• 제목/요약/키워드: Musculoskeletal symptoms

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슬관절에 발생한 관절내 골연골종 - 2례 보고- (Intra-Articular Osteochondroma of the Knee -2 Cases Report-)

  • 한정수;정비오;소동혁
    • 대한골관절종양학회지
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    • 제10권2호
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    • pp.147-151
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    • 2004
  • 골연골종은 원발성 골종양 중 가장 흔한 양성 종양 중 하나이지만 관절내 발생은 매우 드물다. 저자들은 2세 남아가 좌측 슬관절에 내반 변형을 주소로 내원 후 시행한 단순방사선 검사와 수술 소견 및 생검상 좌측 슬관절내 골연골종으로 진단, 치료한 1예와 10세 남아가 우측 슬관절 동통 및 굴곡 구축을 주소로 내원, 우측 슬관절내 골연골종으로 진단하고 치료한 1예를 문헌고찰과 함께 보고하고자 한다.

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주소증(主訴症)으로 본 침구과(鍼灸科) 초진환자(初診患者)의 분석(分析) (Study of the New Patients of Acupuncture and Moxibustion Department in Dongeui Oriental Medical Hospital.)

  • 김수민;정경근;이경희;권미정;장경전
    • 대한약침학회지
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    • 제10권3호
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    • pp.101-112
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    • 2007
  • Purpose In order to profits to investigator who want to know acupuncture and moxbustion treatments are available to what symptoms today and how goes on the clinical lecture for oriental medical students, this research was carried out. Methods The following conclusion were derived from 745 of patients who treated in acupunture & moxibustion department of Dongeui Oriental Medical hospital from the July in 2006 till January in 2007. Results 1. There were 203(27.25%) persons of Lumbago, 101(13.56%) persons of Bel's palsy, 94(12.62%) persons of Omalgia, 80(10.74%) persons of paralysis of limb, 74(9.94%) persons of disordinary sense of limb and etc. 2. There were 395 females(53.02%) and 350 males(46.98%). 3. The patients over 60th were 26.72%, the 50th were 23.08%, the 40th were 22.14%, the 30th were 15.44%, 20th were 8.45%. So the older the more patients. Conclusion In accordance with the above results, acupuncture & moxibustion teatments are good to use degenerative musculoskeletal disease, pain, paralysis and etc.

사지에 발생한 편평상피 세포암 (Squamous Cell Carcinoma in the Extremities)

  • 최일용;김태승;조원민;최충규
    • 대한골관절종양학회지
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    • 제1권1호
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    • pp.98-104
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    • 1995
  • 장기간 피부에 존재하는 궤양성 반흔이나, 만성골 수염의 누루 등에서 편평상피 세포암이 잘 발생하며 이들은 동통이 더욱 심해지거나 종괴의 크기가 갑자기 증가할때 그리고 분비물(discharge)이 늘어 날때는 악성 변화를 의심하여야 하며 조기에 생검을 하여 진단 후 적절한 수술적 치료가 필요하다. 또한 이들은 국소 림프절로의 전이가 빈발하므로 Grade II와 III에서는 예방적으로 국소 림프절에 방사선 조사(irradiation)를 고려해야 된다.

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악성 골 종양으로 오인된 급속 파괴형 고관절증 - 증례 보고 - (Rapidly Destructive Coxarthrosis Mimicking a Malignant Bone Tumor - A Case Report -)

  • 이형석;김정렬
    • 대한골관절종양학회지
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    • 제14권2호
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    • pp.203-207
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    • 2008
  • 급속 파괴형 고관절증(Rapidly destructive coxarthrosis)은 고관절에 발생하여 급속한 골파괴를 일으키며 현재까지 확실한 원인이 밝혀지지 않은 드문 질환이다. 임상적으로 극심한 고관절 통증과 파행을 나타내며, 방사선학적으로 수개월 내에 급속한 대퇴골두의 파괴를 일으키므로 류마토이드 관절염, 세균성 관절염, 신경병성 관절증 및 골종양과 감별을 요한다. 저자들은 우측 대퇴골두에 발생하여 4개월만에 급속한 골파괴성 병변을 보여 악성 골종양으로 오인되어 타 병원으로부터 전원 되었던 80세 여자 환자의 급속 파괴형 고관절증을 보인 증례를 경험하였기에 이를 문헌 고찰과 함께 보고하는 바이다.

