• 제목/요약/키워드: Narrative review

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Clinical Consideration of Trigger Point Injection/Dry Needling Therapy: A Narrative Review

  • Jung, Jae-Kwang;Byun, Jin-Seok;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • 제42권3호
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    • pp.53-61
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    • 2017
  • Myogenous temporomandibular disorder is a collective term for pathologic conditions of the masticatory muscles, mainly characterized by pain and dysfunction associated with various pathophysiological processes. Among the subtypes of myogenous temporomandibular disorder, myofascial pain is one of the most common muscle disorders, characterized by the presence of trigger points (TrPs). Various modalities, such as ultrasound, manipulative therapy, spray-and-stretch technique, transcutaneous electrical nerve stimulation, injection/dry needling, and low-level laser therapy are used to inactivate TrPs. Needling/injection on the TrPs is one of the most common treatments for myofascial pain. Despite the evidence, there is continued controversy over defining the biological and clinical characteristics of TrPs and the efficacy of injection/dry needling. This review discusses the current concept of injection/needling to relieve TrPs.

Essentials of Physiotherapy after Thoracic Surgery: What Physiotherapists Need to Know. A Narrative Review

  • Ahmad, Ahmad Mahdi
    • Journal of Chest Surgery
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    • 제51권5호
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    • pp.293-307
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    • 2018
  • Physiotherapy has recently become an essential part of enhanced recovery protocols after thoracic surgery. The evidence-based practice of physiotherapy is essential for the effective management of postoperative patients. Unfortunately, only a small body of literature has discussed the rationale of the physiotherapy interventions that are routinely implemented following thoracic surgery. Nonetheless, we can integrate the available knowledge into our practice until new evidence emerges. Therefore, in this review, the principles of physiotherapy after thoracic surgery are presented, along with a detailed description of physiotherapy interventions, with the goals of enhancing the knowledge and practical skills of physiotherapists in postoperative care units and helping them to re-evaluate and justify their traditional practices.

Heresiological Labeling in Ecumenical Networking from the Ninth to Thirteenth Centuries : The Byzantine Oikoumene Reconsidered

  • KUSABU, Hisatsugu
    • Asian review of World Histories
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    • 제4권2호
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    • pp.207-229
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    • 2016
  • Apart from its Greco-Roman and Christian connotations, considering its continuous influence in the Byzantine world, the oikoumene should be seen as a geo-political as well as socio-religious concept of networking and unity in popular thought and local narratives. This paper argues that "ecumenical" thought survived after Late Antiquity and through the Byzantine era in the Orthodox transportation infrastructure of people and information. It also provides a review of the circulation of heresiological "labels" in the middle to late Byzantine eras. In the Mediterranean, routes, transportation vehicles, and any media supported intelligent networking in the oikoumene. People in the oikoumene could access foreign teachings or stories from outsiders or "barbarians" of different faiths. Constantinopolitan intellectuals coined and issued labels for heretics, such as the Bogomils, Paulicians, and Massalians, and constructed a narrative of the heretical contamination from the center of the oikoumene. Heresiologists collected the information used in creating these heresy titles from far-flung places in all directions from Constantinople, and then exported the labels, which were spread using the transportation network of the Byzantine oikoumene.

Non-Pharmacological Treatments of Psoriasis in Persian Medicine a Narrative Review

  • Rasanan, Farshad Mohammadian;Kenari, Hoorieh Mohammadi;Ghassemi, Mohammadreza;Sabbagh, Ali Jabbari;Aliasl, Jale;Ghobadi, Ali
    • 대한약침학회지
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    • 제25권1호
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    • pp.1-6
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    • 2022
  • Psoriasis is a chronic disease that has no definitive cure. In this review study, the main sources of Persian Medicine (PM) such as the Canon of Medicine (by Avicenna) and Al-Havi (by Rhazes) were assessed to identify non-pharmacological treatments for psoriasis. Several treatments that are recommended for this disease include nutritional advice, lifestyle modifications, and manipulation therapy such as wet cupping (Hijamah), leech therapy, and phlebotomy (Fasd). These recommendations may help to prevent recurrence and be useful in improving psoriasis. The efficacy of PM recommendations to improve psoriasis should be evaluated in future studies.

The use of platelet-rich plasma in management of musculoskeletal pain: a narrative review

  • Thu, Aung Chan
    • Journal of Yeungnam Medical Science
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    • 제39권3호
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    • pp.206-215
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    • 2022
  • Musculoskeletal pain is the most common pain reported by patients. Platelet-rich plasma (PRP) is widely used to treat musculoskeletal pain. However, the efficacy of PRP to treat this pain remains controversial. This review highlights the application of PRP in the treatment of musculoskeletal pain. PRP treatment appears to reduce pain and improve function in patients with musculoskeletal pain. However, there are limitations to the currently published studies. These limitations include the PRP preparation methods, type of activators, types of pathology to be treated, methods and times of administration, and association of PRP with other treatments.

