• Title/Summary/Keyword: Whole body pain

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A Case of Patella Metastasis of Papillary Thyroid Carcinoma (갑상선 유두암의 슬개골 전이)

  • Han, Eun-Ji;Choi, Woo-Hee;Chung, Yong-An;Sohn, Hyung-Sun;Kang, Chang-Suk
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.1
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    • pp.79-82
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    • 2009
  • A 73-year-old man presented with a chief complaint of progressive left knee pain for two months. He had a history of total thyroidectomy and central lymph node dissection due to papillary thyroid carcinoma three months ago. MRI images revealed a solid mass in the left patella. A solid mass demonstrated low signal on T1 weighed image, and high signal on T2 weighed image. And whole body bone scan showed focal photon defect in same lesion of left patella. The histologic result of left knee lesion was adenocarcinoma, consistent with metastatic papillary thyroid carcinoma. Although patellar metastasis of papillary thyroid carcinoma is very rare, when knee pain and radiologic abnormality are noted, differential diagnosis of metastasis is necessary.

Two Cases of Bone Scan in Snake Bite (골주사를 이용한 사교상(Snake bite) 환자의 경과 관찰 2예 보고)

  • Park, Jeong-Kook;Lee, Hwang-Bock;Cha, Soon-Joo;Lee, Min-Jae
    • The Korean Journal of Nuclear Medicine
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    • v.19 no.2
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    • pp.105-107
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    • 1985
  • It is very difficult to check the severity and clinical course of the toxicity in snake bite patients by virtes of clinical manifestation and laboratory tests. And we observed the. findings of bone scan with 99mTc-MDP in two snake bite patients. First patient was bitten in the right ankle with local pain and swelling. The finding of bone scan of him was increased uptake of radionuclide in the soft tissue of right leg and thigh. Others were normal findings. Second patient was bitten in the right hand. But his symptom was severe and he complained local pain and swelling, nausea, blurred vision, and oliguria. The bone scan findings of second patient was; Increased uptake of radionuclide in the soft tissue of whole body. Decreased uptake in the bone tissue. Renal outline was not delineated. Follow up study 10 days after, revealed more improved findings in the scan.

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Effects of Chronic Nicotine Administration on Salivary Gland in Mice: Immunohistochemical Study

  • Jung, Jung-Woo;Choi, Jae-Kap;Byun, Jin-Seok
    • Journal of Oral Medicine and Pain
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    • v.39 no.3
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    • pp.83-89
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    • 2014
  • Purpose: Chronic nicotine administration induce various effects in whole organs of the body; however, little is known about salivary gland. In the present study, we pursued the links between systemic nicotine and the histomorphological changes of the salivary gland in mice. Methods: Twenty-five C57BL6 mice were allocated into two groups. The control group (n=9) received distilled water only for 8 weeks by gavage. The experimental nicotine group (n=16) was administered nicotine $5{\mu}g/g$ with distilled water. Animals were sacrificed at 8 weeks; then, submandibular glands were excised and processed for histologic evaluation. Volumetric changes in acinar cells were evaluated by H&E staining. The expression of calponin-positive myoepithelial cells and Ki-67-positive proliferating acinar cells were evaluated by immunohistochemistry. Results: The nicotine group showed significantly decreased number of calponin-positive myoepithelial cell process compared with the control group. There were no significant differences in average volume of acinar cell and the number of Ki-67-positive acinar cells between both groups. Conclusions: These findings suggested that chronic nicotine administration may cause decreased function of myoepithelial cells in submandibular glands of mice, and these can partly explain xerostomic conditions in chronic smokers.

Camurati-Engelmann's Disease on $^{99m}Tc$-MDP Bone Scan (Camurati-Engelmann 병의 뼈스캔 소견)

  • Yoon, Hai-Jeon;Oh, So-Won;Paeng, Jin-Chul;Lee, You-Kyung;Choi, In-Ho;Lee, Dong-Soo
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.6
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    • pp.596-599
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    • 2009
  • A 24 year-old female presented for a $^{99m}Tc$-methylene diphosphonatae (MDP) whole body bone scan due to chronic pain in the bilateral lower extremities that has aggravated since 2002. She was diagnosed with Camurati-Engelmann disease (CED) based on the clinical and radiological findings in 2002, and she re-visited our institute to evaluate disease status at this time. CED is a rare autosomal dominant type of bone dysplasia characterized by progressive cortical thickening of long bones, and narrowing of medullary cavity, and thus presents with typical clinical symptoms and signs such as chronic pain in the extremities, muscle weakness, and waddling gait. On the $^{99m}Tc$-MDP bone scan performed to evaluate disease status, intense increased uptake was seen in the skull, facial bones, bilateral scapulae, bilateral long bones, and bilateral pelvic bones, which clearly demonstrated the extent of CED involvement.

