• Title/Summary/Keyword: Palpation

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Studies on use of milk progesterone EIA-kit for diagnosis of reproductive disorders and non-pregnancy in dairy cows (젖소의 번식장애 및 비임신진단을 위한 Milk Progesterone 측정 EIA-kit의 이용에 관한 연구)

  • Chung, Byung-hyun;Lee, Byeong-han;Kang, Young-sun;Kim, Jin-young;Nam, Hyoung-young;Lee, Kang-yeol;Hwang, Yoon-sik;Yang, Kwang-hun;Chung, Kil-saeng
    • Korean Journal of Veterinary Research
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    • v.35 no.1
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    • pp.169-177
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    • 1995
  • This study was carried out to investigate the effect, range of practice, and propriety for diagnosis of early non-pregnancies and reproductive disorders by dairy cows' milk progesterone analysis used EIA-kit of home products. The results were summarized as follows : 1. During 2 to 6 months after artificial insemination, the results of milk progesterone measurement by Home-kit and Auto ELISA reader-kit with pregnant dairy cows(152 heads) certified by rectal palpation were revealed, in Home-kit, 145 heads(95.4%) of positive reaction, 7 heads(4.6%) of quasi-positive, and 0 heads(0%) of negative among 152 heads and, in Auto ELISA reader-kit, 152 heads(100%) of positive reaction among 152 heads. 2. During 19 to 22 days after artificial insemination, the results of milk progesterone measurement by Home-kit, and thereafrer during 50 to 90 days after that, the results of pregnant test by rectal palpation were summarized as follows : 147 heads(82.1%) among 179 heads of positive reaction by Home-kit and 5 heads(31.3%) among 16 heads of quasi-positive were revealed pregnant cows by rectal palpation, and 42 heads(100%) among 42 heads of negative were non-pregnant. 3. During 19 to 22 days after artificial insemination, the results of milk progesterone measurement by Auto ELISA reader-kit, and thereafrer during 50 to 90 days after that, the results of pregnant test by rectal palpation were summarized as follows : 146 heads(86.9%) among 168 heads of positive reaction by Auto ELISA reader-kit and 6 heads(28.6%) among 21 heads of quasi-positive were revealed pregnant cows by rectal palpation, and 48 heads (100%) among 48 heads of negative were non-pregnant. 4. For the accuracy of the rectal palpation, Home-kit and Auto ELISA reader-kit were used in the cows of ovarian diseases. The results were following : in the cows of reproductive disorders expected negative milk progesterone, the accuracies of rectal palpation were the same 75.5%(40 heads among 53 heads) by Home-kit and Auto ELISA reader-kit, and in the cows of reproductive disorders expected positive milk progesterone, the accuracies of rectal palpation were 82.6%(19 heads among 23 heads) and 91.3%(21 heads among 23 heads) by Home-kit and Auto ELISA reader-kit, respectively, and the general accuracies of rectal palpation were 77.6%(59 heads among 76 heads) and 80.3%(61 heads among 76 heads) by Home-kit and Auto ELISA reader-kit, respectively.

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The literature study on the individual characteristic factor by the interrogation of history taking and palpation (소증(素證)과 맥진(脈診)에서의 개체성(個體性) 관찰(觀察)에 대한 문헌적(文獻的) 고찰(考察))

  • Kim, Gyeong Cheol;Lee, Hae Woong
    • Journal of Korean Medical classics
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    • v.27 no.3
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    • pp.1-10
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    • 2014
  • Objectives : For the excellent differentiation of syndromes, we study on the individual characteristic factor by the interrogation of history taking and palpation. Methods : To the subject of diagnosis special books and diagnostics textbook of korean medicine, we arrange the individual characteristic factor by the interrogation of history taking and palpation. Results : The interrogation of history taking on the individual characteristic factor was arranged dispositional symptoms and individual characteristic of syndromes. And the pulse taking and palpation on the individual characteristic factor was arranged the moderate person's pulse condition ; floating pulse, deep and sinking pulse, replete and forceful pulse, intermittent pulse, long pulse, slippery or smooth pulse, relaxed or loose pulse (浮沈實大長滑緩脈), six Yin and six Yang pulse (六陽脈, 六陰脈). Conclusions : As the results, the individual characteristic factor is very important item of the four methods of diagnosis and the differentiation of syndromes. And therefore, we have to divide the signs of individual characteristic factor and the signs of disease in the process on four methods of diagnosis and differentiation of syndromes.

