• 제목/요약/키워드: Musculoskeletal diseases'

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Changes in Diseases of Physical Therapy Patients and Medical Department on Two General Hospitals in Taegu (대구시내 2개 종합병원 물리치료환자의 진료과 및 질병 변화 $(1989\~1991)$)

  • Chu Min;Kim Ji-Sook;Im Bok-Hee
    • The Journal of Korean Physical Therapy
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    • v.5 no.1
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    • pp.47-60
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    • 1993
  • This study was conducted to investigate the changes diseases of physical therapy patient. Through the analysis, of total 2,902 cases in one university hospital and one general hospital in Taegu, of which 1,619 cases for 1989 and 1,283 cases for 1981. The physical records were analyzed in terms of sex, age, pattern in PT diseases, fee, and medical department of PT. The international classification of Diseases, 9th revision was used fer the study. Major results are as follows : 1. The ratio of male me female nae 1.51 to 1 in 1989, 1.53 to 1 in 1991. The proportion of the elderly over 60 was $15.6\%$ in 1989, $22.0\%$ in 1989. And the age groups of 50-59 years ranked the first an years. 2. As to the PT patients of medical department, Orthopaedics$(50.3\%)$, Neurosurgery$(28.1\%)$. Neuromedicine$(8.0\%)$. Plastic surgery$(4.4\%)$, and Dentry$(3.2\%)$ in that order in 1989. On the other hand, Orthopaedics$(51.2\%)$, Neurosurgery$(22.1\%)$, Neuromedicine$(9.6\%)$, Plastic surgery$(6.5\%)$, and Internal medicine$(6.5\%)$ in that order in 1991. 3. No significant difference was observed by season of PT patients, but winter (December, January and February) ranked the first all years. 4. No significant difference was observed changes in diseases as for the 56 international classification of diseases of PT patients, Diseases of the musculoskeletal system and connective tissue occupied the largest proportion all years. Fractures increased from $21.4\%$ in 1989, $24.5\%$ in 1991. On the other hand, Diseases of the nervous system remarkably increased from $8.9\%$ in 1989, $19.7\%$ in 1991.

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A Comparative Study on Medical Care Services in Two Community Health Sub-centers(Seo San-Gun, Choong Chung Nam-Do) (일선 2개 보건지소의 진료실적 비교 분석 (충남 서산군))

  • Chang, Il-Young
    • Journal of Preventive Medicine and Public Health
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    • v.17 no.1
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    • pp.121-126
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    • 1984
  • Several detailed aspects of medical care services during one year (Aug 1, $1982{\sim}$July 31, 1983) were compared between two community health sub-centers; one (A) was served by a local clinician, the other (B) by a trainee of preventive medicine. The results were analysed as follows: 1. Total spells of medical services during the same period in 'A' sub-center was 4,087 and that in 'B' 2,347. Medicaid visitors in 'A' was 1,051 (25.7% of the total), that in 'B' was 250 (10.7%). Significant difference was observed. 2. Average number of visits for the same case in 'A' was 2.0, that in 'B' was 1.4. Average duration of service by day for the same case in 'A' was 3.9, that in 'B' 3.0. 3. Average cost of service for a case in 'A' was 6,770 won, that in 'B' 4,230 won. 4. Difference in age distribution of visitors in the two sub-centers was insignificant. $0{\sim}9$ year group was 38.5% of the total. Difference in distribution by sex (between two sub-centers) was minimal. Male utilisers more than female by ca. 10%. 5. Concerning distribution of visitors by month, utilisation in July, August and September was the highest; the sum of them was 32.7% of the total in 'A' and 32.9% in 'B'. 6. Distribution by diagnoses in 'A' in decreasing order of frequency was Respiratory system diseases (26.1%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (17.4%), Accidents and poisoning (11.5%) and Diseases of musculoskeletal system and connective tissue (5.4%). That in 'B' was Respiratory system diseases (39.0%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (14.2%), Accidents and poisoning (10.9%) and Infection and parasitic diseases (9.1%). 7. The 10 most frequent diagnoses comprised 68.5% of the total in 'A' and 65.5% in 'B' 8. Utilisation by accessibility to each sub-center was studied. It is shown that the nearer the distance or the easier the accessibility, the more visits to services. The distinct pattern is manifested in the utilisation in 'A'-Myun.

