• 제목/요약/키워드: Subjective Pain

검색결과 647건 처리시간 0.025초

구취 환자의 주관적 치료 만족도와 인성적 특성의 상관관계에 관한 연구 (Psychological Characteristics Related to Subjective Satisfaction Level of Oral Malodor Treatment Outcome)

  • 장민욱;한송;김영구
    • Journal of Oral Medicine and Pain
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    • 제24권4호
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    • pp.387-396
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    • 1999
  • 구취를 주소로 내원한 환자 중 구취의 치료 후 객관적인 구취의 감소가 인정되는 데도 불구하고, 계속해서 구취를 호소하며 만족해 하지 못하는 환자들의 심리적 특성을 알아보고자 하였다. 구취를 주소로 서울대학교 치과병원 구강진단과 구취클리닉에 내원하여 검사 및 치료를 시행한 환자 중, 치료 전 객관적 구취의 소견을 보였으나, 치료 후 할리미터 수치의 객관적인 감소를 보이는 40명의 구취 환자를 대상으로 하였다. 치료 전, 모든 환자들은 자신의 주관적 구취 심도 및 그로 인한 불편감 정도를 표시하였고, 간이정신진단검사 (SCL-90-R)를 시행하였으며 할리미터를 이용하여 구강내 휘발성황화합물의 농도를 측정하였다. 치료 후, 구강내 휘발성황화합물의 농도, 주관적 구취 심도 및 불편감 정도를 재측정하였다. 주관적 구취 심도의 감소 정도에 따라 환자들을 두 군으로 분류하여 할리미터 수치와 불편감 정도 및 간이정신진단검사항목을 비교, 분석하였다; A군-주관적 구취 심도가 평균값 이상으로 감소한 환자군; B군-주관적 구취 심도가 평균값 이하로 감소한 환자군. 1. 치료 전후 모두에서 주관적 구취 심도와 휘발성황화합물 농도 사이에는 유의한 상관관계가 없었으며 주관적 구취 심도의 감소 정도 또한 휘발성황화합물의 감소 정도와 상관관계가 없었다. 2. 치료 전 휘발성황화합물의 농도는 치료 후 휘발성황화합물의 감소치와 유의한 상관관계를 보였다 (p < 0.01). 3.구취로 인한 불편감 정도는 주관적 구취 심도와 유의한 상관관계를 보였으며 (p < 0.01), 치료 후 A군에서는 유의하게 감소 (p < 0.01) 하였으나, B군에서는 유의한 감소를 보이지 않았다. 4. B군은 A군에 비하여 간이정신진단검사 항목 중 대인예민성과 우울증의 항목에서 유의하게 높은 수치를 보였다 (p < 0.05).

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The Clinical and Radiographic Features of Patients with Temporomandibular Joint Osteoarthritis: Comparison of Adolescents and Middle-Old Aged Koreans

  • Kim, Jin-Hwa;Ok, Soo-Min;Heo, Jun-Young;Kim, Kyung-Hee;Jeong, Sung-Hee;Ahn, Yong-Woo;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • 제39권1호
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    • pp.2-9
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    • 2014
  • Purpose: The purpose of this study was to compare the clinical and radiographic features of temporomandibular joint (TMJ) osteoarthritis (OA) between adolescents and middle-old aged patients. Methods: The subjects were chosen among the patients who presented to the Department of Oral Medicine of Pusan National University Hospital and were diagnosed with TMJ OA by clinical exam, X-ray and cone-beam computed tomography (CBCT) from 2010 to 2011. We investigated 93 adolescent patients (12-19 years) and 53 middle-old aged (>45 years) patients who observed the erosive bony changes in TMJ. CBCT scans were retaken at intervals at an average of 8 months. Results: The adolescent patients showed unilateral degenerative changes more often, and the middle-old aged patients showed degenerative changes more frequently on both sides. The transition of bone changes to the improved group occurred most commonly in both the adolescent and middle-old aged patients. The adolescent patients were more likely to improve than middle-old aged patients. In the adolescent patients, loss of erosion and subjective symptoms occurred in shorter periods than in the middle-old aged patients. In the adolescent patients, the transition of erosion was distributed into proliferative, normal, and shortening in order. In the middle-old aged patients, the transition of erosion was distributed into shortening, proliferative, and normal in order. Conclusions: The clinical and radiographic features of TMJ OA are a significantly different between the adolescent and middle-old aged patients. Moreover, the difference by age of the adaptive and regenerative capacity of TMJ affects the prognosis of TMJ OA and adolescent patients have a better prognosis after treatment.

