• Title/Summary/Keyword: Patient discomfort

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A Case Report of a Soyangin Patient with Chest Discomfort of Unknown Cause (원인불명의 흉부불편감을 호소하는 소양인(少陽人) 치험례)

  • Kang, Min-Su;Yang, Sung-Pil;Kim, Jin-Young;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.3
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    • pp.280-287
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    • 2017
  • Objectives The purpose of this study is to investigate the effect of Jihwangbaekho-tang on chest discomfort of unknown cause in a 52-year-old male patient diagnosed with Soyangin. Methods Patient had chest discomfort. But, the cause of this symptom was not identified by various cardiac examinations. The patient was treated with Soyangin Jihwangbaekho-tang for 2 weeks on the basis of Sasang Constitutional Medicine and the symptoms were evaluated by GAS(Global Assessment Scale). Results After using Jihwangbaekho-tang, GAS score has been decreased from 7 to 3. Conclusions This case study suggests that chest discomfort, whose cause is unknown, can be treated when using Sasang Constitutional Medicine.

2 Case Reports of Gastroesophageal Reflux Disease Diagnosed as Soyangin Mangeum (소양인 망음증으로 진단한 역류성식도염 치험 2례)

  • Lim, Tae-Hyung;Park, Hye-Sun
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.2
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    • pp.297-306
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    • 2015
  • Objectives This study was designed to report treatment of Soyangin Mangeum with gastroesophageal reflux disease. Methods We treated two patients suffering from dyspepsia and chest discomfort. A female patient was treated with Hyeongbangjiwhang-tang. A male patient was treated with Hyungbangsabaek-san. The progress was evaluated with the visual analogue scale for dyspepsia, chest discomfort, and other symptoms. Results A female patient's symptoms such as dyspepsia, chest discomfort were almost cured. but they increased with patient's emotional state repeatedly. A male patient' symptoms such as abdominal pain, dyspepsia, nausea, heart burn was successfully disappeared. Conclusions Hyeongbangjiwhang-tang and Hyungbangsabaek-san can be considered as a treatment for patient with Soyangin Mangyin diagnosed as gastroesophageal reflux disease.

Clinical Observation for Evaluation Protocol on Tinnitus (이명에 대한 평가지침 수립을 위한 임상 연구)

  • Kim Yaan Bum
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.2
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    • pp.403-407
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    • 2002
  • The objective of this study is to establish the new evaluating method of tinnitus and to evaluate the effect of acupuncture therapy. Fourteen patients with tinnitus were studied. The patients answered the questionnaire designed to identify and describe the subjective symptoms of tinnitus and discomfort in daily life due to tinnitus. After acupuncture therapy, the survey was conducted again among the patients and we evaluated the difference between pre-acupuncture therapy and post-acupuncture therapy. 1. Precipitating factors of tinnitus among the patients group consisted of 14 members were stress, noise, drug, overwork, URI, and otitis media in order. 2. Significant improvements in subjective symptoms of tinnitus and discomfort in daily life after acupuncture therapy were identified among the patient group of 14 members 3. Patient group of 14 members were divided into 2 groups by digestion status: patients who have poor digestion and patients who have good digestion. The patients who have good digestion showed significant improvement both in subjective symptoms of tinnitus and in discomfort in daily life after acupuncture therapy. 4. Patient group of 14 members were divided Into 2 groups by urination and defecation status: patients who have poor urination and defecation and patients who have good urination and defecation. The patients who have good urination and defecation showed significant improvement both in subjective symptoms of tinnitus and in discomfort in daily life after acupuncture therapy. 5. Patient group of 14 members were divided into 2 groups by sleeping status: patients who sleep well and patients who don't sleep well. The patients who sleep well showed significant improvement both in subjective symptoms of tinnitus and in discomfort in daily life after acupuncture therapy. This study shows that the subjective symptoms of tinnitus and discomfort in daily life due to tinnitus are involved in urination and defecation factor, sleep factor, and digestion factor. This study also shows that acupuncture therapy is effective in improving the subjective symptoms of tinnitus and discomfort in daily life due to tinnitus.