A Study on the Forehead Temperature Distribution Palpation, so called 'Emaizhenduan' (이마의 온도 분포 진단법, 소위 액맥진단(額脈診斷)에 관한 고찰)

  • Jeong, Seunghan;Kim, Kiwang
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.2
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    • pp.65-74
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    • 2015
  • Objectives As a method of body temperature distribution diagnosis, palpation of infants' forehead had been widely introduced in ancient East Asian medical classics. However, few attention have been paid to this diagnostic method - so called 'emaizhenduan (額脈診斷)'. So we studied the history of emaizhenduan and it's implication in modern clinical field. Materials and methods: To search the medical classic that contains any contents of emaizhenduan, we mainly used the electronic texts of Zhonghuayidian (中華醫典). To search modern study article on emaizhenduan, we used China National Knowledge Infrastructure (www.cnki.net), National Digital Science Library (ndsl.kr) etc. Results 20 kinds of East Asian medical classics were found to contain contents on emaizhenduan. The oldest one was Huoyoukouyi (活幼口議) which was written in Yuan dynasty of China. Only one modern TCM book was found to have comments on emaizhenduan, while some textbooks of pediatrics in Korean Medicine was found to have relatively sound introduction on emaizhenduan. Conclusion It is shown in ancient East Asian medical classics that infants' forehead temperature palpation was introduced as early as late 13th century in China, and have continuously been referred in many East Asian medical classics before modern era.

Study on the Medical Records/Clinical Case Reports of "Kenjuroku" (건수록(建殊錄)에 수록된 길익동동(吉益東洞)의 의안에 대한 연구)

  • Kim, Jai-Eun;Choi, Dall-Yeong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.2
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    • pp.269-277
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    • 2009
  • "Kenjurok" is a set of medical records of Todo Yoshimasu, a Japanese docotr in the eighteenth century, who suggested that all diseases have originated from a poison, which is his own pathological term describing abnormal states of the body, The 54 records in "Kenjurok" were analyzed in statistical respects, including gender ratio, demographic distribution of patients, types of diseases, and herbal prescriptions used. Among 54 cases, male patients outnumbered female, as much as four times. The patients were quite evenly distributed according to ages. In 23 cases out of 54, abdomen palpation data were mentioned, Majority of the prescriptions used were originated from Sanghanron(傷寒論:Treaties on Febrile Diseases)/Geumgeyoryak(金匱要略: Synopsis of Golden Chamber). In frequency of use of prescriptions, however, showed somewhat different result, that is although Sanghan/Geumge prescriptions were used most often, esoteric prescriptions handed down in his family also composed significant part. The speculations derived from these statistical results are: Although Todo favored abdommen palpation to locate the poison and to decide a prescription, the proportion of abdomen palpation was not as high as expectation, He did use prescriptions not only in Sanghan/Geumge, but also other diverse prescriptions, rather often than not, which are regarded unique Japanese traditional prescriptions including poisonous minerals such as mercury and arsenic.

Inter-Examiner and Intra-Examiner Reliability of Sacroiliac Anatomical Landmarks Palpation Test in Standing Posture (선 자세에서 엉치엉덩관절뼈 기준점 촉진의 검사자간, 검사자내 신뢰도)

  • Yim, Beom-Chang;Lee, Jung-Ah;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.14 no.2
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    • pp.61-67
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    • 2007
  • The purpose of this study was to examine inter- and intra-examiner reliability of the sacroiliac joint (SIJ) anatomical landmarks palpation. Two physical therapists and one doctor specializing in rehabilitation examined 22 asymptomatic subjects. They examined anterior superior iliac supine (ASIS), posterior superior iliac supine (PSIS) and iliac crest (IC). For the assessment of intra-examiner reliability, 3 examiners repeated the measurements 3 times over a 2-week interval. Kappa (Kg) yielded intra-examiner reliability that ranged between slight to fair for the ASIS (Kg=.06 to .26; mean Kg=.19), and slight for the PSIS(Kg=-.04 to .18; mean Kg=.07) and slight to fair for the IC (Kg=.06 to .32; mean Kg=.21). Inter-examiner reliability was slight (ASIS Kg=.13; PSIS Kg=.05; IC Kg=.14). These results suggest that the reliability of the assessing SIJ anatomical landmarks using palpation and observation as an indication of SIJ dysfunction still remains questionable. Before this test can be relied upon as an accurate indicator of SIJ dysfunction, it must undergo further research. This further research needs to examine not only reliability, but also validity, sensitivity and specificity.

