• 제목/요약/키워드: Painful Point

검색결과 60건 처리시간 0.024초

가자미근에 발생한 사구종 1례 (Glomus Tumor in Soleus Muscle: A Case Report)

  • 서병철;오득영;박경신;이백권;이종원;한기택;안상태;김태정
    • Archives of Plastic Surgery
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    • 제33권4호
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    • pp.518-520
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    • 2006
  • Purpose: Glomus tumors are uncommon benign neoplasms arising from the neuromyoarterial apparatus, usually seen in the nail bed of fingers. Most of this mass presents typical symptoms such as severe pain, point tenderness and hypersensitivity to cold like neuroma, gout or causalgia. Concerning about the origin, there were few written reports about extra-digit glomus tumor, especially that occurred in the skeletal muscule. Methods: A 48-year-old female complained of painful tender mass in her right calf aggravated several months ago. Her MRI and femoral angiogram showed a well defined hypervascular tumor such as hemagioma or hemagioendothelioma in the right calf. Surgical treatment was performed, and it proved glomus tumor in soleus muscle histologically. Results: After the operation, patient didn't complain of her symptoms any more and there was no evidence of recurrence during 1 year follow-up period. Conclusion: Authors have found only eight cases of intramuscular glomus tumor reported in the literature and present here the ninth case of an intramuscular glomus tumor and first case of soleus muscle.

Breast Cancer Screening Barriers from the Womans Perspective: a Meta-synthesis

  • Azami-Aghdash, Saber;Ghojazadeh, Morteza;Sheyklo, Sepideh Gareh;Daemi, Amin;Kolahdouzan, Kasra;Mohseni, Mohammad;Moosavi, Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3463-3471
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    • 2015
  • Background: The principal aim of health service providers in the field of breast cancer is to detect and treat lesions at an appropriate time. Therefore, identification of barriers to screening can be very helpful. The present study aimed to systematically review the qualitative studies for extracting and reporting the barriers of screening for breast cancer from the womans perspective. Materials and Methods: In this systematic review; Pubmed, Google Scholar, Ovid Scopus, Cochrane Library, Iranmedex, and SID were searched using the keywords: screening barriers, cancer, qualitative studies, breast and their Persian equivalents, and the needed data were extracted and analyzed using an extraction table. To assess the quality of the studies, the Critical Appraisal Skills Programme (CASP) tool was used. Results: From 2,134 related articles that were found, 21 articles were eventually included in the study. The most important barriers from the point of view of 1,084 women were lack of knowledge, access barriers (financial, geographical, cultural), fear (of results and pain), performance of service providers, women's beliefs, procrastination of screening, embarrassment, long wait for getting an appointment, language problems, and previous negative experiences. Articles' assessment score was 68.9. Conclusions: Increasing women's knowledge, reducing the costs of screening services, cultural promotion for screening, presenting less painful methods, changing beliefs of health service providers, provision of privacy for giving service, decreasing the waiting time, and providing high quality services in a respectful manner can be effective ways to increase breast cancer screening.

족근관절 전치환술 (Total Ankle Replacement)

  • 박인헌;이기병;송경원;이진영;이응주;이승용
    • 대한족부족관절학회지
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    • 제1권2호
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    • pp.89-94
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    • 1997
  • The functional disabilities post arthrodesis of the ankle include difficulty in climbing inclined surface, such as hill, ramps, or stair even through without pain. There will be periankle joints arthrosis as time passes. Total ankle replacement permits remobilization, no need for prolonged immobilization. There will be no increas in the mechanical stress of the neiboring joint. Total ankle replacement has been proposed as an alternative to arthrodesis in the management of painful arthrosis of the tibiotalar joint recently. We performed 7 cases of replacement from 1990. 4. 1 to 1996. 7. 1 with 2-3 years follow up. A retrospective review was undertaken for 7 patients with the arthrosis of tibiotatar joint. The results were as following. 1. The clinical results according to the point system for ankle study evaluation were excellent in 2 cases, good in 4 cases, and fair 1 case. 2. The improvement was especially obvious in terms of pain and functional recovery. 3. Total ankle replacement especially unconstrained type seems quite good alternative to arthrodesis.

