• Title/Summary/Keyword: Verbal Rating scale

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A Study for Suggestion of Quantitative Scale for Dysmenorrhea in Clinics (한의원에서 사용 가능한 정량적인 월경곤란증 평가지표 개발)

  • Park, Jeong-Su;Park, Sun-Ju;Gim, Gyeong-Hun;Kim, Woon-Ji;Choi, Hyeong-Sim;Choi, Han-Seok;Choi, Youn-Kyung;Cho, Jung-Hoon;Shin, Young-Chul;Ko, Seong-Gyu
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.1
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    • pp.144-161
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    • 2011
  • Objectives: Oriental Medicine has thousands years of history. But this era, every medical decision should be based on scientific evidence, that is evidence-based medicine (EBM). This study is to suggest quantitative case report form for dysmenorrhea that can be easily used in clinics. Methods: First, to search published papers in Korea and overseas, OASIS, KISS and NCBI(pubmed) database. Second, to search clinical trials in clinical trial register website, ISRCTN and clinicaltrials.gov. Result: Visual Analogue Scale(VAS) is the most commonly used scale. Conclusion: The main scales for dysmenorrhea are Visual Analogue Scale(VAS), Multidimensional verbal Rating scale(MVRS), pain-killer intake amount and restriction of daily life activities. To measure the effect of herbal medicine, more than 2 menstrual cycle is recommended.

Electroacupuncture for Treatment of Primary Dysmenorrhea: Systematic Review of Randomized Controlled Trials (원발성 월경통의 전침 치료 연구에 관한 체계적 문헌 고찰)

  • Park, Nam-Chun;Kang, Na-Hoon;Yoo, Eun-Sil;Lee, Jin-Wook;Yoon, Jun-Geol;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bok;Hwang, Deok-Sang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.2
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    • pp.81-92
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    • 2017
  • Objectives: This review aims to report the efficacy and safety of electroacupuncture in the treatment of primary dysmenorrhea. Methods: We searched for randomized controlled studies (RCTs) using electroacupuncture on primary dysmenorrhea up to Dec 2016. The following databases were searched : OASIS, PubMED, EMBASE, CENTRAL. The results of the studies were analyzed and the risk of bias was assessed. Results: Five studies were included in this review. In most studies, the effect of electroacupuncture at Sameumgyo (SP6) was better than that of electroacupuncture at Hyeonjong (GB39), nonacupoint and no intervention about Visual analog scale (VAS), Verbal rating scale (VRS) and Retrospective symptom scale (RSS). But there were no significant effects on Resistance Index (RI) and S/D ratio (the ratio between peak systolic to end-diastolic flow velocity in uterine arteries). Serous adverse events were not reported. Conclusions: This review shows that electroacupuncture is effective on primary dysmenorrhea with no serious adverse events.

봉독약침을 이용한 반사성 교감신경 이영양증의 치료 -치료 전후 적외선체열영상 비교-

  • Lim, Myung-Jang;Kang, In;Song, Joo-Hyun;An, Keon-Sang;Jang, Hyoung-Seok
    • Journal of Pharmacopuncture
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    • v.9 no.3 s.21
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    • pp.139-145
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    • 2006
  • Objectives : The purpose of this case in so report the patient with Reflex sympathetic dystrophy, who is improved by Bee venom. Method : We treated the patient with Bee venom who was suffering from Reflex sympathetic dystrophy, using Digital Infrared Thermographic Imaging and Verbal Numerical Rating Scale(VNRS) to evaluate the therapeutic effects. We compared the temperature of the patient body before and after treatment. Result and Conclusion : We found that Bee venom had excellent outcome to relieve pain, atrophy and ankle joint ROM, and that Bee venom also had clinical effect on hypothermia on the Digital Infrared Thermographic Imaging.

