• Title/Summary/Keyword: Pain/trouble

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A Phenomenological Study on Dysmenorrhea Experience of Women (여성의 월경통 경험에 대한 현상학적 연구)

  • Ham, Mi-Young;Han, Kyoung-Soon;You, Soo-Ok;Park, Kyung-Sook
    • Women's Health Nursing
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    • v.5 no.2
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    • pp.288-299
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    • 1999
  • The purpose of this research was to understand the dysmenorrhea experience of women. To do this work, we asked 9 women a lot of questions about dysmenorrhea. The interviews were carried out from JUL 1, 1998 through JUL 30, 1998. They were audio-recorded and analyzed using Van kaam's Phenomenological method. Results were as follows. One hundreds forty two descriptive expression were found and they were grouped under twenty common factors. twenty common factors were grouped under six higher categories. Two common factors, "Physical pain", "Physical Discomfort" were grouped under . Three common factors, "Receptively of Femininity", "Women's Persecution", "Mystery of Femininity" were grouped under . Three common factors, "Emotional Anxiety", "Disgust of Pain", "Solitude" were grouped under . Two common factors, "Coping with Pain Relief", "Fear of Pain relief method" were grouped under . One common factors "Beauty" were grouped under , One common factors, "Singularity" were grouped under . As Dysmenorrhea Experience of Women's authors recommend further studies on Women's Dysmenorrhea Experience and go into details nursing intervention of Dysmenorrhea relief method.

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Effect of Unmet Healthcare Needs on Quality of Life (미충족 의료 경험이 삶의 질에 미치는 영향)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.283-290
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    • 2020
  • The purpose of this study was to investigate the potential causal relationship between unmet healthcare needs and metrics related to quality of life. To examine the relationships between these variables, the study conducted an analysis by processing additional irradiated raw materials of the Korean Medical Panel. The metrics related to quality of life included six variables: athletic ability, self-care, daily activities, pain/trouble, uneasiness/depression, and subjective health conditions. Linear regression analysis revealed that the unmet healthcare needs had statistically significant negative effects on all six quality of life variables. A review of the magnitude of the linear regression β values for those variables showed that the relative level of influence on the quality of life variables decreased in the following order: pain/trouble, subjective health conditions, uneasiness/depression, daily activities, athletic ability, and self-care. Based on the results, practical applications related to strengthening working-level links between health and welfare is considered an effective policy response to the continued presence of unmet healthcare needs; such applications could contribute to improving the quality of life of those with unmet healthcare needs.

A Case Report of the Herbal Medication Treatment and Psychotherapy for a Patient with Psychogenic Chronic Low Back Pain (심인성(心因性) 만성요통(慢性腰痛) 환자에 대해 한방치료(韓方治療)와 정신요법(精神療法)을 적용한 1례)

  • Kim, Ji-Hyung;Han, Chang;Ryu, Ki-Joon;Ahn, Keon-Sang;Kwon, Seung-Ro;Cho, Jae-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.299-307
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    • 2008
  • In this study, we treated a patient with psychogenic chronic low back pain for 2 years with herbal medication treatment and psychotherapy. The case was a 17 years old female patient complained chronic low back pain for a long time. She received the spine operation, epidural injection, many kind of oriental medicine treatment about low back pain, but there was no improvement. We diagnosed her pain as a psychogenic pain disorder, and treated her with herbal medication for decrease her stress, and did a psychotherapy such as the progressive muscle relaxation, and counseled about trouble with her family. After treatment, her chronic low back pain was improved so much. We think that the herbal medication treatment and psychotherapy can be helpful to treat patients who have psychic and physical disorders.

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Study on the Measured Method of Menstrual Pain (월경통 평가 도구에 관한 연구)

  • Yu Ju-Hee;Lee Yong-Tae;Kim Kyu-Kon;Lee In-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.6
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    • pp.1513-1519
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    • 2005
  • This study carried out to develop the questionnaires that can measure objectively menstrual pain and determine pain index. First, we made questionnaires to measure menstrual pain by VAS, MVRS, VRS and question about trouble of daily life and so on. Then we investigated 1039 women's questionnaires who has the menses. Results are follow as : The questionnaires that can measure objectively menstrual apin and determine pain index was high a correlation coefficient therefore those were used Method of Menstrual Pain(here after MMP) calculation. Those were added and averaged. We examined correlation of calculated MMP and women's questionnaires who has the menses. MMP confidence was high as 99.42% comparatively so we thought MMP was appropriate as the measured method of menstrual pain.