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A literature study about utilization of oriental medical services (한방의료 이용에 대한 문헌적 고찰)

  • Lim, Jung-Hun;Lim, Sung-Min
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.2
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    • pp.11-22
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    • 2012
  • Objectives : This study aimed to analyze and summarize the utilization of oriental medical services in korea. Methods : From 3 Korean databases (National Assembly Library, Korea Education Research Information Sharing Service, and National Discovery for Science Leaders), published between 2001 and 2011, we were obtained 17 studies that involved the utilization of oriental medical services. Results : We found that women, elderly patients, and patients with low education levels and those with musculoskeletal and cerebrovascular diseases preferred to use oriental medical services. Other variables such as trust and kindness of staff and positive perceptions of the treatment effect were found to be significant determinants for utilizing oriental medical services. Conclusions : The utilization of oriental medical services would be related with gender, age, education levels and diseases. Also to confirm the reasons for patients to choose oriental medical services, further studies should be conducted using the highest methodological standards.

The Cause and Sonographic Diagnosis of Common Foot and Ankle Diseases (흔한 족부 및 족관절 질환의 원인과 초음파적 진단)

  • Ahn, Jae Hoon
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.1
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    • pp.27-36
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    • 2009
  • Musculoskeletal sonography is rapidly developing due to the merits such as relatively low cost and possibility of dynamic study. Sonography can be helpful and easily introduced for the diagnosis of the foot and ankle disease. This review tried to clarify the cause and sonographic diagnosis of common foot and ankle diseases.

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Manual Therapy of Musculoskeletal Diseases(Shoulder-Flexion and Extension) (근골격계 질환의 치료(어깨-굽힘과 폄))

  • Kim, Do-Gwan;Sin, Seong-Yun;Lee, Hyeon-Chang;Lee, Yang-Won;Park, Gi-Hong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.05a
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    • pp.118-119
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    • 2016
  • This paper proposes manual therapy with regards to shoulder diseases accompanied by pain when arms are lifted while spread straight. In the experiment, the angle of the arm when lifted straight is inserted for a manual diagnosis and in case of abnormality, the diagnosis and the therapy are proposed.

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The Characteristics of Accepted Work-related Injuries and Diseases Claims in the Australian Coal Mining Industry

  • Chong, Heng T.;Collie, Alex
    • Safety and Health at Work
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    • v.13 no.2
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    • pp.135-140
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    • 2022
  • Background: Coal mining is a hazardous industry. The purpose of the study is to identify the nature of occupational injuries and diseases among coal miners and to determine the factors that affect the rate of injury and duration of time loss from work. Methods: A retrospective cohort study was conducted using accepted workers' compensation claims data of 30,390 Australian coal miners between July 2003 and June 2017. Results: Musculoskeletal and fracture conditions accounted for approximately 60% of claims in all occupational groups. Cox regression analysis showed that older age and female gender were significant predictors of longer time off work. Injury types and occupations were associated with work time loss: mental health conditions, and machine operators and drivers had significantly longer durations of time off work. Conclusion: Future research can further address how these factors led to longer time off work so that coal industry regulators, employers, and healthcare providers can target interventions more effectively to these at-risk workers.

Ultrasound-Guided Minimally Invasive Procedure Using Thread (실을 이용한 초음파 유도하 최소침습시술)

  • Park, Hae-Yeon;Kim, Jae Min
    • Clinical Pain
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    • v.20 no.2
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    • pp.70-73
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    • 2021
  • A minimally invasive procedure refers to a procedure that minimizes tissue damage due to incision. By limiting the size of the incision, it can be expected to reduce the time taken for wound healing, reduce pain, and reduce the risk of infection. Recently, studies have been attempted to dissect the structures of the neuromusculoskeletal system using ultrasound-guided minimally invasive technique. Among those, dissecting thread may be utilized in several musculoskeletal diseases, including carpal tunnel syndrome, cubital tunnel syndrome, trigger finger, and selective crural fasciectomy. In this brief review, the use of dissecting thread in treating neuromusculoskeletal diseases are described.