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포상 연부 육종 (Alveolar Soft Part Sarcoma)

  • 신규호;한수봉;박홍준
    • 대한골관절종양학회지
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    • 제1권2호
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    • pp.220-225
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    • 1995
  • Alveolar soft part sarcoma, named by Christopherson in 1952, is a very rare soft tissue sarcoma. It reportedly accounts for 0.5 to 1.0% of all soft tissue sarcoma and no established treatment principle assists it. The relative lack of symptoms makes it easily overlooked and consequently early diagnosis is frequently impossible. Often, the metastasis to the lung or the brain is the first manifestation of the disease. In some cases wide excision is not performed because it is misdiagnosed as a benign tumor. Authors experienced 7 cases of alveolar soft part sarcoma in 20 years and found the ultimate prognosis grave and the treatment not promising. Therefore, the authors recommend the following; 1. Early diagnosis and early treatment are important for successful management of alveolar soft part sarcoma. 2. Preoperative incisional biopsy is necessary for pathologic diagnosis. 3. The recommended treatment modality is a combination of wide excision, chemotherapy and radiotherapy.

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암 환자의 신체활동 및 운동 (Physical Activity and Exercise Intervention for Cancer Survivors)

  • 채진;박형준;이지영;정현식;이상헌
    • 대한암한의학회지
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    • 제17권1호
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    • pp.27-38
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    • 2012
  • Objective : To present an overview of current reports and guidelines of physical activity and exercise intervention for cancer survivors Methods : We searched Pubmed for the related studies such as randomized controlled trials and observational studies, as well as published guidelines or recommendations for exercise intervention. Results : Physical activity and exercise intervention is considered safe and effective for most cancer survivors. According to the guidelines, patients with peripheral neuropathy, musculoskeletal disorder, or those who are at risk of fracture, should undergo proper medical assessment before starting exercise intervention. Also, patients with bone metastasis, thrombocytopenia, symptomatic anemia, or acute infection may fall into one of the contraindications of exercise intervention. Conclusions : Physical activity and exercise intervention may play a major role in improving physical functioning, quality of life, or treatment-related symptoms of cancer survivors. It is necessary to recognize the benefits and precautions of exercise in caring cancer patients.

흉추부에 발생한 자발성 척수 경막외 혈종 - 증 례 보 고 - (Spontaneous Thoracic Epidural Hematoma - Case Report -)

  • 구태헌;목진호;이영배;박용석;이규춘;김한식
    • Journal of Korean Neurosurgical Society
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    • 제29권1호
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    • pp.131-135
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    • 2000
  • Spontaneous spinal epidural hematoma, an idiopathic accumulation of blood in the vertebral epidural space without identifiable predisposing factors, is a rare condition. The diagnosis can be made from a careful history and neurological examination, but clinical diagnosis is often difficult because of its non-specific symptomatology and it can be confused with myocardial infarct, musculoskeletal pain, vasculitis and acute dissection of an aortic aneurysm. For a favourable outcome, early decompressive laminectomy and evacuation of hematoma are necessary. We report a 50-year-old female who presented with acute paraparesis and back pain on thoracic area. Diagnosis of spinal epidural hematoma which extended over $T_4-T_9$ was made by magnetic resonance imaging. We performed immediately decompressive laminectomy and evacuated the epidural hematoma. No cause for bleeding was evident. Postoperatively, neurological symptoms disappeared within six weeks.