여대생의 월경전 증후군과 월경태도와의 관계 (The Relationship between Premenstrual Syndrome and Menstrual Attitudes of College Students)

  • 정미현;신미아
    • 한국간호교육학회지
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    • 제12권1호
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    • pp.43-51
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    • 2006
  • Purpose: This study was performed to identity the relationship between PMS and menstrual attitudes. Method: Data were collected from 417 female college students in Seoul and Gyeonggi-do area during the period from the 6th of September to the 15th of October in 2004. Collected data were analysed using the SPSS WIN 11.0. Result: The results of this study were as follows: 1) Perceived subjective symptoms were clustered endogenous depressive feature($2.76{\pm}.97$), anxiety($2.76{\pm}1.09$), and impulsivity($2.72{\pm}1.02$). 2) PMS was significantly different according to the general characteristics of grade(F=3.414, p=.018), major(F=2.755, P=.004), menarche age(F=5.910, p=.003), pain(F=7.886, p=.000), family history(F=5.366, p=.005). 3) Menstrual attitudes was significantly different according to the general characteristics of grade(F=3.315, p=.020), major(F=3.813, P=.000), religion(F=6.313, p=.000), interval of menstruation(F=2.834, p=.016), pain(F=3.059, p=.048), family history(F=3.062, p=.048). 4) Menstrual attitudes and PMS were in a positive correlation with each other (r=.112, p=.002). Conclusion: This results showed that there is a significant correlation between PMS and menstrual attitudes. For further research, it is recommended to identity major factors affecting PMS and the relationships between them and various subjects.

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성인형 모공성 홍색 비강진에 대한 한방치료 증례 보고 1례 (A Case Report of Korean Medicine Treatment for Adult-type Pityriasis Rubra Pilars)

  • 전상우;강세영
    • 대한한방내과학회지
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    • 제41권5호
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    • pp.787-799
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    • 2020
  • Objectives: Pityriasis rubra pilaris (PRP) is a rare papulosquamous disorder with unknown etiology. Studies on adults have not been conducted yet in Korean medicine. We report the progress of Korean medicine treatment for adult-type pityriasis rubra pilaris. Methods: A 62-year-old female patient was diagnosed with PRP in June 2019. After the diagnosis of PRP, retinoid treatment was continued for about 6 months, and then the drug was switched to an oral immunosuppressant. However, the patient's symptoms did not improve, but instead worsened. The patient was treated with Mihudeungsikjang-tang and acupuncture therapy. We evaluated her treatment progress based on the Dermatology Life Quality Index (DLQI), a visual analogue scale (VAS), and the changes in the patient's subjective symptoms. Results: After Korean medicine treatment, the DLQI and VAS scores improved from 18 points to 16 points and from 6 points to 4 points, respectively. The whole-body itching and scaling were reduced by 30% compared to pretreatment. The itching and pain in the neck, which had been severely symptomatic, decreased by 50%. The pain and dysesthesia in the upper and lower extremities disappeared, but the erythema still remained. Conclusions: Conventional treatments for PRP have limitations due to adverse effects and difficulty in treating refractory forms. Korean medicine treatment is worth considering as it can complement the limitations of conventional treatments, although more studies will be needed.

수장부 다한증에 제한적 교감신경절간 절단술의 장기 고찰 (Long-term Follow-up of Limited T3 Symathicotomy in Palmar Hyperhidrosis)

  • 채진호;최봉춘;이영철
    • The Korean Journal of Pain
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    • 제14권1호
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    • pp.56-60
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    • 2001
  • Background: Conventional thoracoscopic sympathectomy or sympathicotomy is an effective method in treating localized hyperhidrosis; however, this may result in a postoperatively compensatory hyperhidrosis or facial anhidrosis in the treatment of palmar hyperhidrosis. We modified the conventional sympathicotomy by limiting the extent of nerve transection (limited T3 sympathicotomy) since May 1998. However, there are many reports of a good short-term outcome of limited T3 sympathicotomy. Therefore, we reviewed long-term follow-up of limited T3 sympathicotomy based on outcomes analysis using a questionnaire. Methods: Fifty four patients with palmar hyperhidrosis underwent a limited T3 sympathicotomy between May 1998 and March 1999 and had a complete follow-up over two years using a questionnaire (the mean follow-up was 2.6 years). The patients' postoperative satisfaction was determined by their subjective responses to the questionnaires; the degree of compensatory hyperhidrosis, the effects on foot hyperhidrosis, gustatory hyperhidrosis and facial dryness, and recurrence, and patient's satisfaction. Results: Of the total, 87% of patients had a compensatory hyperhidrosis and 3.7% of them were disabled. 31.5% of patients showed improvement in foot hyperhidrosis, while 68.5% of patients demonstrated no change or got worse. 31.5% of patients had gustatory hyperhidrosis and facial dryness and 22.2% of patients showed a mild palmar hyperhidrosis. The postoperative patients' satisfaction was significantly in 96.3% of patients. Conclusions: The limited T3 sympathicotomy is a highly effective treatment of palmar hyperhidrosis and has a low rate of postoperative compensatory hyperhidrosis, gustatory hyperhidrosis, and facial dryness.

