• 제목/요약/키워드: Musculoskeletal diseases'

검색결과 442건 처리시간 0.027초

초음파 조영제 (Ultrasound Contrast Agent)

  • 김기욱
    • Clinical Pain
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    • 제20권2호
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    • pp.86-92
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    • 2021
  • Ultrasound imaging in clinical practice is one of the widely used diagnostic methods because there is no radiation risk, more cost- effective compared to MRI or CT, and possible to perform an intervention through fast real-time imaging. In order to increase the diagnostic value, the studies of contrast-enhanced ultrasound (CEUS) using an ultrasound contrast agent have been actively conducted since about 50 years ago and are being used clinically in vascularity and microcirculation of internal organs. Although ultrasound is actively used for the diagnosis and treatment of various diseases in musculoskeletal disorders, there are some limitations in diagnosing mild or small lesions, inflammatory reactions, or abnormalities at the molecular level. In this review, the principles, types, and research, and clinical applications of ultrasound contrast agents have been summarized and introduced. If we understand the characteristics of the ultrasound contrast agents and anatomical knowledge, as well as molecular changes, the ultrasound contrast agents are widely applied in musculoskeletal disorders and have tremendous potential for diagnosis and treatment.

자동차 유리제조사의 근골격계 질환 유해요인 조사 (An Ergonomic Research on Injurious Factirs Causing Musculoskeletal Disorders at an Automotive Glass Manufacturing Company)

  • 양성환;조문선;박범
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2005년도 춘계학술대회
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    • pp.251-257
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    • 2005
  • The purpose of this study is to execute the investigation of injurious factors causing muscle-skeletal diseases at an automotive glass manufacturing company and, on the basis of the results, to enhance productivity by the improvement of working environment. By using an survey and an ergonomic evaluation method, symptoms of muscle-skeletal diseases of workers and working postures at each process were analyzed, and quantitative evaluation of muscle-skeletal disease risk against each process was performed. Based on the result of the evaluation, to enhance the working environment, improvement of worktable, working space, tools, and outfit was suggested, and induction of mechanical system was also suggested. Suggested improvement plan was applied to the workplace step by step and it is confirmed that improvement plan not only removes the injurious factors of muscle-skeletal diseases but also is effective to enhance productivity.

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모 한방병원 응급실에 내원한 소아 환자에 대한 임상적 연구 (A Clinical Study of the Pediatric Patients Who Visited in Emergency Room of Oriental Medical Hospital)

  • 윤혜진;백정한;서정민
    • 대한한방소아과학회지
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    • 제21권2호
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    • pp.35-50
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    • 2007
  • Objectives The purpose of this study was to revitalize pediatric emergency care in oriental medical hospital. Methods The study was composed of 281 pediatric patients who visited emergency room of the ${\bigcirc}{\bigcirc}$ university oriental hospital, from March 2006 to February 2007. Results The age distribution showed that 1 to 3 year's patients(40.6%) are the most New pediatric patients(59.1%) were more than who received medical treatment in this place. The seasonal distribution of between month's section and the 24 solar terms's section made no differences and pediatric patients who visited in emergency room was most in spring, least in autumn. Moreover the changes of season's patients were more than others. Pediatric patients who visited during the weekends and holidays(50.9%) were more than during the weekdays(49.1%). Systemic division of the major problems were the digestive symptoms(44.5%) and nervous symptoms(30.6%), respiratory symptoms(12.5%), musculoskeletal symptoms(5.3%), dermatological symptoms(1.8%), cardiovascular symptoms(0.7%) and others(4.6%) followed. The time interval between arrival and onset : within 6 hours were the most(54.5%). Pediatric patients who had digestive, nervous, musculoskeletal diseases within 6 hours were the most, but in the case of patients who had respiratory diseases, most of them were visited within 48 hours. Acting and herb-med treatment(77.9%) were the most in medical treatments. Pediatric patients(69.0%) who didn't revisit in this hospital after treatment in emergency room were more than who revisited(29.9%). Conclusions Pediatric patients who visited in emergency room of oriental medical hospital were most not acute form of a serious diseases, patients most visited in disease prefer to oriental medicine; such as dyspepsia, convulsions, crying, ankle sprain. Further studies will be needed for the actual circumstance's reflecion from this hospital and other oriental hospitals nearby or other western emergency rooms for the accurate studies.

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홍화약침 시술에 관한 임상논문 비교연구 (A Comparative Review on Carthmi-Flos Pharmacopuncture Treatment - Focused on Clinical Study)