An Ethnographic Study of Sanhubyung experienced by Women in Korean Postpartal Culture (한국의 산후 문화와 여성이 경험한 산후병에 관한 일상생활기술적 연구)

  • 유은광
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.825-836
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    • 1995
  • This ethnogrphic exploratory study sought to de-fine the meaning of Sanhubyung, as consequence from the perspective of the women who experienced it. A convenience sample of 9 elderly women in San Francisco. and 20 postpartal women and their 20 non-professional helpers during postpartum in Seoul, Korea were observed and interviewed for 23 months from January 1991 to December 1992 at the Human Development Center in San Francisco and at the hospital and their homes in Seoul, Korea. Sanhubyung was regarded as the consequence of "Doing a Sanhujori Wrongly," as a group of symptoms or sequelae which have two types of characteristics of symptoms . chronic and acute. It can be called a culture bound syndrome in the cultural context re-lated to childbearing phenomenon in Korea. If women violate the principles of Sanhujori, such symptoms can appear at various times : during the period of postpartum itself, at any time, periodically, especially at the anniversary of the child's birth, late forties, and in old age. Acute symptoms that can be classified into immediate and late types include painful and edematous gingiva, sensitive teeth, strange sensation and pain in the knees or backache. Besides, there is a localized sense of soreness and pain ; sense of being in a draft and cold, stomach upset, GI irritation, chilling, shivering, and tiredness, pain and dazzling in the eyes. Chronic symptoms occur in the head, neck, teeth, back, hands, knees, hands and feet, arms and legs, eyes, sinews and joints, bones, and in the body or as a whole. Generally these symptoms are pain, often accompanying a feeling of being cold and in a draft, regardless of actual weather conditions. In conclusion, this findings reflect the Oriental way of thought of causal relationship of women's health and illness based on the wholistic paradigm of harmony and balance of two forces, Yin(cold) -Yang(hot). It provides a challenge to the professional sector to rethink the effect of culture on health and illness. Finally, it suggests care providers use cultural assessment for the appropriateness of the intervention and quality of care for desirable health outcomes.

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Study of east & west medical science documentary records of Hip joint pain (고관절(股關節) 질환(疾患)의 동서양의학적(東西洋醫學的) 고찰(考察))

  • Kim, Hyun-Soo;Kang, Jun-Hyuk;Hong, Seo-Young;Yoon, Il-Ji;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.125-140
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    • 2006
  • Study of east & west medical science documentary records of Hip joint pain lead to following conclusions. 1. Easten medicine classify hip joint pain with terms "Bi-chu-tong", "Bi chu in tong" "Bi-chu-choong-tong". 2. Easten medicine asorts cause of hip joint pain with external factor, such as exogenous energy, six yin evil energy and intrinsic factor, which are weakness caused by prolonged deasease, warm-heat evil. 3. In western medicine, causes that trigger hip joint pain are trauma, fracture, dislocation,and bacterial infection. 4. Treatment of hip joint disorder in western medicine, physiotherapy concerning conservative treatment, and pain control with drug treatment, kinesitherapy are used, and concernig fracture, operation is used. 5. In Eastern medicine, principle of treating hip joint pain, sung-juk-sa-ji(盛則寫之), hu-juk-bo-ji(虛則補之), yul-juk-jil-ji(熱則疾之), han-juk-yu-ji(寒則留之), ham-ha-juk-chim-ji(陷下則沈之), bul-sung-bul-hu(不盛不虛), yi-kyong-chui-ji(以經取之) is presented. This priciple of treatment was descended through ages and is now applied to treatments such as Acupuncture, Herbal, physical treatment based on so-san-eo-hyul(消散瘀血), seo-kun-tong-rak(舒筋通絡), so-ri-kwan-jul(疏利關節) principle. 6. In Eastern medicine, meridians used to treat hip joint pain are The Chok yangmyung wi Kyong(足陽明胃經), Chok taeum bi Kyong(足太陰脾經), Chock soyang dam Kyong(足少陽膽經), Chock guelum gan Kyong(足厥陰肝經). In conclusion, hip joint pain should be considered in relationship with internal organs and whole body system. Western & Eastern point of view should be carefully inspected and connected and intensive study of nervous system and meridian is required, in order to adopt best treatment for the patients.