A Case Study of Myofascial Trigger Point Syndrome (근막 동통증후군 환자의 4례 -증례보고-)

  • Chung, Nack-Su
    • Journal of Korean Physical Therapy Science
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    • v.2 no.1
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    • pp.413-422
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    • 1995
  • The trigger point phenomenon is an extremely common syndrome in physical therapy room. The symptoms created by these syndromes may be interpreted as originating in discogneic disease, nerve entrapment syndromes, viscerosomatic pain, and certain myalgic pain of unknown etiology. Injuries, viral or bacterial infections, immobilization, psychogenic stress, and other environment factors can preciptate and perpetuate these syndromes, which may occur in any of the voluntary muscles of the human body and thus lead to a multitude of myofascial pain syndromes. Obviously symptomatic treatment can meet with only partial success. Knowledge of the trigger point phenomenon will aid the diagnostician in understanding otherwise in explicable symptom. The trigger point are $2{\sim}5mm$ in diameter, hyperirritable palpable taut in a tissue, when compressed, is locally tender, if sufficiently hypersensitive, give rise to referred pain and tenderness, and sometimes to referred automatic phenomena and distortion of proprioception. The treatment of myofascial trigger point pain syndrome is not difficult once the source of the problem has been determined. Where as many modalities may be used, two of the most effective are spray-and stretch and TP injection. These can be followed by deep massage, specific, manual resistive exercise, and an exercise program which the patient can follow at home. The goal of management is to inactivate the TPs and to restore shortened and stretch resistent muscles to their full range of motion. The purpose of this case study was to know about the pathophysiologic mechanism of the trigger point and will enable to physical therapist to direct his treatment to the real source of trouble.

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The influencing factors on Presenteeism of nurses in Korea and Japan (한국과 일본 간호사의 프리젠티즘에 영향을 미치는 요인)

  • Lee, Young-Mi;Jung, Moon-Hee;Arakida, Mikako;Watanabe, Rika;Suzuki, Sumie
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.18 no.4
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    • pp.253-261
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    • 2008
  • Objectives: The purpose of this study was to examine the influencing factors on presenteeism of nurses in Korea and Japan. Methods: The subjects were hospital nurses in Korea and Japan. Data of 1,618 nurses were collected from September 2007 to March 2008 by structured questionnaires. The response rate of subjects was 93.0% in Korea and 76.9% in Japan. The data was analyzed using SPSS 12.0 package. Results: The three major health problems of Korean nurses were 'shoulder, back and neck pain', 'fatigue or edema of foot' and 'gastrointestinal trouble'. The three major health problems of Japanese nurses were 'shoulder, back and neck pain', 'fatigue or edema of foot' and 'depression or anxiety'. 'Depression or anxiety' were considered the highest cause of presenteeism by nurses in both countries. The number of health problems was the most influencing factor on presenteeism by nurses in both Korea and Japan. Conclusions: These results imply that clinical nurses have a higher level of presenteeism. Therefore, administrators need to use job-related safety and health strategies to manage the presenteeism of nurses. It is desirable that those strategies will be specifically applied to gastrointestinal trouble management for Korean nurses and to depression management for Japanese nurses.

A RADIOGRAPHIC STUDY ON TEMPOROMANDIBULAR JOINT TROUBLE (악관절기능장애자의 방사선학적 연구)

  • Choe Byung Woon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.9 no.1
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    • pp.13-18
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    • 1979
  • The purpose of this study was to investigate the radiographic images of Temporomandibular joint trouble patients. This study included 186 patients with the chief complaints of TMJ pain and dysfunction. Their age ranged from 17 to 68 years. All patients were identified in the department of Dental mary of College of Dentistry, Seoul National University, Apr. 1978 to Jun. 1979. The author has observed the radiographic variations of two positions of condylar head taken by modified transcranial oblique-lateral projection, which are one in centric occlusion and the other in 1 inch(2.54㎝) mouth open. The results were obtained as follows; 1. In centric occlusion, the distances and positional relationship between the summit of condylar head and the deepest point of articular fossa revealed more or less large variations; Normal range is of 37.9%, anterior displacement of 37.3% and posterior displacement of 22.6%. 2. In the horizontal movement of condylar heads when on 1 inch mouth open, it was revealed that normalrange was of 46.5%, anterior displacement of 12.3%, posterior displacement of 41. 1 %. 3. In the positional interrelationship of both condylar heads when on 1 inch mouth open, it was revealed that symmetry(71. 5%) occurred approximately 2.5 times as many as asymmetry. 4. In both centric occlusion and 1 inch mouth open, it was showed that almost all estimated figures were greater in male than in female, and in the horizontal movement of condylar head when on 1 inch open, it was showed that hypermobility was dominant in male and hypomobility in female.