A Case Report of an Ischemic Heart Disease Patient with Chest Discomfort and a Headache (허혈성 심질환 환자의 두통 및 흉통 한방치험 1례)

  • Ha, You-kyoung;Noh, Hyeon-seok;Yi, Chan-sol;Park, Song-won;Hong, Seung-cheol;Choi, Dong-jun
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.276-283
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    • 2017
  • Objective: This case study describes the use of traditional Korean medicine to relieve chest pain and headaches in a patient with ischemic heart disease. Methods: The patient was treated with a range of traditional Korean medicine, including acupuncture, moxibustion, and herbal medicines (Gamiondam-tang and Cheonmabanhwa-tang-gagambang). The Numerical Rating Scale (NRS) was used to measure the patient's status and improvements in the frequency of symptoms. Results: After the treatment, the NRS score for chest pain and headaches decreased from 6 to 0. In addition, chest discomfort and palpitations almost subsided. Conclusion: This clinical case study suggested that Gamiondam-tang and Cheonmabanhwa-tang-gagambang could be effective in relieving chest discomfort and headaches.

A Case of Report on the Patient Treated with Cheongnijagam-tang gagam for Fidget (청리자감탕 가감방으로 호전된 번조증상 환자의 치험 1례)

  • Jeong, Hyun-Jin;Jeon, Sang-Yun;Lee, Da-Eun;Lee, Ji-Eun;Kim, Min-Wook
    • Herbal Formula Science
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    • v.26 no.4
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    • pp.391-397
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    • 2018
  • Objectives : This case describes the effectiveness on Fidget accompanied with chest discomfort, Nausea, Sleep discomfort by using Cheongnijagam-tang gagam Methods : For relieving symptoms, Korean medical treatments, including herbal medicine, acupuncture and moxibustion, were performed. To evaluate the effects of the treatments, visual analog scale (VAS) was used. Results : After treatments for 5weeks, the clinical symptoms of the patient were improved. Conclusions : This report suggests that herbal medicine is effective for Fidget accompanied with chest discomfort, Nausea, Sleep discomfort.

A case Report of Tinnitus after Subarachnoid Hemorrhage(SAH) Operation Diagnosed as Soyangin Hyunggyeok yeoljeung (지주막하출혈 수술 이후 발생한 이명을 소양인 흉격열증으로 진단한 치험 1례)

  • Lim, Tae-Hyung;Park, Hye-Sun
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.2
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    • pp.176-183
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    • 2016
  • Objectives This case study reports patient diagnosed as Soyangin Hyunggyeok yeoljeung with tinnitus, headache and sleep discomfort after Subarachnoid Hemorrhage(SAH) had treated with HyungBangSabaek-San.Methods The patient suffering from tinnitus, sleep discomfort had taken HyungBangSabaek-San from the first to the end three times a day. We measure tinnitus by Tinnitus Handicap Inventory(THI) and observe symptoms change using Visual Anlaogue Scale(VAS).Results The symptoms had been steadily decreased and quality of life had increased also. Headache and constipation had been improved in a week and tinnitus and chest discomfort had decreased next week. At last, patient complained symptoms slightly.Conclusions HyungBangSabaek-San a is treatment of Soyangin Hyunggyeok yeoljeung and may be considered as a treatment of tinnitus.

A Case of Cerebral Infarction Patient Accompanied by Chest discomfort, Insomnia and Constipation Treated with Daehwanghwangryeonsasim-tang(大黃黃連瀉心湯) (흉비(胸痞), 부면(不眠), 변비(便秘)를 동반한 뇌경색 환자의 대황황련사심탕(大黃黃蓮瀉心湯) 치험례)

  • Choi, Seong-Hwan;Kim, Jin-Mi;Chang, Mun-Won;Mun, Seung-Hee;Jo, Hyun-Kyung;Seol, In-Chan
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.15 no.2
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    • pp.93-99
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    • 2009
  • Objective: The aim of this study is to show one case of cerebral infarction patient with chest discomfort, insomnia and constipation improved by Daehwanghwangryeonsasim-tang. Methods: The patient was treated with herbal medicine (Daehwanghwangryeonsasim-tang) and acupuncture. Changes in symptoms for treatment period were observed. Result: Intensity and frequency of chest discomfort was decreased. Sleep time was increased and constipation was improved. Conclusion: Daehwanghwangryeonsasim-tang is effective on symptoms of the pattern of heart heat and fire-heat.