  • 이수환;윤정원;김순중
    • 한방재활의학과학회지
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    • 제27권4호
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    • pp.55-65
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    • 2017
  • Objectives The purpose of this review is to analyze results of case studies and controlled studies about Carthmi-Flos pharmacopuncture. Based on the review, authors desire to suggest the study model including precise information and evident the effect of Carthmi-Flos pharmacopuncture objectively in treating clinical disorders. Methods We search 44 studies about Carthmi-Flos pharmacopuncture from 6 Korean web databases, using words 'Carthmi-Flos pharmacopuncture' in Korean alphabet. This study had been conducted throughout 1 month (July, 2017). We selected case studies and controlled trials in investigated 44 thesis, excluding experimental research and thesis not using the Carthmi-Flos pharmacopuncture for major treatment. Results We analyze 13 case reports and 7 controlled trials. As a result, Carthmi-Flos Pharmacopuncture was used mostly in musculoskeletal, neurological diseases. But this can be applied to internal diseases. Disorders reported effectively were carpal tunnel syndrome, degenerative knee joint arthritis, posterior neck pain, low back pain, radial nerve palsy, shoulder pain, lumbar compression fracture, alopecia areata, chronic daily headache, duverney fracture, oligomenorrhea, cervical disc herniation, rheumatoid arthritis and cervical headache. Conclusions As we analyzed, Carthmi-Flos pharmacopuncture is specifically effective in musculoskeletal and neurologic diseases. But there are various problems in study design. To design accurately, the study design should include much more specific information. And the result can be more precise by excluding other methods.

협동동물병원의 유우질병에 대한 연간조사분석 (Analysis of Dairy Cow Diseases at Hyup-dong Animal Hospital)

  • 임영일;정창국
    • 한국임상수의학회지
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    • 제1권1호
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    • pp.33-40
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    • 1984
  • The number of dairy cows diagnosed and treated at Hyup-dong Animal Hospital from July 1983 to June 1984 was amounted to 3,073 heads of Holstein breed and the result of analysis of diseases was as follows : 1. In the topographic diagnostic categories, 41.23% of all cases involved the urogenital system and were observed most prominent. Next were digestive system (22.10%), general and regional (14.55 %), respiratory system (8.20%) and musculoskeletal system (7.06%) in decreasing order. 2. In urogenital system 50.20% of all diagnosis involved metritis and this were most prominent disease. Next were repeat breeder(15.31%), retained placenta (12.79%) and ovary disfunction(9.40 %) in decreasing order. 3. In digestive system 36.82% of all diagnosis involved enteritis and were most prominent. Next were abomasal displacement (29.31%), lumen indigestion (20.32%) and lumen bloat (9.57%) in decreasing order 4. In general and regional diseases, 52.80% of all diagnosis involved ketosis and were most prominent. Next were milk fever (25.50%), downer cow (5.82%) and omphalitis (4.47%) in decreasing order. 5. In respiratory system, 82.54% of all diagnosis involved upper respiratory tract infections and were most prominent. Next were pneumonia (15.87%). 6. In musculoskeletal system, 49.31% of all diagnosis involved foot rot and were most prominent. 7. In milk secreting system, 61.64% of all diagnosis involved mastitis and ere most prominent. Next were stenosis of teat canal (16.35%). 8. Among the individual disease entities, endometritis marked 20.7%, enteritis 8.13%, ketosis 7.68% upper respiratory tract infection 6.77%, repeat bheeder 6.31%, retained placenta 5.27%, abomasal displacement 4.69%, and lumen impaction 4.49%, respectively of total 3,073 cases in decreasing order.

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근관절 전문간호교육 프로그램개발에 관한 요구조사 (Nurses' Needs and Priority for Developing Advanced Nursing Education Program in Musculoskeletal Care)

  • 김종임;임난영;조경숙;이은남;송라윤;은영;박원숙;이동숙;권영숙;심희숙;장부영;최미경;이지현
    • 근관절건강학회지
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    • 제19권2호
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    • pp.120-130
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    • 2012
  • Purpose: The purpose of this study was to assess nurses' educational needs for developing advanced nursing education program for musculoskeletal care. Methods: The participants consisted of 272 clinical nurses who had experience of taking care of patients with musculoskeletal problems. A structured questionnaire with 28 items was used to assess educational needs and priority perceived by clinical nurses. Collected data were analyzed using SPSSWIN V.18.0 program for descriptive statistics. This survey was conducted in accordance with standard ethical guidelines for all research involving human participants. Results: While the majority (93.4%) perceived needs for advanced education program, about half of the participants (48.5%) reported no educational experience about musculoskeletal care. The clinical nurses perceived important for 23 out of 28 areas to be included in advanced nursing education. Especially, the areas of pain management, surgical care, and medication were perceived high priority for education program in caring musculoskeletal patients. Conclusion: The study findings showed that most nurses perceived the need for advanced nursing education program in musculoskeletal care, and the areas with higher priority as perceived by nurses should be reflected in the program.

치과위생사의 근골격계질환 자각증상에 관한 요인 조사 (Factor Analysis on Subjective Symptom of Musculoskeletal Diseases in Dental Hygienists)