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타액선 신티그라피를 이용한 정상 타액선기능의 정량분석 (Quantitative Analysis of Normal Salivary Gland Function using Salivary Scintigraphy)

  • 김희진;고명연;박준상
    • Journal of Oral Medicine and Pain
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    • 제25권4호
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    • pp.345-353
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    • 2000
  • This study was to investigate normal salivary flow rates and normal indices of Quantitative analysis of salivary scintigraphy. 96 adult volunteers were studied by Questionnaire evaluating salivary conditions and clinical examinations. 35(male 23, female 12, age range 23-31years) that absented subjective and objective symptoms related saliva were classified as normal group. The normal group underwent measurement unstimulated and stimulated salivary flow rates and salivary scintigraphy. The obtained results were as follows: 1. There were not significant in sex differences of unstimulated and stimulated salivary flow rates. The unstimulated salivary flow rate was $0.66{\pm}0.41g/min$, stimulated salivary flow rates was $1.61{\pm}0.69g/min$. 2. As comparing of parameters of salivary scintigraphy, the Uptake ratio(UR), $T_{max}$, $T_{min}$, Maximum accumulation (MA), Maximum secretion(MS) of parotid and submandibular glands were not significant in sex and side-ralated differences. 3. The UR, $T_{max}$, MA, MS of parotid gland were significantly higher than those of submandibular gland; in the parotid gland, UR, $3.67{\pm}0.88$, $T_{max}$, $18.77{\pm}0.43min$, MA, $41.35{\pm}9.22%$, MS, $43.13{\pm}9.13%$; in the submandibular gland, UR, $3.04{\pm}0.10$, $T_{max}$, $18.48{\pm}0.52min$, MA, $36.47{\pm}14.18%$, MS, $36.88{\pm}12.20%$. 4. As classifying of time-activity curve, the most of parotid gland was N-type(97.1%), submandibular gland was observed in order of M-type(67.1%), N-type(21.4%), F-type(11.4%), however, was not observed S-type. 5. As the type of time-activity curve of submandibular gland was more flattened, the UR, $T_{max}$, MA, MS were significantly decresed.

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죽음에 대한 말기 암환자와 가족의 주관성 (Subjectivity of Terminally Ill Cancer Patients and Primary Family Caregivers on the View of Death)

  • 이은주;김분한
    • 성인간호학회지
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    • 제18권5호
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    • pp.746-759
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    • 2006
  • Purpose: This study was designed to systematically explore and elicit information about terminally ill cancer patients' and primary family caregivers' subjectivity of death. Method: Using Q-methodology, 21 terminally ill cancer patients and 19 primary family caregivers sorted 40 statements during personal interviews. Results: The results of this study show that terminally ill cancer patients have four factors ('Attachment to life', 'Hope for heaven', 'Resignation to reality', 'Avoidance of pain') of response and primary caregivers have four factors('Dependence on religion', 'Faithfulness to reality', 'Obedience to fate', 'Agony of reality'). Comparing the subjectivities of death of terminally ill cancer patients and primary family caregivers, 'Hope for heaven' and 'Dependence on religion' reveal the similarities of their outlook. On the other hand, 'Attachment to life', 'Resignation to reality', 'Avoidance of pain', 'Faithfulness to reality', 'Obedience to fate', 'Agony of reality' reveals different aspects of their outlook. The group of terminally ill cancer patients and their families divided into four types. Type A was 'Attachment to life and Agony of reality', type B was 'Attachment to life and Obedience to fate', type C was 'Hope for heaven and Dependence on religion' and type D was 'Resignation to reality and Faithfulness to reality'. The positive group was C or 'Hope for heaven and Dependence on religion'. Conclusion: There are significant differences found in the subjective structure of death among terminally ill cancer patients and primary family caregivers. Therefore, it is necessary to develop an individualized nursing intervention for terminally ill cancer patients and family caregivers.