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피부 노화 및 피부 주름 관리에 대한 고찰 (Study of Preventing Methods for Skin Aging and Wrinkles)

  • 김진명;전선우;이우건;남혜정;김윤범
    • 동의생리병리학회지
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    • 제24권4호
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    • pp.533-542
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    • 2010
  • Skin aging is a natural phenomenon. There are internal and external factors of skin aging. The internal factor of skin aging is from the wearing down of the body over time. The external factors are more noticeable from habits such as smoking, excessive alcohol, malnutrition, and extended exposure to UV rays. Completely stopping skin from aging is impossible but one can slow down and treat external signs of skin aging. In western medicine, the following methods are used to reduce the appearance of skin aging: applying lotions and creams containing ingredients such as fruit acid, antioxidants, plant exracts, depigmentation, moisturizer, retinoids, and sun block; botulinum toxin injections; chemical peels, laser and other painful methods remove the top layer of skin to promote new skin growth; fillers are injected to increase soft tissue growth; surgery. In oriental medicine, the following methods are used: acupuncture into facial muscles which stimulates acupuncture point; applying topical treatments and cosmetics containing herbs are effective of preventing skin aging and wrinkles. Above all thing, medicine that helps maintain essence and blood in the skin can be fundamental.

농촌 고령자의 욕구조사를 통한 사과인공수분 복지로봇 설계 (The Design of Apple Artificial Pollination Welfare Robot by A Survey for the Elders' Needs of Rural Region)

  • 김동옥;이수철
    • 재활복지공학회논문지
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    • 제11권4호
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    • pp.355-361
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    • 2017
  • 본 연구는 대구 경북 25명의 농촌 고령자의 사과재배 농사자를 대상으로 사용자 욕구조사를 실시하여 사과 인공수분 복지로봇을 설계하는 것이다. 본 연구결과를 요약하면 다음과 같다. 첫째, 사과재배의 경우 대부분이 50대이상에서 70대인 농촌 고령자 부부 동반으로 사과재배를 전문으로 하고 있는 것으로 나타났다. 이는 농촌지역 고령자들에게 사과재배 시 다양한 작업으로 인해 근골계상해위험성이 예상된다. 둘째, 고령화 추세로 인해 농촌지역 고령자들에게 사과재배 시 재배면적에 따라 인공수분, 적과, 약제살포 등 필요한 작업을 하는데 있어 노동시간 및 외부 노동력 투입에 많은 애로점을 가지고 있는 것으로 나타나고 있다. 특히, 인공수분작업을 효과적으로 해결 할 수 있는 사과 인공수분 복지로봇을 개발하였다. 셋째, 고령자의 욕구조사 결과는 사용자 입장에서 바라 본 개념설계로 활용된다. 향후 인공수분로봇의 상세설계 및 상품화 설계에 필요한 중요한 요인을 제공하게 된다.

국가대표 남자 필드하키 선수들의 무릎의 시각적 상사 척도와 무릎 기능평가가 무릎의 근력 및 근지구력에 미치는 영향 (Effects of the Visual Analog Scale and Knee Function Index on the Muscle Strength and Muscle Endurance of the Knees of Male National Field-Hockey Athletes)

  • 김현철;박기준
    • 대한물리의학회지
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    • 제16권1호
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    • pp.103-109
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    • 2021
  • PURPOSE: This study examined the effects of the Visual Analog Scale (VAS) and knee function index on the knee strength and endurance in the national male field-hockey athletes. METHODS: Twenty-four male field-hockey athletes with a painful knee who trained at the national training center in 2019 were enrolled. The VAS and knee function index questionnaire were used to evaluate the degree of pain and functional state of the knee. The muscle strength and endurance of the knee were measured by Biodex (System 4, USA). The Pearson product moment correlation was performed to examine the effects of the VAS and knee function index the of knee on the strength and endurance. In addition, the VAS and knee function index and muscle strength and muscle endurance were examined to determine the relationship using Simple Linear Regression. The statistical significance level was α=.05. RESULTS: An analysis of the correlation between VAS and knee function index and muscle strength and muscle endurance revealed the VAS and knee function index to be statistically significant (r = .700). In addition, the extensor muscle strength, knee VAS (r = -.457), and knee function index (r = -.414) were also statistically significant. A 1-point increase in the VAS and knee function index was associated with an approximately 9.881 and 1.006 extensor muscle strength. CONCLUSION: The VAS and knee function index of field-hockey athletes are related to the strength of the knee extensors. Therefore, field-hockey athletes should develop a program to strengthen the extensor muscle strength of the knee.

