• Title/Summary/Keyword: Subjective Discomfort Rating

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Traditional Korean Medicine Treatment for Sequelae After Surgery in Prostate Cancer Patients: Two Case Report (전립선암환자의 수술 후 발생한 후유증에 대한 한방치료 2례)

  • Jang, Kwon-jun;Yang, Jung-min;Hwang, Woo-seok;Lee, Beom-joon
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.795-808
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    • 2022
  • Objectives: The purpose of this study is to report two cases of prostate cancer patients whose side effects after surgery were treated with traditional Korean medicine. Methods: Two prostate cancer patients underwent robot-assisted laparoscopic prostatectomy, and both patients were treated with traditional Korean medicine. Subjective discomfort symptoms were evaluated using the Numerical Rating Scale. Adverse events were evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0. Daily life vitality was evaluated by the Eastern Cooperative Oncology Group. Results: After treatment with traditional Korean medicine, discomfort symptoms that occurred after surgery, such as frequent urination, nocturia, insomnia, and depression, all gradually improved, and Eastern Cooperative Oncology Group scores also improved from two points to one point. Additionally, there were no hematologic side effects from the traditional Korean medicine treatment. Conclusions: This case study suggests that traditional Korean medicine may contribute to the improvement of side effects caused by robot-assisted laparoscopic prostatectomy, quality of life, and immunity.

Traditional Korean Medicine Treatment for Sequelae After Tamoxifen in Breast Cancer Patients: Two Case Reports (유방암 환자의 Tamoxifen 복용 후유증에 대한 한방치료 2례)

  • Jung-min Yang;Jae-woo Yang;Ji-hoon Oh;Woo-seok Hwang
    • The Journal of Internal Korean Medicine
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    • v.44 no.1
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    • pp.53-65
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    • 2023
  • Objective: The purpose of this study is to report two cases of breast cancer patients whose side effects after Tamoxifen were treated with traditional Korean medicine. Methods: Two breast cancer patients underwent Tamoxifen after breast-conserving surgery, and both were treated with traditional Korean medicine. Subjective discomfort symptoms were evaluated using the Numerical Rating Scale. Adverse events were assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0. Results: After treatment with traditional Korean medicine, the discomfort symptoms that occurred after Tamoxifen, such as osteoarthritis, hot flushes, and cold sweat, all gradually improved. In addition, no hematologic, hepatic, or renal side effects were observed from the traditional Korean medicine treatment. Conclusion: This case study suggests that traditional Korean medicine may contribute to the improvement of side effects caused by Tamoxifen and enhance the quality of life of patients.

Development and Assessment of Shovel Applying Foothold

  • Lim, Cheolmin;Lee, Kyungsuk;Kim, Kyungran;Kim, Hyocher;Seo, Mintae;Kim, Seongwoo;Chae, Hyeseon
    • Journal of the Ergonomics Society of Korea
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    • v.35 no.2
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    • pp.67-74
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    • 2016
  • Objective: The aim of this study is to develop a farming shovel to reduce workload, which helps farmers lower the risk of musculoskeletal disease. Background: Most of work using farming tools including shovels requires repetitive works and awkward postures on body parts, and it could possibly cause work-related musculoskeletal disorders. It is necessary to develop and distribute farm equipment and tools in order to reduce physical workload. Method: To improve the most uncomfortable task perceived by ten farmers during the work with a shovel, the improved shovel was designed and made as a prototype for experiment for the comparison of the existing and improved shovels. Twenty males were recruited for this experiment, and muscle activity (%MVC) of six body parts and subjective discomfort ratings by body parts while working with a shovel were measured. A paired t-test was performed to compare physical workload between the existing shovel and the developed one. Results: A shovel applying foothold tied between shaft and blade was designed, which can help workers reduce repetitive bending of back and pressures for upper limbs while digging soil. According to compared evaluation of the developed shovel and the existing shovel, the developed shovel's %MVCs in all experimental muscles were significantly lower than those of the existing shovel. The developed shovel showed the biggest drop in perceived subjective discomfort rating of back, followed by arm and neck, compared to the existing shovel. Conclusion: It was confirmed that attaching a foothold to a shovel was an effective way of reducing workload in back and upper limbs during digging. Application: In the near future, if we put the prototype of developed shovel to practical use after making up for defects, it will help farm work environment be healthier and safer.

