• The Korean Journal of Pain
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• 제30권4호
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• pp.243-249
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• 2017

Pain is subjective, while statistics related to pain research are objective. This review was written to help researchers involved in pain research make statistical decisions. The main issues are related with the level of scales that are often used in pain research, the choice of statistical methods between parametric or nonparametric statistics, and problems which arise from repeated measurements. In the field of pain research, parametric statistics used to be applied in an erroneous way. This is closely related with the scales of data and repeated measurements. The level of scales includes nominal, ordinal, interval, and ratio scales. The level of scales affects the choice of statistics between parametric or non-parametric methods. In the field of pain research, the most frequently used pain assessment scale is the ordinal scale, which would include the visual analogue scale (VAS). There used to be another view, however, which considered the VAS to be an interval or ratio scale, so that the usage of parametric statistics would be accepted practically in some cases. Repeated measurements of the same subjects always complicates statistics. It means that measurements inevitably have correlations between each other, and would preclude the application of one-way ANOVA in which independence between the measurements is necessary. Repeated measures of ANOVA (RMANOVA), however, would permit the comparison between the correlated measurements as long as the condition of sphericity assumption is satisfied. Conclusively, parametric statistical methods should be used only when the assumptions of parametric statistics, such as normality and sphericity, are established.

• 기본간호학회지
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• 제24권2호
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• pp.138-145
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• 2017

Purpose: This study was conducted to determine factors affecting depression in women patients with osteoarthritis. Methods: Raw data from the 6th Korea National Health and Nutrition Examination Survey in 2014 was used. Data for 480 women were included. Variables related to general, physical and psychological characteristics were selected. After a sampling plan compound file was created using IBM SPSS 23.0 program, data were analyzed by giving weights. Results: The results of the study are as follows. 1) Depression was significantly different according to economic status, marital status, knee pain, stress and subjective health status (p<.05). 2) Factors affecting the women included marital status, knee pain, stress, and subjective health status. The explanatory power was 41.0%. Conclusion: Results indicate that there is a need to give comprehensive consideration to the factors identified in this study when designing preventive interventions and management plans to alleviate depression in women with osteoarthritis.

• 보건의료산업학회지
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• 제14권2호
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• pp.93-104
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• 2020

Objectives: The purpose of this study was to investigate the relationship between oral health awareness symptoms and academic stress in some high school girls and to find out existing improvement plans. Methods: This study conducted a self-reported survey on 303 high school girls from four high schools in Jeollabuk-do. Results: Higher academic performance, poor subjective oral health, awareness of dental caries, awareness of jaw joint disease, awareness of discomfort during chewing, and awareness of tooth pain significantly increased overall admission stress. The most influential factors were dental pain symptoms, followed by subjective oral health and dental caries symptoms. Conclusions: Effective measures to help high school girls cope with academic stress, a systematic school oral health policy, and practical health promotion activities are necessary to improve their oral health.

• 한국산업보건학회지
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• 제25권2호
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• pp.220-228
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• 2015

Objectives: The purpose of this study was to investigate estheticians' self-reported pain symptoms and pain levels according to the parts of the hand. Methods: Data were collected through a questionnaire survey among 116 estheticians from 31 skin care centers and spas. Information about general characteristics, job characteristics and work characteristics were based on data from the self-administered questionnaire. To determine the self-reported pain symptoms and pain levels according to the parts of the hand, a Cornell Musculoskeletal Discomfort Questionnaire was used. Results: The subjects had the greatest self-reported pain symptoms in the thumb(Right: 53.4%, Left: 46.6%) and felt the highest level of pain in the wrist(Right: 4.87 points, Left: 4.71 points). Physical burdens and age had statistically significant effects on the pain level in the right hand, while physical burdens and the manager rather than the director had statistically significant effects on the pain level in the left hand. Conclusions: Since the thumb and wrist have the greatest subjective pain symptoms in the hand, the use of proper tools is recommended in order to reduce the usage of the thumbs during massage, as is regular stretching to protect the wrists.

• 사상체질의학회지
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• 제28권4호
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• pp.381-395
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• 2016

Objectives The aim of this study was to report improvements on the symptoms of Flushing for three soyangin female patients after using sasang constitutional medicines. Methods The patients were diagnosed with Soyangin Symptomatology and treated with Soyangin sasang constitutional medicines. The patient's subjective symptoms of flushing and discomfort in sleeping were observed using the Visual Analogue Scale(VAS) respectively during the treatment period. And the patient's subjective symptoms of the pain were observed using Numerical Rating Scale(NRS). The period of the patient's defecation interval were also observed. Results and Concluions The symptoms of flushing, discomfort in sleeping and the pain improved remarkedly in all respects. In conclusion, this study shows that Sasang Constitutional Medicine can be an effective treatment for Soyangin patient with Flushing.

• 대한한의학회지
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• 제41권4호
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• pp.106-111
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• 2020

Objectives: Hepatitis A is a typical acute hepatitis caused by hepatovirus, and then most patients recover easily without progression to chronic condition. However, certain cases have the risk of severe symptoms or even death. This case report presented a hepatitis A accompanied with pancreatitis, which had been completely recovered in a Korean medicine hospital. Case presentation: A 38-year woman had felt the malaise, mild chilling, muscle pain and abdominal discomfort for 10 days, which led her visit doctors and took anti-pyretic analgesics and digestants. The symptoms, especially epigastric pain and fatigue, became worse, and then she hospitalized in a Korean medicine hospital. Based on the drastic elevations of hepatic enzymes (aspartate transaminase 1,604 IU/L and alanine transaminase 2,825IU/L) with an anti-HAV IgM positive, she was diagnosed with hepatitis A. After bed rest and herbal drug treatment (CGX and Innae-Tang) for 5 days, the laboratory abnormalities and subjective symptoms had been improved gradually, except the upper gastric discomfort and pain. Those symptoms had anticipated the comorbidity with HAV-induced pancreatitis, supported by the high level of serum lipase release. Another 5-day hospitalized treatment improved all subjective symptoms and then the laboratory results were completely normalized including detection of anti-HAV IgG within 15 days after discharge. Conclusion: This study presented a typical hepatitis A accompanied with pancreatitis, which should be considered in diagnosis and management of hepatitis A.