  • 김수관;오나래;정미애
    • 한국콘텐츠학회논문지
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    • 제12권4호
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    • pp.273-281
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    • 2012
  • 본 연구의 목적은 치과위생사의 근무환경, 근골격계 질환 예방교육에 대한 인식, 작업관련성 근골격계 질환과 근무특성과의 연관성에 대하여 알아보고, 치과위생사의 근골격계 질환 증상에 대한 기초자료를 제공하고자 한다. 서울, 경기, 대구, 포항의 210명 치과위생사를 대상으로 2011년 8월 1일부터 12일까지 자기기입식 설문지 조사를 시행한 후 회수하여 응답이 불분명하거나 크게 사고를 당한 5명을 제외한 205명에 대해서 분석 하였다. 수집된 자료는 SPSS WIN 15.0 프로그램을 이용하여 분석하였다. 그 결과 신체부위별 통증빈도를 보면, 평균이 '어깨-목 사이(오른쪽)'가 3.07로 가장 높았고, 신체부위별 통증 정도를 보면, 평균이 '발목/종아리(왼쪽)'가 1.47로 가장 높게 나타났다. 신체부위별 근골격계질환 통증경험 관련 작업능력 지장여부를 보면, 평균이 '무릎(오른쪽)'이 1.84로 가장 높게 나타났다. 따라서 치과위생사들이 근골격계 질환에 안전할 수 있도록 보다 많은 관심과 노력을 기울여야 할 것으로 사료된다.

악성종양의 감별진단을 위한 근골격의 확산강조영상 검사 시 최적의 여기횟수 (Diffusion Weighted Imaging in Musculoskeletal MRI: Analysis on Optimal Number of Excitations Providing better Differentiation of Maglignant Tumor)

  • 최관우
    • 한국콘텐츠학회논문지
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    • 제18권8호
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    • pp.338-344
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    • 2018
  • 본 연구에서는 근골격 확산강조영상 검사 시 검사시간이 긴 여기횟수의 문제점을 인지하고 이를 대체할 수 있는 최적의 여기횟수를 제시하여 이를 개선하고자 하였다. 연구방법은 무릎관절 MRI 검사를 받은 30명을 대상으로, 여기횟수를 1부터 5까지 사용하여 뼈와 근육의 확산강조영상을 획득한 다음 여기횟수의 변화에 따른 ADC value를 비교분석 하였다. 연구 결과 기존에 관행적으로 사용해왔던 여기횟수 5와 차이가 없는 최소 여기횟수는 뼈의 경우 4, 근육의 경우 2로 나타났다. 이는 기존 여기횟수의 검사시간에 비해 뼈는 21.2%, 근육은 59.6% 단축된 수치로, 위에 제시한 여기횟수를 적용하면 통계적으로 차이가 없어 검사시간을 단축시키면서 기존 여기횟수를 대체할 수 있음을 의미하는 것이다. 결론적으로 본 연구가 제시한 여기횟수를 근골격 확산강조영상 검사에 적용하면 검사시간의 증가로 인해 발생할 수 있는 문제점을 개선할 수 있다.

혼합현실 기반의 노인을 위한 근골격계 재활 운동 플랫폼 (Musculoskeletal Rehabilitation Exercise Platform for Elderly based on MR)

  • 박성준
    • 한국인터넷방송통신학회논문지
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    • 제23권5호
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    • pp.63-70
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    • 2023
  • 본 논문에서는 대부분의 노인들이 가지고 있는 만성 질환 중의 하나인 근골격계 질환을 해결할 수 있는 혼합현실 기반의 재활 운동 솔루션을 제안한다. 현대 사회는 점점 증가하고 있는 노인층이 많아지면서 사무직에 종사가 많아지고 좌식 활동이 많아지게 되었다. 반복되는 사무 활동으로 근력 감소가 많아지고 이로 인해 일상생활에 많은 어려움을 가지고 있다. 본 연구에서는 이러한 근골격계 만성 질환을 해결하기 위해 혼합현실 기반의 운동 플랫폼을 개발하였다. 가상현실은 어지러움 때문에 노인들에게 적합하지 않다. 또한, 자체적으로 개발한 관성센서 기반의 웨어러블 센서를 개발하여 상체 중요 부위에 부착하여 편하게 운동할 수 있게 하였다. 혼합현실 환경에서 웨어러블 센서로부터 실시간 원시 데이터를 실시간 수집하여 이를 가상 환경의 아바타와 동기화되기 위한 변환 알고리즘을 개발하였다. 사용자는 혼합현실 환경에서 실시간 재활 운동이 정확하게 이루어지는가를 아바타를 통해 확인할 수 있으며 보다 정확한 운동을 할 수 있게 하였다.

한약제제 보험급여 주상병과 처방분석 (The Analysis of Main Diseases and Herbal Preparations in Herbal Health Insurance)

  • 박혜정;오문수;김은정;이상규;박성규;김윤경
    • 대한본초학회지
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    • 제21권4호
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    • pp.1-10
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    • 2006
  • Objectives : Recently, the total medical expenses of the korean oriental medical service in national health insurance is on the increase every year. Herbal medicines are one of the major methods of the medical treatment. But the expenses of these herbal preparations that can receive benefits from insurance system are decreasing. Methods : In this research, we obtained statistical data of the benefit states of herbal preparations in herbal heath insurance during year 2001-2003 from Health Insurance Review Agency. We analyzed top twenty main diseases in herbal health insurance and mainly used prescription in these diseases. Results : There were wide differences in the application of prescriptions among diseases. For example, musculoskeletal diseases occupied an important position and Ojucksan took more than 50 percentage. Conclusion : We hope that this study could be a basic data for improving the benefit system of herbal health insurance and further studies should be carried out subsequently.

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