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Ultrasonographic Measurements in Comparison with the Rectal Palpation and Echotexture of Reproductive Organs of Buffaloes (Bubalus bubalis) during Different Stages of the Estrous Cycle

  • Honparkhe, M.;Gandotra, V.K.;Nanda, A.S.
    • Asian-Australasian Journal of Animal Sciences
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    • v.17 no.7
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    • pp.919-923
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    • 2004
  • Ultrasonographic study was undertaken to establish the echogenecity and size of reproductive organs of 18 cycling buffaloes of different parities and compared with the sizes measured by palpation per rectum at estrus (day 0), met estrus (day 2), mid diestrus (day 10) and late diestrus (day 16). The overall mean size of cervix, uterine body, right horn, left horn, right ovary and left ovary measured by palpation per rectum were 2.70$\pm$0.43, 2.36$\pm$0.36, 2.17$\pm$0.37, 2.12$\pm$0.38, 2.63$\pm$0.41 and 2.72$\pm$0.37 cm, respectively. The corresponding ultrasonographic observations were 2.10$\pm$0.40, 1.85$\pm$0.30, 1.73$\pm$0.36, 1.64$\pm$0.37, 2.16$\pm$0.36 and 2.29$\pm$0.38 cm respectively. Variations in the size of genitalia due to stages of estrous cycle were non-significant. The size of genitalia measured by palpation per rectum was significantly higher (p<0.05) than by ultrasonography. However, there was linear positive correlation (r=+0.87) in the measurements by the two techniques. The ultrasonographic characteristics of tubular genitalia revealed different echogenic gray shades around the nonechogenic (black) central area of lumen depending upon the stage of cycle. The ovarian stroma appeared as hyperechoic (white) area with nonechogenic (black) follicle. The corpus luteum (CL) exhibited different echogenic texture viz. grayish black, grayish granular and grayish white at met estrus, mid diestrus and late diestrus, respectively. Therefore, ltrasonography can be effectively employed to record the exact size and echotexture of the buffalo genitalia during different stages of estrous cycle.

A study on Palpation of the back-shu points (배유혈(背兪穴) 안진(按診)에 관(關)한 고찰(考察))

  • Hong, Mun-Yeup;Park, Won-Hwan
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.155-173
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    • 2000
  • The diagnosis in Oriental medicine is done by inspection, auscultation and olfaction, interrogation, four diagnostics of pulse feeling and palpation, and various system of identification like identification according to Qi(vital energy), Xue and body fluids, identification according to fair principles, identification according to principles of Wei, Qi, Ying and Xue, identification according to Sanjiao(the triple heater), identification according to four type physical constitution. Sometimes, symptoms and diagnosis techniques according to symptoms is selectively applied for the diagnosis. Among them the pulse feeling and palpation diagnosis technique using the sense of finger and palm of the hand is divided into feeling of pulse and palpation and pressing maneuver. Pressing maneuver is a diagnosis technique pressing and rubbing the affected part in order to attain data of identification including inside and outside condition of the body with regard to the nature, condition and relative seriousness of disease. There are palpation of the skin, palpation the hand and foot, palpation the chest and the abdomen, palpation shu points in pressing maneuver. The diagnosis of the Back Shu points is a technique to examine the change of disease condition from pressure ache, spontaneous ache, tension, relaxation, solidification revealed through channels and collaterals. I investigates starting disease and an attack of disease of twelve pulse and pulse condition through the study relative to the substance and technique of pressing maneuver, and adjusts diagnosis techniques of a region for acupuncture and matters to be attended. The conclusions are as follows. 1. The Shu or stream points in which pathogenic factors go are important to medical treatment of dormant diseases like bowels disease, cold symptom complex and insufficiency symptom complex. 2. Disease classified by system is diagnosed by the condition of process part like pro-trusion, cave-in, tension, relaxation, pressure ache through palpating the Shu or stream points, that is pressing upward or downward left and right sides of the backbone process by hands. 3. In real clinic pressing maneuver of one's back side is very important to patient's diagnosis treatment. Thus, pressing maneuver of one's back side have to be done without omission. 4. Diagnosis must be accomplished through the perception about the diversity of diagnosis technique of bowels disease, the exact knowledge about pressing maneuver of one's back side for enlargement of treatment range and rising of treatment rate, and pressing maneuver of the Shu or the stream points.

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Usefulness of Ultrasonography-Assisted Closed Reduction for Nasal Fracture under Local Anesthesia

  • Kim, Dae-Hyun;Kim, Kyung-Sik
    • Archives of Craniofacial Surgery
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    • v.16 no.3
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    • pp.151-153
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    • 2015
  • Closed reduction is the treatment of choice for most nasal bone fractures. In this technique, the nasal bone cannot be directly visualized, proper reduction is confirmed by palpation of the bony contour. This confirmation-via-palpation is in most cases too uncomfortable or painful for patients, and this is the reason why most closed reductions of nasal bone fractures are performed under general anesthesia. Recently, ultrasonography has been adopted as a useful diagnostic method and operative adjunct. In this report, we report the use of ultrasonography as a means to provide palpation-less confirmation of proper reduction, which in turn allows for nasal bone reduction under local anesthesia.