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Can denosumab be a substitute, competitor, or complement to bisphosphonates?

  • Kim, Su Young;Ok, Hwoe Gyeong;Birkenmaier, Christof;Kim, Kyung Hoon
    • The Korean Journal of Pain
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    • v.30 no.2
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    • pp.86-92
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    • 2017
  • Osteoblasts, originating from mesenchymal cells, make the receptor activator of the nuclear factor kappa B ligand (RANKL) and osteoprotegerin (OPG) in order to control differentiation of activated osteoclasts, originating from hematopoietic stem cells. When the RANKL binds to the RANK of the pre-osteoclasts or mature osteoclasts, bone resorption increases. On the contrary, when OPG binds to the RANK, bone resorption decreases. Denosumab (AMG 162), like OPG (a decoy receptor), binds to the RANKL, and reduces binding between the RANK and the RANKL resulting in inhibition of osteoclastogenesis and reduction of bone resorption. Bisphosphonates (BPs), which bind to the bone mineral and occupy the site of resorption performed by activated osteoclasts, are still the drugs of choice to prevent and treat osteoporosis. The merits of denosumab are reversibility targeting the RANKL, lack of adverse gastrointestinal events, improved adherence due to convenient biannual subcutaneous administration, and potential use with impaired renal function. The known adverse reactions are musculoskeletal pain, increased infections with adverse dermatologic reactions, osteonecrosis of the jaw, hypersensitivity reaction, and hypocalcemia. Treatment with 60 mg of denosumab reduces the bone resorption marker, serum type 1 C-telopeptide, by 3 days, with maximum reduction occurring by 1 month. The mean time to maximum denosumab concentration is 10 days with a mean half-life of 25.4 days. In conclusion, the convenient biannual subcutaneous administration of 60 mg of denosumab can be considered as a first-line treatment for osteoporosis in cases of low compliance with BPs due to gastrointestinal trouble and impaired renal function.

A Case Report of Lumbago due to Retention of Undigested Food(食積) and Damp-heat(濕熱) in Ten Kinds of Lumbago (십종요통(十種腰痛) 중 식적(食積).습열(濕熱) 요통(腰痛)의 증례보고)

  • Park, Min-Je;Kim, Jung-Uk;Hwang, Min-Sub;Yoon, Jong-Hwa;Sung, Su-Min
    • Journal of Acupuncture Research
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    • v.22 no.4
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    • pp.143-153
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    • 2005
  • What we want to report is the oriental medical treatment of eleven patients with lumbago. The patients had several features in common. First, the source of the lumbago was related to overdrinking or overeating, which is something like food damage(食傷) in oriental medicine. Second, they had symptoms of digestive trouble as well as lower back pain. Third, the R.O.M of lumbar spine was limited but there was no another special abnormality in physical examination. Fourth, singly they had muscular tenderness of Iliopsoas muscle and symptoms by Myofascial pain of Iliopsoas muscle was appeared. We assumed this sort of lumbago to be one due to retention of undigested food(食積) or damp-heat(濕熱) in oriental medicine, similar to Myofascial pain syndrome of Iliopsoas muscle in western counterpart. Acupuncture treatment was done to improve the digestive trobles according to oriental medical theory, and we saw the improvement in VAS score of lower back pain, degree of lumbar flexion, Iliopsoas muscle's tenderness and also digestive trobles. But an objective researches on the relation of lumbago due to retention of undigested food(食積) or damp-heat(濕熱) and myofascial pain syndrome of Iliopsoas muscle are quite lacking. However we think such a clinical approach could be useful in practices of oriental medicine increase in curative effect.

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