2%) were females and their average age was 48 years of age. A total of 16 (18.8%) were admitted to a clinic and among the inpatients, 4 were admitted twice and two were admitted three times. As for the claimed symptoms of outpatients, insomnia was shown in 47 (55.3%) patients, headaches in 37 (43.5%), anxiety in 20 (23.5%), depression in 19 (22.4%), etc. The major symptoms represented by inpatients were insomnia in 14 (87.5%) patients, depression in 12 (75%), and headaches in 8 (50%), etc. Conclusion: The most frequent psychiatric symptoms of North Korean refugees living in South Korea were insomnia and headaches. It suggests that when performing psychiatric diagnosis and treatment of North Korean refugees, we have to take into consideration the fact that they claimed the physical symptoms more than the emotional ones. Also, from the aspect that most symptoms of North Korean refugees were insomnia, more profound research on sleep is required in the future.

Support for a Campus Tobacco-Free Policy among Non-Smokers: Findings from a Developing Country

  • Yasin, Siti Munira;Isa, Mohamad Rodi;Fadzil, Mohd Ariff;Zamhuri, Mohammad Idris;Selamat, Mohamad Ikhsan;Ruzlin, Aimi Nadira Mat;Ibrahim, Nik Shamsidah Nik;Ismail, Zaliha;Majeed, Abu Bakar Abdul
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.275-280
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    • 2016
  • Background: A tobacco-free workplace policy is identified as an effective means to reduce tobacco use and protect people from second-hand smoke; however, the number of tobacco-free policies (TFP) remains very low in workplaces in Malaysia. This study explored the factors affecting support for a tobacco-free policy on two healthcare campuses in Malaysia, prior to the implementation of TFP. Materials and Methods: This cross-sectional study was conducted among 286 non-smokers from two healthcare training centres and two nearby colleges in Malaysia from January 2015 to April 2015. A standardized questionnaire was administered via staff and student emails. The questionnaire collected information on sociodemographic characteristics, support for a tobacco-free policy and perceived respiratory and sensory symptoms due to tobacco exposure. Bivariate and multivariate logistic regression analyses were performed to estimate the independent effects of supporting a tobacco-free campus. Results: The percentage of individuals supporting completely tobacco-free facilities was 83.2% (N=238), as opposed to 16.7% (N=48) in support of partially tobacco-free facilities. Compared to the supporters of partially tobacco-free facilities, non-smokers who supported completely tobacco-free health facilities were more likely to be female, have higher education levels, to be very concerned about the effects of other people smoking on their health and to perceive a tobacco-free policy as very important. In addition, they perceived that tobacco smoke bothered them at work by causing headaches and coughs and, in the past 4 weeks, had experienced difficulty breathing. In the multivariate model, after adjusting for sociodemographic characteristics and other factors, only experiencing coughs and headaches increased the odds of supporting a completely tobacco-free campus, up to 2.5- and 1.9-fold, respectively. Conclusions: Coughs and headaches due to other people smoking at work enhances support for a completely tobacco-free campus among non-smokers.

Neuroimaging Findings of First-Visit Headache Patients (두통 초진 환자에서 신경영상검사 소견)

  • Kim, Byung-Su;Kim, Soo-Kyoung;Kim, Jae-Moon;Moon, Heui-Soo;Park, Kwang-Yeol;Park, Jeong Wook;Sohn, Jong-Hee;Song, Tae-Jin;Chu, Min Kyung;Cha, Myoung-Jin;Kim, Byung-Kun;Cho, Soo-Jin
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.294-301
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    • 2018
  • Background: Neuroimaging can play a crucial role in discovering potential abnormalities to cause secondary headache. There has been a progress in the fields of headache diagnosis and neuroimaging in the past two decades. We sought to investigate neuroimaging findings according to headache disorders, age, sex, and imaging modalities in first-visit headache patients. Methods: We used data of consecutive first-visit headache patients from 9 university and 2 general referral hospitals. The International Classification of Headache Disorders, third edition, beta version was used in headache diagnosis. We finally enrolled 1,080 patients undertook neuroimaging in this study. Results: Among 1,080 patients (mean age: $47.7{\pm}14.3$, female: 60.8%), proportions of headache diagnosis were as follows: primary headaches, n=926 (85.7%); secondary headaches, n=110 (10.2%); and cranial neuropathies and other headaches, n=43 (4.1%). Of them, 591 patients (54.7%) received magnetic resonance imaging (MRI). Neuroimaging abnormalities were found in 232 patients (21.5%), and their proportions were higher in older age groups and male sex. Chronic cerebral ischemia was the most common finding (n=88, 8.1%), whereas 76 patients (7.0%) were found to have clinically significant abnormalities such as primary brain tumor, cancer metastasis, and headache-relevant cerebrovascular disease. Patients underwent MRI were four times more likely to have neuroimaging abnormalities than those underwent computed tomography (33.3% vs. 7.2%, p<0.001). Conclusions: In this study, the findings of neuroimaging differed according to headache disorders, age, sex, and imaging modalities. MRI can be a preferable neuroimaging modality to identify potential causes of headache.