A Case Study of A Patient Complaining of Disequilibrium Due to Proprioceptive Disorder (고유수용감각이상으로 인한 균형장애를 호소하는 환자 치험 1례)

  • Kyeong-Hwa Lee;Hye-Min Heo;Dong-Ju Kim;Hye-Jin Lee;Seung-Yeon Cho;Seong-Uk Park;Jung-Mi Park;Chang-Nam Ko
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.24 no.1
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    • pp.1-12
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    • 2023
  • ■Objectives This work reports the case of a patient complaining of disequilibrium due to proprioceptive disorder whose condition improved following Korean medicine treatment. ■Methods The patient was hospitalized for 15 days and treated with herbal medicine, mainly doinseunggi-tang-gami, and acupuncture, electroacupuncture, and moxibustion. Disequilibrium was clinically estimated using Korean dizziness handicap inventory(K-DHI) and the patient's subjective discomfort in this regard was also checked by numeral rating scale. The degree of improvement in blood stasis syndrome was evaluated using modified Blood Stasis Questionnaire II(modified BSQ-II) to assess the clinical effects of the treatment. ■Results After treatment, the K-DHI classification improved from severe to mild, and the patient's subjective discomfort was greatly improved from NRS 6 to NRS1. In addition, the degree of improvement in blood stasis syndrome improved from blood stasis group to blood stasis risk group compared to time of admission. ■Conclusion These results suggest that Korean medicine is effective in treating disequilibrium caused by proprioceptive disorder.

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A Study on Analysis of Space Evaluation Using the Luminance Distribution Images (휘도분포영상을 이용한 공간평가분석에 관한 연구)

  • Han, Sang-Pil;Kim, Jong-Youn;Cho, Nam-Cheol;Yi, Yong-Kyu;Kim, Nam-Jin
    • Journal of the Korean Solar Energy Society
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    • v.33 no.5
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    • pp.76-81
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    • 2013
  • In our former study, we proposed that the AC-Model might be applied to various conditions. And we also introduced the method for daylighting that it was possible to reduce discomfort glare and to improve visual impressions as the supplementary type and blind-control type on the compound lighting. The purpose of this study was to examine the relationship between physical elements and psychological evaluation of lighting space. The study was made using an full-size space, which were equipped with various luminaries. We investigated the relationship between subjective evaluation and characteristics of light distribution and showed the high correlation between the evaluation rating and luminance distribution over whole room.

A Case Study of Soyangin Patient with Restless Legs Syndrome Treated with Hyeongbangsabaeksan (형방사백산(荊防瀉白散)으로 호전된 소양인(少陽人) 하지불안증후군 환자 치험 1례)

  • Kim, Jin-Young;Lee, Ji-Won;Oh, Hye-Won;Lee, Jun-Hee;Lee, Eui-Ju;Koh, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.4
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    • pp.419-428
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    • 2015
  • Objectives The aim of this study was to report an improvement on the symptoms of Restless Legs Syndrome (RLS) after using Hyeongbangsabaeksan.Methods The patient was diagnosed with Soyangin Soyang-sangpung Symptomatology and treated with Hyeongbangsabaeksan. The patient's subjective symptoms of pain on the lower limb and discomfort in sleeping were observed using the Numerical Rating Scale(NRS) and Visual Analogue Scale(VAS) respectively during the treatment period. And other specific symptoms of RLS were assessed once per week for a total of three times with Korean Versions of the International Restless Legs Scale.Results and Conclusions The pain on the patient's lower limb decreased from NRS 4 to NRS 0 after one week of treatment. And discomfort in sleeping decreased from VAS 5.5 to VAS 0 after one week of treatment. Furthermore, the score of Korean Versions of the International Restless Legs Scale decreased from 40 to 5 after two weeks of treatment. In conclusion, this study shows that Sasang Constitutional Medicine can be an effective treatment for Soyangin patient with Restless Legs Syndrome as Soyangin Soyang-sangpung Symptomatology.