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하악 구치 발육을 이용한 연령감정에 관한 연구 (A Study on the Age Determination with the Aid of Mandibular Molar Development)

  • Young-Don Hur;Jong-Mo Ahn;Chang-Lyuk Yoon
    • Journal of Oral Medicine and Pain
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    • 제19권2호
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    • pp.221-231
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    • 1994
  • Age determination in children have been criticized because they rely on subjective estimations of tooth development, as seen in radiographs. This study was undertaken to obtain the objective estimation of developing teeth. The panoramic radiograph of 254 males and 254 females ranging from 6 to 14 years of age were studied. The structures measured were crown height, apex width and root length. The data weree statistically investigated with SPSS/PC + package. The results were as follows : 1. With the aid of a multiple regression model, a linear relationship between some of these distances and age was shown. 2. In th total material(6-14yr) and four-yr. intervals, linear equations are as follow : Boys : 6-14 age = 683 + 145.6 44RL + 126.6.45RL + 71.1 46DRL - 161.3 46DAW 6-10 age = 1202 + 72.6 46DRL + 100.2 44RL + 75.1 45RL 8-12 age = 3818 + 75.9 45RL - 190.9 44AW 10-14 age = 4151 + 58.6 45RL - 84.0 45AW - 130.6 44AW Girls : 6-14 age = 1587 + 104.9 45RL + 113.4 44RL - 233.1 46DAW + 81.4 47DRL - 255.9 46MAW 6-10 age = 1821 + 55.8 46DRL + 67.2 45RL - 184.2 46MAW + 56.3 44RL 8-12 age = 2435 + 68.2 45RLL + 71.3 44RL 10-14 age = 3485 + 49.9 47DRL - 51.3 45AW - 179.9 47DAW + 33.4 45RL + 39.4 44RL (DRL, length of distal root in molars. RL, root length in premolars. DAW, width of distal apex in molars. MAW, width of mesial apex in molars. AW, width of apex n molars)

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기능성 소화불량증 환자에 대한 보화탕(保和湯)의 임상효과 (Evaluation for Therapeutic Effectiveness of Bowhatang in Functional Dyspepsia)

  • 김동우;최빈혜;허진일;박경;김대준;변준석
    • 대한한의학방제학회지
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    • 제14권2호
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    • pp.97-108
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    • 2006
  • Objective: Functional dyspepsia refers to sustainable or repetitive pain at upper stomach related with food intake. This research was intended to observe the improvement of the symptom by administering Bowhatang to a number of functional dyspepsia patients and to clarify its clinical effects. Method: The research was performed upon the appropriate 36 patients conforming to the criteria after being diagnosed with functional dyspepsia among the 87 patients who visited the department of internal medicine at Gumi Oriental Hospital of Daegu Haany University for digestive diseases and were administered with Bowhatang. Result: 91.8% of the patients had upper stomach globus symptoms. which is of the largest percentage. and 13.5% had hunger pain. which is of the least percentage. After administering Bowhatang. by and large Likert scale was significantly reduced. According to the subjective improvement evaluation by the patients. 32 patients(86%) were improved. and 3 patients(8%) had neither improvement nor relapse. while 2 patients ( 6%) were relapsed. Conclusion: Bowhatang has shown significant improvement about the symptoms for functional dyspepsia patients. It is predicted when more outcomes become available from researches on side effects or toxicity of Bowhatang later on. it will be more often used in the clinic.

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구강작열감증후군 환자에서 심상유두 수 측정의 진단적 가치 (Diagnostic Values of the Measurement of Fungiform Papillae in Patients with Burning Mouth Syndrome)

  • 이엄지;박재우;김진성
    • 대한한방내과학회지
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    • 제37권6호
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    • pp.978-989
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    • 2016
  • Objectives: This study evaluated the diagnostic values of measuring the number of fungiform papillae in patients with burning mouth syndrome (BMS). Methods: Seventy participants (35 BMS patients and 35 Healthy control) participated in this study. The number of fungiform papillae (FP) was measured on the anterior part of the tongue within an area of $9mm^2$ using a digital camera. The subjects were evaluated on their yin deficiency and blood stasis conditions using the Yin-Deficiency Questionnaire (YDQ) and Blood Stasis Questionnaire (BSQ). Moreover, the severities of subjective tongue pain in the BMS patients were assessed using Visual Analog Scale. Results: There were significant differences in the number of FP and the YDQ and BSQ scores between the two groups. The number of FP and the YDQ scores in the BMS group showed statistically significant correlations with the VAS score of tongue pain. In the bivariate logistic regression analysis, the factor that most strongly contributed to BMS was the number of FP. The optimal cut-off value of the number of fungiform papillae was calculated as 5.5 with 71.4% sensitivity and 82.9% specificity. There was no statistically significant correlation between the number of FP and the YDQ or BSQ score. Conclusions: According to these findings, measuring the number of FP could be a valuable evaluation indicator of BMS.