• 동서간호학연구지
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• 제13권1호
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• pp.5-12
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• 2007

Purpose: The purpose of this study was to identify the effects of hand acupuncture on relieving of abdominal pain. Method: Fifty-five middle school students who complained abdominal pain were selected as subjects. There were 35 students in the experimental group while 20 students were in the control group. Convenience assignment was used. The experimental group received hand acupuncture treatment which was to puncture corresponding points (epigastric pain A8, A12, A16, K9, F4, E42; lower abdominal pain A1, A4, A6, A8, J1, H2) on both the palm and the back of a hand with disposable acupuncture needles, and then to remove them after a 20-30min. recess during the subjects was in supine position on a bed. Result: Degree of subjective pain decreased statistically in the experimental as compared to the control group. No statistical significant differences were found in objective pain and comfort between experimental and control group. Conclusion: These findings indicate that hand acupuncture is an effective method for reducing abdominal pain. Therefore, hand acupuncture could be considered as an independent nursing intervention for abdominal pain reduction.

• 한국산학기술학회논문지
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• 제21권9호
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• pp.283-290
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• 2020

본 연구는 미충족 의료 경험과 삶의 질 관련 측정지표 간 인과관계를 실증하는 데 목적을 두었다. 이 두 변수간 인과관계 검증을 위해 본 연구는 한국의료패널의 부가조사 원자료를 가공하여 분석을 실시하였다. 삶의 질과 관련된 측정지표로는 운동능력, 자기관리, 일상 활동, 통증/불편, 불안/우울, 주관적 건강상태의 6개 변수를 투입해 선형회귀분석을 실시하였다. 본 연구의 분석 결과 미충족 의료 경험은 본 연구에 투입한 6가지의 삶의 질 하위변수 모두에 통계적으로 유의한 부(-)적 영향을 미치는 것을 확인할 수 있었다. 아울러 선형회귀분석을 통해 도출된 β값을 활용해 상대적 영향력의 크기를 검토한 결과 통증/불편, 주관적 건강상태, 불안/우울, 일상 활동, 운동능력, 자기관리의 순으로 차별적 영향 수준을 나타내는 것을 알 수 있었다. 이러한 분석 결과에 기초해 삶의 질적 수준 향상에 기여하기 위한 미충족 의료에 대한 정책 대응방안으로서 보건과 복지의 실무 연계 강화와 관련한 실무적 시사점을 제언하였다.

• Restorative Dentistry and Endodontics
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• 제45권3호
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• pp.40.1-40.12
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• 2020

Objectives: The aim of this study was to evaluate the effects of endodontic treatment on levels of substance P (SP) and calcitonin gene-related peptide (CGRP) in the saliva of patients with symptomatic apical periodontitis. Materials and Methods: Twelve patients with mandibular molars with symptomatic apical periodontitis were enrolled in this study. An initial saliva sample was collected just before administration of anesthesia for root canal treatment, which was performed at the first visit. A second saliva sample was collected at a control visit 1 week after treatment. Salivary SP and CGRP levels were evaluated quantitatively using biochemical assays. The data were analyzed using Pearson correlation analysis, the paired samples t-test, and the Mann-Whitney U test (p = 0.05). Results: The postoperative salivary level of SP was significantly lower than the preoperative level (p = 0.005). However, the postoperative salivary level of CGRP was similar to the preoperative level (p = 0.932). Visual analog scale (VAS) scores of patients' subjective pain were found to be positively correlated with salivary levels of SP (r = 0.421; p = 0.040). No statistically significant correlations were observed between salivary levels of CGRP and VAS scores for patients' subjective percussion tenderness (p = 0.533) or VAS scores for patients' subjective pain (p = 0.459). Conclusions: According to the results of the present study, salivary SP levels may be used as an objective indicator in the diagnosis and assessment of the degree of pain in endodontic diseases.

• 동의생리병리학회지
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• 제35권2호
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• pp.81-85
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• 2021

This study aims to report a case of oculomotor nerve palsy with mydriasis improved by Sa-Am acupuncture (大腸正格). The patient visited our clinic due to Right oculomotor nerve palsy with symptoms such as periocular pain, diplopia, vertigo, ptosis, eye adduction disorder, and mydriasis on November 11th, 2019. For the treatment, Sa-Am acupuncture (大腸正格) which used to give a significant effect on eye diseases and headaches and to remove toxins from the body was performed every time the patient visited the clinic. About a month after the treatment, ptosis disappeared, and eye adduction disorder also changed from -2 to 2 points, showing a significant improvement. Subjective symptoms such as vertigo, diplopia, and eye pain also significantly decreased from 13 to 4 points. At the second month of treatment, the eye adduction disorder improved to a normal level, and subjective ocular discomforts disappeared. The pupil size decreased from 5 mm to 2.5 mm. After 3-4 months from the start of treatment, most of the symptoms including the light reflex returned to normal. After a total of 32 acupunctures treatment, subjective symptoms such as periocular pain, diplopia and vertigo, as well as ptosis and eye adduction disorder disappeared, and the pupil size, including the light reflex, also improved to the normal level.