Effectiveness of Physical Exercises for VDT Operators (VDT 작업자를 위한 운동의 효과에 관한 연구)

  • Lee, K.S.;Waikar, A.M.;Oh, Y.
    • Journal of Korean Institute of Industrial Engineers
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    • v.16 no.1
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    • pp.67-81
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    • 1990
  • Effectiveness of physical exercise in reducing work-related musculoskeletal stress was investigated. This was compared to the stress alleviation accomplished by using ergonomically designed work station. Tasks chosen for the study were data entry and file maintenance on the video display terminal (VDT). Three different measures, namely root-mean-square (RMS) values of electromyogram (EMG), subjective rating and task performance were used for the evaluation. Electromyograms were recorded from the neck, the left and right trapezius muscles in the shoulder region, and L2/L3 region of the back. Subjects rated discomfort levels for the same parts of their body. Task performance was measured by recording typing speed and errors. Each of the five subjects was tested for two days (8 hours/day) in two different work stations. These were the ergonomically designed adjustable work station and the fixed work station of traditional design with no adjustable features. Assigned physical exercises were performed for four minutes, every two hours during the breaks, by the subjects while working in the fixed work station. It was concluded that the physical exercise could be helpful in reducing musculoskeletal stress as effectively as the ergonomic design of the VDT work station.

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Acupuncture Treatment about Medial Meniscus Posterior Horn Rupture : A Case Report

  • Lee, Hey-Jin;Lee, Nam-Heon;Son, Chang-Gue;Cho, Jung-Hyo
    • Journal of Haehwa Medicine
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    • v.29 no.2
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    • pp.30-37
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    • 2020
  • Objectives : In this case, the knee joint inconvenience with deteriorating pain has been relieved by acupuncture treatment for a patient was 51-year-old male with a left medial meniscal posterior horn rupture in 2012. Methods : Twenty-four times of acupuncture treatments were performed for Twelve weeks from July 2016 to improve the disease. SP8(Jigi; 地機), BL63(Geummun; 金門), KI3(Taegye; 太谿), LI4(Hapgok; 合谷) were chosen for treatment by principles of Traditional Korean Medicine. Results : Numeric Rating Scales, which means subjective pain, decreased from 6 points to 3 points out of 10 points in total. Pressure Pain Threshold, which means sensitivity to pressure applied to the affected area, increased from 21N to 47N on the lateral-inferior side and from 19N to 50N on the lateral side. K-WOMAC, which indicates discomfort of knee-related activity, was 56 points out of 96 points in total before treatment and 4 points after treatment, 13 points after two years, and 15 points after four years. However, MRI tests conducted before and after treatment did not identify any significant changes. As a result, we confirmed that a total of 24 acupuncture treatments had resulted in the relief objective and subjective pain and functional recovery, especially in the case of the knee function, maintained until after four years later. There was no significant substrate recovery in meniscal rupture.

A Study on the Masticatory Efficiency after Treament for Temporomandibular Disorders (측두하악장애 치료후 저작능률에 관한 연구)