A Case Report of a Patient with Suspected Secondary Raynaud Phenomenon Managed with Danggwisaeyeok-tang (이차성 레이노 현상 의심소견에 대한 당귀사역탕 투여 경과 : 증례보고)

  • Jeong, Sin-yeong;Kang, Su-woo;Jo, Hee-geun
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.846-852
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    • 2018
  • Objective: The aim of this report is to report the effects of Danggwisaeyeok-tang (當歸四逆湯) on Raynaud phenomenon in a patient. Methods: A 57-year-old male diagnosed in 2016 with Raynaud's phenomenon complained of pain, digital ulceration, and discoloration of his fingers. He underwent acupuncture and electroacupuncture treatment, but the symptoms gradually worsened, so we administered herbal medicine, Danggwisaeyeok-tang (當歸四逆湯). Visual observation of the affected part, changes in subjective symptoms, and a verbal numerical rating scale (VNAS) were used to assess the clinical response. Results: After treatment with Danggwisaeyeok-tang, the patient reported improvement in his symptoms of cold sensation, ulceration, and sclerosis of his digits. Furthermore, the patient exhibited no general adverse effects. Conclusions: Danggwisaeyeok-tang (當歸四逆湯) significantly improved the patient's clinical symptoms. This case suggests that Danggwisaeyeok-tang (當歸四逆湯) may represent a good option for the treatment of Raynaud's phenomenon.

Video-assisted Thoracoscopic Stapled Resection for Spontaneous Pneumothorax (비디오 흉강경을 이용한 자연성 기흉의 치료)

  • 박진상
    • Journal of Chest Surgery
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    • v.28 no.3
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    • pp.297-302
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    • 1995
  • Video-assisted thoracic surgery [VATS is emerging as a viable alternatives to thoracotomy when surgical treatment of spontaneous pneumothorax is required.Apical blebs and bullaes of the lung can be resected,and pleural abrasion can be accomplished with minimal postoperative pain and a shorter postoperative stay in hospital. We compared our results with thoracoscopic management of spontaneous pneumothorax in 20 patients [group I with a group of 32 patients previously subjected to lateral limited thoracotomy [group II . Indications for operation, sex distribution, and average age [groupI, 24.7 years ; group II, 34.4 years were comparable. Operation time [112.42 54.7 min versus 124.8 35.3 min ; P 0.03 and chest tube duration [64.4 52.3 hours versus 97.7 45.4 hours ; P 0.01 were less in group I. Postoperative hospital stay was less in group I[3.84 0.99 days;P 0.01 , as was the use of parenteral narcotics after 48 hours. [5/20=25% versus25/32=78% . Pain was quantitated by verbal rating scale in postoperative 1 to 3 days. Patients undergoing VATS experienced significantly less postoperative pain. Postoperative complication was less in group I[1/20=5% versus 3/32=8.3% . In conclusion, Video-assisted thoracoscopic management of spontaneous pneumothrax allows performance of the standard surgical procedure while avoiding the thoracotomy incision.Video-assisted thoracic surgery [VATS is safe and offers the potential benefits of shorter postoperative hospital stays and less pain with cosmetic benefits.

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A case report of generalized morphea treated with herbal medication and moxibustion

  • Lee, Hye Yoon;Kim, So Yeon;Cho, Min Kyoung;Choi, Jun Yong;Hong, Minna;Lee, Ji Hye;Lee, In;Hong, Jin Woo;Han, Chang Woo;Kwon, Jung Nam
    • The Journal of Korean Medicine
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    • v.36 no.4
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    • pp.104-113
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    • 2015
  • A 56-year-old Korean female patient developed generalized morphea over three months. We focused on imbalance of the neuroendocrine-immune axis, mainly using Jiawei-Renshengyangrong-tang and Jiawei-Siqi-tang. Moxibustion on LU9 was conducted for skin symptoms. The patient's modified localized scleroderma skin severity index score decreased from 22 to 6 over 22 weeks of treatment and to 4 during a 3-month follow-up. Her verbal rating scale score for general symptoms decreased from 17 to 1 during the 22-week treatment.

A Case Report on Multiple Rib Fracture Improved with Daewhangchija-paste Adhesive treatment and Herb-medicine treatment. (대황치자고 첩부법과 한약 치료를 병용한 다발성 늑골 골절 환자 증례보고 1례)

  • Ha, Yu-bin;Shin, Gil-cho
    • The Journal of Korean Medicine
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    • v.41 no.3
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    • pp.151-161
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    • 2020
  • Objectives: The purpose of this study is to report the improvement of multiple rib fracture after korean medical treatment; adhesive treatment and herb-medicine treatment. Methods: A patient with multiple rib fracture was treated with Daewhangchija-paste(大黃梔子膏) adhesive and herb-medicine treatment. Verbal numeric rating scale, medical examination by interview and rib series x-ray were used to assess progress of treatment. And we took pictures of left flank after attaching Daewhangchija-paste to observe the changes of the skin colors. Results: Rib series x-ray taken after 2 months of treatment revealed hard callus which added stability against external force on rib cage. After taking off Daewhangchija-paste, left plank skin turned into blue, green and yellow. And the pain level(VNRS) of left plank decreased from 10 to 0.5 for 4 months. Conclusions: Pain reduction on trauma site and improvement of general health condition were observed during combination treatment of Daewhangchija-paste adhesive and herb-medicine.