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Novel dental anesthetic and associated devices: a scoping review

  • Kyung Hyuk Min;Zac Morse
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.24 no.3
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    • pp.161-171
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    • 2024
  • The efficient management of pain and discomfort is essential for successful dental treatment and patient compliance. Dental professionals are commonly evaluated for their ability to perform treatment with minimal patient discomfort. Despite advancements in traditional local dental anesthesia techniques, the pain and discomfort associated with injections remain a concern. This scoping review aims to provide a comprehensive overview of the literature on novel dental anesthetics and associated devices designed to alleviate pain and discomfort during dental procedures. The Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews guidelines were used to prepare the review. Six databases and two sources of gray literature were searched. This review analyzed 107 sources from 1994 to 2023. Local anesthesia devices were grouped into computer-controlled local anesthetic delivery (CCLAD) systems, intraosseous anesthesia (IOA), vibratory stimulation devices, and electronic dental anesthesia (EDA). CCLAD systems, particularly the Wand and Single-Tooth Anesthesia, have been the most researched, with mixed results regarding their effectiveness in reducing pain during needle insertion compared to traditional syringes. However, CCLAD systems often demonstrated efficacy in reducing pain during anesthetic deposition, especially during palatal injections. Limited studies on IOA devices have reported effective pain alleviation. Vibrating devices have shown inconsistent results in terms of pain reduction, with some studies suggesting their primary benefit is during needle insertion rather than during the administration phase. EDA devices are effective in reducing discomfort but have found limited applicability. These findings suggest that the CCLAD systems reduce injection pain and discomfort. However, the evidence for other devices is limited and inconsistent. The development and research of innovative technologies for reducing dental pain and anxiety provides opportunities for interdisciplinary collaboration and improved patient care in dental practice.

Patient Discomfort Caused by an Endotracheal Tube during Ventilator Therapy after Cardiac Surgery (심장 수술 후 인공호흡기 치료를 받는 환자의 기관내관으로 인한 불편감에 관한 연구)

  • Hyun, A-Reum;Choe, Myoung-Ae
    • Journal of Korean Critical Care Nursing
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    • v.3 no.1
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    • pp.53-65
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    • 2010
  • Purpose: The purpose of this study was to identify the intensity and types of discomfort caused by an endotracheal tube in patients during ventilator therapy after cardiac surgery, and to analyze the differences in the intensity and types of discomfort by sociodemographic and clinical characteristics and characteristics related to endotracheal tubes. Methods: The intensity of discomfort was measured using an 11-point numeric rating scale and the types of discomfort were measured using a 4-point numeric rating scale. Sociodemographic and clinical characteristics and characteristics related to endotracheal tube were collected by observation and the electronic medical chart using a structured questionnaire. Results: The mean intensity of discomfort in patients due to endotracheal tubes was 6,91 points, 84% of patients reported discomfort over 5 points, The most severe discomfort was pain during endotracheal suctioning, and dry mouth and breathing difficulties were also found to induce discomfort. Patients who had more severe surgical site pain, longer duration of intubation and higher cuff pressure demonstrated more severe discomfort due to the endotracheal tube. Conclusion: These results can be used as basic data for developing nursing intervention to relieve the discomfort caused by endotracheal tubes in patients during ventilator therapy.

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A Conversational Analysis about Patient's Discomfort between a Patient with Cancer and a Nurse (불편감을 가진 암환자와의 간호대화 분석)

  • Lee, Hwa-Jin
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.145-155
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    • 2007
  • Purpose: The purpose of this study was to describe and to analyze real communication about a patient's discomfort between a patient with cancer and a nurse. Method: A dialogue analysis method was utilized. Fifteen patients and 4 nurses who participated in this research gave permission to be videotaped. The data was collected from January, 3 to February 28, 2006. Results: The communication process consisted of 4 functional stages: 'introduction stage', 'assessment stage', 'intervention stage' and 'final stage'. After trying to analyze pattern reconstruction in the 'assessment stage' and 'intervention stage', sequential patterns were identified. In the assessment stage, if the nurse lead the communication, the sequential pattern was 'assessment question-answer' and if the patient lead the communication, it was 'complaint-response'. In the intervention stage, the sequential pattern was 'nursing intervention-acceptance'. Conclusion: This research suggests conversation patterns between patients with cancer and nurses. Therefore, this study will provide insight for nurses in cancer units by better understanding communication behaviors.