  • Nam, Cheon-Woo;Han, Kyung-Soo
    • Journal of Oral Medicine and Pain
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    • v.24 no.4
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    • pp.439-453
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    • 1999
  • This study was performed to investigate the masicatory efficiency in patients with temporomandibular disorders (TMDs), especially internal derangement of temporomandibular (TM) joint. For this study, 26 patients after treatment and 33 dental students who had no signs and symptoms of TMDs were selected as the patients group and as the normal group, respectively. Mean treatment duration of the patients was. 5.1 months. Verbal rating scale(VRS) and Visual analogue scale(VAS) were used for recording of subjective symptoms. Treatment index (VAS Ti) derived from VAS was calculated for evaluation of treatment progress and clinical examination was also performed for objective symptoms. BioEGN(Bioresearch Inc., Milwaukee, USA) was used for observation chewing movement pattern on peanut, caramel candy, and gum chewing. Chewing time in second and symptoms after chewing were recorded, and pattern of chewing stroke between in affected side and in contralateral side or between in right in left side were compared, and especially, gum chewing pattern between before and after treatment were also compared in the patients group. The data obtained were analysed by SPSS windows program and the results of this study were as follows : 1. Subjective symptoms evaluated by VAS showed no difference between the two groups, but those by VRS showed slight difference for TM joint pain, head not neck symptoms, and chewing ability. 2. There were no difference at the level of subjective symptoms between the subgroups divided by treatment duration of five months in the patients group. However, value of VAS Ti of pain was higher in subgroup of long treatment duration than that of subgroup of short treatment duration. 3. There were no difference in chewing time for peanut or caramel candy between the two groups, but on caramel candy chewing, the patients group complained slight discomfort after swallowing. Chewing velocity and range of motion on gum chewing after treatment in the patients group showed significant difference and greatly improved compared to those to before treatment, and which were not differ from those of normal subjects. In conclusion, treatment of temporomandibular disorders about for five months would greatly improve chewing ability and movement pattern in most of the patients with TMDs.

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Subjective Appraisals of Discomfort Glare for Luminaire with non-uniform luminance -Effect of luminaire used White LED Light source (불균일한 휘도를 갖는 조명기구에 대한 불쾌글레어 주관평가 실험 -백색 LED 광원을 이용환 조명기구의 영향)

  • Lee, Chang-Mo;Jung, Seung-Gyun;Seok, Dae-Il;Cho, Yong-Ick;Kim, Hoon
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2007.05a
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    • pp.11-14
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    • 2007
  • 현재, 새로운 조명광원으로서 백색 LED가 기대되고 있으며, 이를 이용하는 조명이 확대되어 실용화 될 것으로 예상된다. LED 광원을 이용하여 조명기구를 제작하고 이것을 실내조명으로 사용할 때 조명기구에 의한 글레어가 편안함을 주는지 불편함을 주는지에 대한 평가가 요구된다. 실내 조명환경에 대한 불쾌글레어를 평가하기 위해 UGR(Unified Glare Rating)을 추천하고 있다. 그러나 균일한 글레어 광원의 평균휘도를 이용하여 계산된 종래의 불쾌글레어 평가법들은 불균일한 휘도를 갖는 LED 조명기구에 대해서는 적용하기 어렵게 될 것으로 판단된다. 그래서 UGR를 이용하였을 경우, 균일한 휘도를 갖는 조명기구와 불균일한 휘도를 갖는 조명기구에 대해서 어떠한 차이가 있는지 다음의 불쾌글레어의 주관평가 실험을 수행하였다. 평균휘도가 같고 최대 휘도와 최소 휘도가 다른 조명기구(균일한 휘도를 갖는 조명기구 1종과 불균일한 휘도를 갖는 조명기구 2종)를 글레어 광원으로 사용하였다. 입체각(${\omega}$)과 위치지수(Position Index)를 고정시키고 배경휘도($L_b$)와 광원휘도($L_s$)를 임의로 변화시켰다. 주어진 환경에서 피험자로 하여금 얼마나 편안하진 또는 불편한지에 대한 느낌을 값으로 평가하도록 하였다. 우선, UGR과 주관평가 사이에 차이가 나타났으며, 이는 동 서양에 따른 문화적 및 생리적 차이에 기인한다고 생각된다. 다음으로 균일한 휘도를 갖는 조명기구보다 불균일한 휘도를 갖는 LED 조명기구가 더 높은 값을 할당 받아 LED 조명기구가 불쾌감을 더 유발시키는 것으로 나타났다. 또한 LED 소자 간격에 따른 영향은 글레어 광원의 휘도가 높아질수록 크게 나타났으며, 배경휘도에 대해서도 광원의 휘도가 높아질수록 LED 소자 간격의 차이에 의한 영향이 나타났다. 따라서 UGR식은 균일한 휘도를 갖는 조명기구에 적용하기에는 적합하지만, 불균일한 휘도를 갖는 조명기구에 적용하기에는 부적합하다고 판단된다.

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