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전자제품제조업 근로자의 직무스트레스와 근골격계 질환 자각증상에 대한 연구 (A Study on Relationship Between Symptoms Of Musculoskeletal Disorders And Psychosocial Stress For Electronical Product Assembly Workers)

  • 문정일;박동현
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2009년도 춘계학술대회
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    • pp.93-104
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    • 2009
  • 본 연구는 직무 스트레스와 근골격계질환과의 관련성을 알아보기 위하여 단순작업과 반복 작업이 빈번하게 발생하는 전자제품 제조업에 대하여 고용 규모 30인 미만과 300인 이상의 사업장을 구분하여 실시하였다. 연구 대상자 311명은 근골격계질환 관련 자각증상과 한국인 직무 스트레스(KOSS)에 대해 설문 조사 방법을 이용하여 분석하였으며, 그 결과 한국인 직무스트레스(KOSS)영역에서 30인 이하의 사업장이 물리적환경, 직무요구, 직무자율성결여, 직무불안정, 조직체계, 보상부적절, 직장문화의 영역에서 불만족도가 300인 이상사업장에 비하여 스트레스가 높게 나타났다. 근골격계질환 관련 신체 부위별 증상자를 살펴보면 신체부위 목, 허리에 대한 증상 호소자가 가장 많은 것으로 나타났으며, 근로자들이 근무중 회사와의 갈등으로 격는 한국인 직무스트레스(KOSS)에서는 물리적환경, 직무요구, 직무자율성결여, 직무불안정, 조직체계, 보상부적절, 직장문화에 대하여 30인 미만 사업장 소속 근로자들의 스트 레스 노출정도가 높았다. 다만 KOSS부분에서 근로자들의 개인적인 성향을 나타내는 관계갈등부분은 약간의 차이로 300인 이상 고용사업장의 근로자에 대한 스트레스 노 출정도가 높았다. 이에 30인 미만 사업장과 같은 영세업종 근로자들에게 정신사회적 스트레스의 해소를 위한 예방 프로그램이 마련되어야 할 것이다.

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Ergonomic Problems and Their Improving Measures in Office Environment of General Hospitals

  • Kee, Dohyung
    • 대한인간공학회지
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    • 제34권2호
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    • pp.135-143
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    • 2015
  • Objective: The purposes of this study are to investigate ergonomic problems and to propose their improving measures in office environment of big general hospitals. Background: Office tasks have varying risk factors of work-related musculoskeletal disorders (WMSDs). The first symptom resulted from the office work was recognized as an occupational disease in Korea in 1986. Although the symptoms have increased since its first recognition, there has been few study on the effect of office work environment settings. Method: First, the author took pictures of working scenes performed in three big university hospitals. Next, the pictures were analyzed in view point of ergonomics. Based on the analysis, their improving measures were proposed for reducing work stress. Results: The results showed that most physical office environment settings such as dimensions of tables/desks and chairs, leg room, thigh, knee and foot clearances, and chairs used did not satisfy the ergonomically recommended design guidelines. In addition, some clerks placed personal belongings under their desks, put monitors in high position and did not lean against the backrest of chairs in seated tasks, which resulted in poor working postures of leg, back, neck etc. It is recommended that the hospital management should provide their clerks with ergonomically designed office furniture and continuously perform ergonomics training program for raising clerks' recognition for office ergonomics. Conclusion: Most office environment settings investigated in this study were not in good condition in view point of ergonomic design for the settings. Application: It would be useful as basic data for establishing ergonomically good office environment in hospitals.

경항통 및 경추 염좌를 동반한 소아 교통사고 입원 환자 24명에 대한 임상적 고찰 (The Clinical Study of Cervical Sprain by Car Accidents in Children)

  • 구은진;이진화;한재경;김윤희
    • 대한한방소아과학회지
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    • 제30권4호
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    • pp.19-28
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    • 2016
  • Objectives The purpose of this study is to report 24 patients who have neck pain or have been diagnosed with cervical sprain by car accidents and have been treated in the oriental medical hospital. Methods 24 children who have visited oriental medical hospital from January 2016 to September 2016 were analyzed by reviewing the patients' charts. Results In the study group, the most common chief complaint was having musculoskeletal partial pain. Among them, 18 patients had neck pain; 20 patients had C-spine sprain was diagnosed at and among 18 who had neck pain, 14 was diagnosed C-spine sprain and 4 was normal. All patients had been treated by acupuncture, herb medicine and chuna treatment (muscular manipulation) and the oriental medical treatment resulted in improvement of children patients' symptoms by car accidents. Conclusions The study result showed that the car accident could have caused cervical sprain and neck pain to children and the oriental medical treatment was effective in the children patients.