Optogenetic neuromodulation with gamma oscillation as a new strategy for Alzheimer disease: a narrative review

  • Ko, Haneol;Yoon, Sang-Pil
    • Journal of Yeungnam Medical Science
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    • 제39권4호
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    • pp.269-277
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    • 2022
  • The amyloid hypothesis has been considered a major explanation of the pathogenesis of Alzheimer disease. However, failure of phase III clinical trials with anti-amyloid-beta monoclonal antibodies reveals the need for other therapeutic approaches to treat Alzheimer disease. Compared to its relatively short history, optogenetics has developed considerably. The expression of microbial opsins in cells using genetic engineering allows specific control of cell signals or molecules. The application of optogenetics to Alzheimer disease research or clinical approaches is increasing. When applied with gamma entrainment, optogenetic neuromodulation can improve Alzheimer disease symptoms. Although safety problems exist with optogenetics such as the use of viral vectors, this technique has great potential for use in Alzheimer disease. In this paper, we review the historical applications of optogenetic neuromodulation with gamma entrainment to investigate the mechanisms involved in Alzheimer disease and potential therapeutic strategies.

Hypertension and cognitive dysfunction: a narrative review

  • Eun-Jin Cheon
    • Journal of Yeungnam Medical Science
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    • 제40권3호
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    • pp.225-232
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    • 2023
  • Cognitive dysfunction is relatively less considered a complication of hypertension. However, there is sufficient evidence to show that high blood pressure in middle age increases the risk of cognitive decline and dementia in old age. The greatest impact on cognitive function in those with hypertension is on executive or frontal lobe function, similar to the area most damaged in vascular dementia. Possible cognitive disorders associated with hypertension are vascular dementia, Alzheimer disease, and Lewy body dementia, listed in decreasing strength of association. The pathophysiology of cognitive dysfunction in individuals with hypertension includes brain atrophy, microinfarcts, microbleeds, neuronal loss, white matter lesions, network disruption, neurovascular unit damage, reduced cerebral blood flow, blood-brain barrier damage, enlarged perivascular damage, and proteinopathy. Antihypertensive drugs may reduce the risk of cognitive decline and dementia. Given the high prevalence of dementia and its impact on quality of life, treatment of hypertension to reduce cognitive decline may be a clinically relevant intervention.

Ketamine-propofol (ketofol) in procedural sedation: a narrative review

  • Eun-Ji Choi;Cheul-Hong Kim;Ji-Young Yoon;Eun-Jung Kim
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권3호
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    • pp.123-133
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    • 2023
  • Sedation methods for dental treatment are increasingly explored. Recently, ketofol, which is a combination of ketamine and propofol, has been increasingly used because the advantages and disadvantages of propofol and ketamine complement each other and increase their effectiveness. In this review, we discuss the pharmacology of ketamine and propofol, use of ketofol in various clinical situations, and differences in efficacy between ketofol and other sedatives.

Anatomical endoscopic enucleation of the prostate for bladder outlet obstruction: a narrative review

  • Kim, Tae Hyo;Song, Phil Hyun
    • Journal of Yeungnam Medical Science
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    • 제39권1호
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    • pp.12-17
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    • 2022
  • Anatomical endoscopic enucleation of the prostate (AEEP) differs from other endoscopic modalities for bladder outlet obstruction (BOO) because it extracts the whole benign prostatic hyperplasia component. AEEP has been launched for almost 40 years as a first-line treatment method for BOO regardless of prostate size according to several guidelines. However, it remains underperformed worldwide. In this review article, we elaborate on the advantages and disadvantages of AEEP compared to other surgical modalities for BOO to investigate its efficacy and safety as a gold standard surgical management option for males with BOO.

Hepatic ischemia-reperfusion injury with respect to oxidative stress and inflammatory response: a narrative review

  • Eun Kyung Choi;Dong Gun Lim
    • Journal of Yeungnam Medical Science
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    • 제40권2호
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    • pp.115-122
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    • 2023
  • Hepatic ischemia-reperfusion injury is a major complication of liver transplantation, trauma, and shock. This pathological condition can lead to graft dysfunction and rejection in the field of liver transplantation and clinical hepatic dysfunction with increased mortality. Although the pathological mechanisms of hepatic ischemia-reperfusion injury are very complex, and several intermediators and cells are involved in this phenomenon, oxidative stress and inflammatory responses are the key processes that aggravate hepatic injury. This review summarizes the current understanding of oxidative stress and inflammatory responses and, in that respect, addresses the therapeutic approaches to attenuate hepatic ischemia-reperfusion injury.