An Analysis on the Use of Hospitalization for the Elderly aged 65 or older in Yeongbuk, Gangwon-do (강원도 영북권역 65세 이상 노인인구 입원이용 분석)

  • Lee, Si-Kyoung
    • Journal of the Health Care and Life Science
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    • v.9 no.1
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    • pp.95-102
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    • 2021
  • This study analyzed all medical institutions located in the Yeongbuk area of Gangwon Province by dividing the use of medical institutions by "including nursing hospitals" and "excluding nursing hospitals" from 2003 to 2017. As a result, high blood pressure, dementia, musculoskeletal diseases, small-scale mechanical diseases, and other diseases were accounted for in the use of hospitalization for the elderly (including nursing hospitals) in the Yeongbuk region. In the case of hospitalization use of the elderly population (excluding nursing hospitals), blood and circulation machine diseases, digestive and urinary system diseases, mental diseases, and other diseases, including high blood pressure, were shown in the order. Therefore, the treatment and health care of the elderly are very important, and the expansion of public health organizations is necessary to establish governance with local medical institutions, organizations, universities, etc. Based on this, health projects should be carried out at a preventive level to maintain a healthy life for senior citizens in Yeongbuk, Gangwon-do.

A Study on Factors Affecting Work Ability in Korean Workers

  • Lee, Yujeong;Chang, Seong Rok
    • Journal of the Ergonomics Society of Korea
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    • v.34 no.4
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    • pp.327-334
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    • 2015
  • Objective: The purpose of this study was to evaluate Korean workers' work ability and to identify its contributing factors. Background: In order for Korea to overcome the phenomena of becoming an aged society, older adults must participate in the workforce to balance out the population; workers' work ability must also be maintained. In addition, influential factors in employees' capabilities and degrees of importance thereof should be identified in advance to maintain work ability. Method: The Work Ability Index (WAI) questionnaire was completed by 5,708 Korean workers. Survey questionnaire consisted items of current work ability, physical and mental demands of the job, numbers of diseases, work impairment due to diseases, sick leaves, work ability in 2 years and mental resources. Results: Results indicated that work ability and length of service increased with age. It was also found that employees in administrative positions had greater work ability than site workers, workers directly managed by a supervisor had greater work ability than workers in cooperative firms, and workers who performed intellectual tasks had greater work ability than workers who performed physical labor. Job stress was additionally observed to contribute towards overall work ability. And musculoskeletal disorders (MSDs) were found to negatively affect work ability. Conclusion: The strongest determining factors in the work ability of Korean workers were stress level and mental state. Therefore, when the WAI is used to assess Korean workers, the weighting of WAI items pertaining to physical and mental abilities should be adjusted accordingly to account for these factors. Application: The result is expected to suggest that workers maintain work ability in an aged society.

Bridging Basic Knowledge and Clinical Practice in the Education of Traditional Korean Medicine: A case of Pubescent Angelica usages in Internal Bodily Elements section, Treasured Mirror of Eastern Medicine (동의보감·내경편 독활(獨活)의 용법을 통해 본 한의학 기초와 임상의 연계 교육 방안)

  • Hong, Jiseong;Kang, Inhye;Lee, Youngmi;Lee, Hoon-Yeon;Kang, Yeonseok
    • The Journal of Korean Medical History
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    • v.33 no.1
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    • pp.1-9
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    • 2020
  • Pubescent Angelica is generally used in musculoskeletal diseases of lower extremity, itching, external contraction (外感) and furuncle, with the effect of dispelling wind, draining dampness, dispersing the external (解表) and stopping pain. The disease parts of Treasured Mirror of Eastern Medicine (東醫寶鑑) contain 121 examples of the usage of Pubescent Angelica. Cases of musculoskeletal diseases and itching are mainly in the External Bodily Elements section (外形篇), and those of external contraction and furuncle are mainly in the Miscellaneous Disorder section (雜病篇). Internal Bodily Elements section (內景篇) has 10 prescriptions that involve Pubescent Angelica, in Dreams (2), Voice (1), Uterus (4), Parasites (1), and Feces (2) chapters. Their specific symptoms are insomnia and sleep paralysis (Dreams), loss of voice due to external contraction (Voice), uterine hemorrhage (Uterus), phthisis (Parasites), and constipation and diarrhea (Feces). It is not easy for students beginning their clinical training to link the effects of Pubescent Angelica and its actual usage, especially in the area of internal medicine. By Analyzing the whole cases of Pubescent Angelica in the Treasured Mirror, we found various usages out of reach of basic knowledge of the herb. Such method can be utilized not only in developing herbal knowledge-based products, but also in improving Korean medicine education, by enhancing the occupational competency bridging basic and clinical knowledge.