A Case Study on Preschool Children-Robot Pet Play Interaction: Pilot Study (학령전기 아동과 로봇애완동물의 놀이 상호작용 사례분석: 예비연구)

  • Lim, Nan-Young;Oh, Jin-Hwan;Kang, Hyun-Sook;Park, Young-Sook;Ahn, Dong-Hyun;Song, Jung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.1
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    • pp.81-88
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    • 2009
  • Purpose: The purpose of this study was to identify the behavioral responses to a robot pet in pre-school children. Method: This activity for children was conducted for 5 days at a kindergarten and each session lasted 30 minutes. In order to measure children's temperament, Chun Heeyoung's Temperament Rating Scale was used. In addition, to investigate the behavioral responses to a robot pet, each session was videotaped. The videotape data was analyzed according to child-robot interaction. Result: On the average, subjects scored highest in emotionality and lowest in activity for the temperamental subscale. The videotape data revealed verbal, positive nonverbal, and negative nonverbal interaction. Conclusions: These results suggest that child-robot interaction reflects temperamental characteristics, therefore, to develop a nursing intervention program using a robot, it is necessary to consider individual differences and recreational factors to grab children's interest.

Integrated Medicine Therapy for a Patient with Tuberculous Spondylitis: a Case Report (결핵성 척추염에 대한 한·양방 병행치료 1례)

  • Lee, Jung Hee;Lee, Yun Kyu;Lim, Seong Chul;Lee, Hyun Jong;Kim, Jae Soo
    • Journal of Acupuncture Research
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    • v.32 no.3
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    • pp.221-227
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    • 2015
  • Objectives : The purpose of this study is to report the clinical effects of Integrated Medicine Therapy on Tuberculous Spondylitis. Methods : The patient was diagnosed with Tuberculous Spondylitis by MRI. Despite taking antituberculous drugs for one month the back pain remained. As a result the patient was hospitalized shortly thereafter in our hospital, and was treated with acupuncture, pharmacopuncture, and herbal medication during the admission period. The clinical effects of these treatments are measured by the verbal rating scale(VRS), the range of motion(ROM) and the Korean oswestry disability index(KODI). Results : VRS is changed from 10 to 3.5, limited lumbar ROM recovered, KODI changed from 85.71 to 28.57. Conclusions : These results suggest that integrated medicine therapy may be effective for tuberculous spondylitis.

Epidural Administration of Morphine for Cancer Pain via Portal System (경막외 Port 및 주입기를 이용한 지속적 모르핀 투여에 의한 암성 통증 조절)

  • Yoon, Duck-Mi;Chung, So-Young;Oh, Hung-Kun;Kim, Ju-Yeon
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.69-74
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    • 1996
  • Background: Efficacy of spinal opioids for the treatment of intractable cancer pain has been reported by several authors. The epidural route seems to be a more reliable and effective method of pain control as compared to the intrathecal route which can lead to opioids by portal system. Methods: Medical records were reviewed of 18 patients who had been treated with epidural morphine via an implanted port-A-Cath from Mar. 1991 to Sep. 1994. Results: Patients were treated for a mean of 92 days. There were wide variation of dose requirements. The minimum daily dose ranged from 2 to 10mg, and maximum daily dose from 3 to 30 mg. Verbal rating scale were below moderate until 100th days after posrtal implantation. When 3 patients suffered from aggravated pain associated with vertebral metastasis. Five of 11 patients who were administered medication longer than 50 days reguired increased doses ranging from 3 mg to 25 mg which were higher as compared to initial doses. These patients also experienced pain due to vertebral metastasis. There were no report of epidural scarring, respiratory depression, epidural infections, meningitis, or catheter blockade. Conclusion: Continuous epidural morphine administration via Port-A-Cath is an effective method with minimal complication.

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