Studies on Early Pregnancy Diagnosis in Dairy Cows (유우(乳牛)의 조기임신진단(早期姙娠診斷)에 관한 연구(硏究))

  • Kim, Kyo-Joon;Kim, Sang-Keun
    • Korean Journal of Veterinary Research
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    • v.20 no.2
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    • pp.135-141
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    • 1980
  • This experiment was carried out to investigate of the early pregnancy diagnosis by finger pressure method, mucus smear method and rectal palpation method in 169 heads of pregnant dairy cow. 1. Pregnancy diagnostic rate of previous, middle and late period of pregnancy by finger pressure methods were 87.3%, 82.0% and 70% respectively. 2. Pregnancy diagnostic rate of previous, middle and late period of pregnancy by mucus smear methods were 83.1%. 94.9% and 95.0% respectively. 3. Pregnancy diagnostic rate of previous, middle and later period of pregnancy by rectal palpation methods were 83.1%, 96.1% and 100% respectively. 4. Pregnancy diagnostic rate of early pregnancy by finger pressure method, mucus smear method and rectal palpation method were 86.7%, 86.8% and 66% respectively. 5. Accordingly, finger pressure method in pregnancy diagnosis is thought to be recommendable because this early diagnostic means are simple with accurate results.

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Development of Differential Diagnosis and Treatment Method of Reproductive Disorders Using Ultrasonography in Cows II. Differential Diagnosis of Subestrous Dairy Cows (초음파검사에 의한 소의 번식장애 감별진단 및 치료법 개발 II. 무발정우의 감별진단)

  • 강병규;최한선;강현구;오기석;서동호;손창호;서국현
    • Journal of Veterinary Clinics
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    • v.15 no.2
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    • pp.307-318
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    • 1998
  • Accuracy of rectal palpation and ultrasonography for differential diagnosis of subestrous dairy trows were investigatedl using the result of pIRsma progesterone assay. The ovaries were examined 2 times of 10 days interval in 520 posearom and postinsemination subestroHs dairy cows, using rectal palpation and B-mode transrectal ultrasonography. The results of rectal palpation, ultrasonographic examination and measurement of plasma progesterone profiles in 520 subestrous dairy cows were silent brat or error of estrus detection 303 (58.3%), persistent corpus luteum 59 (11.3%), follicular cyst 37 (7.1%), luteal cyst 16 (3.1%), inactive ovary 9 (1.7%), granulosa tumor 1 (0.2%), hydmsalphinx 1 (0.2%), endomehris 81 (15.6%), pyometra 12 (2.3%) and mummified fetus 1 (0.2%), respectively. Accuncy of rectal palpation and ultrasonography for diagiosing ovarian disordeir based on plasma progesterone profiles were silent heat or error of estrus detection 80.5% and 96.7%$\boxUl$ persistent corpus luteum 57.6% and 94.9%, follicular cyst 62.5% and 91.9%1 luteal cyst 62.5% and 87.5%, maclive ovary 55.6% and 88.9% and granulosa cell tumor 100% and 100%, respectively. Acnuucy of rectal palpation for diagnosing uterine disorders based on ultrasonography was pyometra 75.0%1 endometritis 51.9% and mummified fetus 100%, respectively. Cbaracteristic ultrasonographic appearances of ovaries in subestrous dairy cows were as follows; Silent heat or error of estrus detection: anechoic follicle or hypoechoic corpus luteum than ovarian stroma was alternately present on Day 0 (first examination) and Day 10. Follicular cyst: uniformly nonechogenic ovarian structure $\geq $ 25 mm in diameter with a wall < 3 mm was present in ipsilateral on Day 0 and Day 10. Luteal cyst: luteal cyst was similar to follicular cysts but thickness of cystic wall was $\geq $ 3 mm. Inactive ovary : structures within ovaries was not present on Day 0 Bnd Day 10. Characteristic uthssonograpsc appearances of uterus in subestrous dairy cows were as follows; Endometritis: characterized by uterine lumen containing fluid in which 'snowy'echogenic particles art suspended. Pyometra: ultrasonographic appearance of pyometra was diffuse echogenic particles distributed in fluid within the distended uterus, and a thickened uterine wall. These results indicated that ultrasonography was practical far diagnosing reproductive disorders. To diagnosing ovarian disorders, ultrasonography should be carried out 2 times of 10 days interval and rndometritis should be differentiated with uterus of luteal phase in normal cycling cows.

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