근관 삼출액에서의 기질금속단백분해효소-8과 substance P의 수준에 관한 연구 (Matrix metalloproteinase-8 and substance P levels in root canal exudates of nonvital teeth)

  • 신수정;이우철;이재일;백승호;금기연;손원준;배광식
    • Restorative Dentistry and Endodontics
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    • 제36권3호
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    • pp.196-202
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    • 2011
  • 연구목적: 근관 치료를 전후로 근관 삼출액을 추출하여 MMP-8과 SP의 양을 측정하고 근관 치료에 따른 변화 및 이들간이 상관관계를 보는 것을 본 연구의 목적으로 하였다. 연구 재료 및 방법: 치수괴사, 혹은 이전 근관 치료 후 치근단 병소가 있어서 근관 치료가 예정된 35개의 치아를 대상으로 하였으며, 근관 치료 첫날, 2주 후, 4주 후 paper point를 이용하여 근관 삼출액을 채취하였다. MMP-8과 SP의 양은 enzyme-linked immunosorbent assay (ELISA)를 이용하여 정량 하였다. 삼출액의 채취 시점에 따른 MMP-8, SP 양의 변화 및 환자의 통증 정도, 임상증상에 따른 MMP-8, SP의 변화는 mixed model을 이용하여 통계 분석하였으며 MMP-8과 SP의 상관관계는 Pearson correlation coefficient를 구하여 분석하였다(p < 0.05). 결과: 근관치료가 진행됨에 따라 MMP-8, SP의 양은 유의성 있게 감소하였으며(p < 0.0001), 환자의 통증이나 타진검사 시 반응이 SP의 발현에 영향을 주는 것으로 나타났다. MMP-8의 경우 SP와 미약한 양의 상관관계가 있었지만 환자의 증상이나 다른 임상검사와 상관관계가 발견되지 않았다. 결론: 본 실험에서 사용된 paper point를 이용한 근관 삼출액의 채취를 통하여 치근단 염증과정에서 발현되는 MMP-8, SP를 검출할 수 있었으며 특히 SP의 경우 환자의 증상과 보다 관련이 깊은 것으로 나타났다.

자취 대학생의 식생활 실태에 대한 조사연구 -원주지역 중심으로- (A Study on Dietary Patterns and Behaviors of Self-boarding College Students in Wonju Areas)

  • 노정미
    • 한국식생활문화학회지
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    • 제12권5호
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    • pp.495-508
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    • 1997
  • The purpose of this study is to investigate the dietary patterns and behaviors of self-boarding college students in Wonju. This survey was carried out through questionnaries and the subjects were 118 man and 145 woman students of five colleges in Wonju. The results of this study were summarized as follows: 1. The students who live in Kangwon Province, reaching 49.0% of the subjects, are the most prevalent. In the frequency of homecoming, 'twice a month' is the greatest. One-room system is the most prevalent in the self-boarding patterns. 2. 90.8% of the students have the electric rice cooking pot. Portable gas range, gas range, electric stove, in this order, are more general as cooking appliances. Specially, more than half of students, either male or female, have refrigerators. 3. 80.4% of students cook their own meal. 'once a day' in cooking frequency is the most prevalent. 4. The students, either male or female, prepare breakfast and dinner for themselves at home, and have lunch at the school cafeteria. They choose boiled rice mostly at any mealtime. 5.In the frequency of drinking, 'three times a week' in man students and 'two or three times a month' in woman students are the most prevalent. The drink shop and their own self-boarding room are most preferred as the place for drinking in the both case of male and female. 6. In the quantity of drinking of male students, 'more than three bottles of Soju', 'two bottles of Soju', and 'one bottle of Soju', in this order, are recorded more frequently and in the case of female students, comes 'one bottle of Soju' and 'one bottle of beer' in that order. 7. Male students drink to have a dim consciousness and female students to feel good. In this case there are differences. 8. After drinking in the previous night, more female students have a breakfast than male. While more female students have any kind of food, most of male students have a broth to relieve hangover or ramyun. 9. The causes for no breafast after drinking were 'rising late', 'stomachache', 'habits' in this cider. 10. After students self-examine their own health, they express their health state as 'usual', 'very healthy' 'not healthy' in this order. Most of male and female students point out the stomach as a painful part.

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류마티스 관절염 환자의 원인지각에 대한 연구 - Q방법론적 접근 - (An Inquiry to the Causal Perceptions & Emotions of Rheumatoid Arthritis Patients)

  • 김분한;정연
    • 근관절건강학회지
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    • 제6권2호
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    • pp.226-241
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    • 1999
  • This study was undertaken to find out the causal perception of rheumatoid arthritis patients, and to understand the typology. The Q-population consisted of 236 statements of causal perception were collected. Thirty eight Q-samples of causal perception were selected. The P-sample for this study were made up of 28 first visiting female rheumatoid arthritis patients from a rheumatoid arthritis specialty hospital. Each respondent responded Q-set of causal perception according to 9-point scale. The result of Q-sorting were coded and analyzed using QUANL PC program. 1) Typological Observation on Causal Perception (1) Physical Fatigue Type : Type 1 perceived that the illness occurred due to excessive work requiring physical labor or strain that had occurred from not resting after excessive physical labor, therefore, thinking the origin of the illness was from physical strain. (2) Physical origin Type : Type 2 perceived that the major cause for the illness is not only excessive physical labour but also fecundity and old age. (3) Causality to Environment Type : Type 3 perceived that rheumatoid arthritis occurred from injury to the joints or bad and humid weather. (4) Conscience of Guilty Type : Type 4 consisted of people with guilty conscience for lack of religious commitment. They perceived that the illness was a punishment from God for not praying or because of bad luck. (5) Rationally Perceiving Type : People who belong in type 5 perceived the cause of illness in light of scientific facts such as genetics, unbalanced diet or lack of exercise. (6) Psychological Stress Type : People who belong in type 6 believed that excessive stress was the cause of the illness. 2) Emotions of Rheumatoid arthritis patients Rheumatoid arthritis patients' positive emotions included determination, courage, coping, acceptance, hope, and adoption ; and their negative emotions were prostration, worry, stupor, conflicts, grievance, giving-up, resignation, depression, loss, solitariness, fear, anxiety, avoidance, anger and loneliness. Rheumatoid arthritis patients experience different level of emotions from their suffering experience from the severe pains. Rheumatoid arthritis patients also experience negative emotions when they could not perform self-care and lose their self-esteem from painful suffering ; however, they regain positive emotions when they recover from pain with the use of drugs, physical therapy or exercise. Their emotional states are closely connected to level of and presence of pain.

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치자(梔子) 약침(藥鍼)이 백서(白鼠) 모델 족과 염좌(捻挫) 통증(痛症)에 미치는 영향(影響) (Effect of Frutus gardeniae herbal acupuncture on the rat model of ankle sprain pain)

  • 구성태;조명수;박성섭;김영태;박귀종;김경식;손인철
    • Korean Journal of Acupuncture
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    • 제22권2호
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    • pp.57-74
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    • 2005
  • Objective : Frutus gardeniae, seed of Gardenia jasminoides Ellis is one of the crude drugs used for the treatment of inflammatory condition in oriental medicine. Methodes : The present study aimed to examine the analgesic effect and anti-inflammatory effect of Frutus gardeniae extract (FGE) on a rat model of ankle sprain pain, and the relations between FGE-induced effect and endogenous nitric oxide (NO) and inducible NO synthase (iNOS), cyclooxygenase-2 (COX-2), and c-Fos protein expression in the spinal cord. As a chronic pain model, ankle sprain pain model was used to test the effect of FCE injection applied to acupuncture point. After the induction of ankle sprain, rats subsequently showed a reduced stepping force of the affected limb for at least the next 4 days. The reduced stepping force of the limb was presumably due to a painful knee. FGE dissolved in normal saline was injected several acupoints. Results : After the treatment, behavioral tests measuring stepping force were periodically conducted during the next 8 hours. FGE produced significant improvement of stepping force of the hindlimb affected by the ankle sprain lasting at least 4 hours. FGE produced the improvement of stepping force of the affected hindlimb in a dose-dependent manner. In addition, FGE injection showed inhibitory effect on the paw edema induced by ankle sprain. Both NO production and iNOS, COX-2 protein expression increased by ankle sprain were suppressed by FGE. FGE on combination with electroacupuncture (EA) produced more powerful and longer lasting improvement of stepping force of the hindlimb affected by the ankle sprain than either FGE or EA did. The present study suggest that FGE produces a potent analgesic effect on the ankle sprain pain model of the rat and that FGE-induced analgesia modulate endogenous NO through the suppression of iNOS/COX-2 protein expression.

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