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Evaluation of the Usefulness of Virtual Reality Equipment for Relieving Patients' Anxiety during Whole-Body Bone Scan (전신 뼈 검사 환자의 불안감 해소를 위한 가상현실 장비의 유용성 평가)

  • Kim, Hae-Rin;Kim, Jung-Yul;Lee, Seung-Jae;Baek, Song-Ee;Kim, Jin-Gu;Kim, Ga-Yoon;Nam-Koong, Hyuk;Kang, Chun-Goo;Kim, Jae-Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.26 no.1
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    • pp.27-32
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    • 2022
  • Purpose When performing a whole-body bone scan, many patients are experiencing psychological difficulties due to the close distance to the detector. Recently, in the medical field, there is a report that using virtual reality (VR) equipment can give pain relief to pediatric patients with weak concentration or patients receiving severe treatment through a distraction method. Therefore, in this paper, VR equipment was used to provide psychological stability to patients during nuclear medicine tests, and it is intended to evaluate whether it can be used in clinical practice. Materials and Methods As VR equipment, ALLIP Z6 VR (ALLIP, Korea) was used and the experiment was conducted after connecting to a mobile phone. The subjects were 30 patients who underwent whole-body bone examination from September 1, 2021 to September 30, 2021. After intravenous injection of 99mTc-HDP, 3 to 6 hours later, VR equipment was put on and whole body images were obtained. After the test, a survey was conducted, and a Likert scale of 5 points was used for psychological anxiety and satisfaction with VR equipment. Hypothesis verification and reliability of the survey were analyzed using SPSS Statistics 25 (IBM, Corp., Armonk, NY, USA). Results Anxiety about the existing whole-body bone test was 3.03±1.53, whereas that of anxiety after wearing VR equipment was 2.0±1.21, indicating that anxiety decreased to 34%. When regression analysis of the effect of the patient's concentration on VR equipment on anxiety about the test, the B value was 0.750 (P<0.01) and the t value was 6.181 (P<0.01). decreased and showed an influence of 75%. In addition, overall satisfaction with VR equipment was 3.76±1.28, and the intention to reuse was 66%. The Cronbach α value of the reliability coefficient of the questionnaire was 0.901. Conclusion When using VR equipment, patients' attention was dispersed, anxiety was reduced, and psychological stability was found. In the future, as VR equipment technology develops, it is thought that if the equipment can be miniaturized and the resolution of VR content images is increased, it can be used in various clinical settings if it provides more realistic stability to the patient.

Dental hygienists work-related musculoskeletal symptoms and factor analysis (치과위생사의 직무관련 근골격계 자각증상과 요인분석)

  • Park, Sae-Rom;Shim, Youn-Soo;Jung, Sang-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.4
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    • pp.685-693
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    • 2012
  • Objectives : This research was conducted to find the subjective symptoms of musculoskeletal system for main jobs and job posture. Methods : A survey was conducted from September 15, 2011 to October 7, 2011 and 357 dental hygienists were responded. The survey was consisted of the working environment and medical equipments, psycho-social characteristics, health habits and education, job posture, subjective symptoms of musculoskeletal system pain, and so on. Results : In the survey on the frequency of job posture of dental hygienists by jobs, said they cast down or tilt their head by 15 degrees or more or twist or bend their back. The result of the analysis on the subjective symptoms of musculoskeletal system by main job showed that they experienced a pain in neck, shoulder, and back, although the order differed. The order of subjective symptoms of musculoskeletal system for casting down or turning head by 15 degrees or more, twisting or bending back, having shoulders not parallel to the ground, sitting at the end of a chair, and supporting the whole body with one leg or pressing on a pedal for treatment was from the shoulders to the neck to the back. The order of subjective symptoms of musculoskeletal system for having arms too far from the body or hunching for treatment and bending wrists inward or outward for treatment was from the shoulders to the back to the neck. Conclusions : Due to the characteristics of the job which requires one to have a proper view of a patient's oral cavity, most of the postures included casting down of head or bending of back. Therefore a development of new postures is needed to replace the existing job postures which pressure the musculoskeletal system. And shift rotation can be used as a preventive measure.

A Case Report of Postpartum Disease Induced by Abortion in an Elderly Gravida (기허(氣虛)로 변증된 고령산모의 유산 후 유발된 질환 1례에 대한 임상 증례 보고)

  • Yi, Youn-Ju;Park, Hyun-Jae
    • The Journal of Korean Obstetrics and Gynecology
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    • v.20 no.4
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    • pp.217-224
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    • 2007
  • Purpose: The purpose of this study is to report the effect of oriental treatments for the postpartum disease caused by abortion in an elderly gravida. Methods: The patient in this case, 40 years-old female was admitted at You-Min oriental medicine hospital for 26days($3rd/Jan/2007{\sim}29th/Jan/2007$) due to postpartum disease caused by abortion. Her chief complains were chilling, vertigo, nausea, whole body pain, and sweating. This patient was treated with oriental treatment such as herb medication, acupuncture and moxibustion therapy. Results: After the oriental medical treatment, the patient was improved in the clinical symptom of postpartum disease caused by abortion and the aging process. Conclusion: This case study shows that the postpartum disease caused by abortion in an elderly gravida would be treated more carefully in oriental medicine considering women#s aging.

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Change on Quality of Life and Depression after whole body hydrotherapy vs local hot pack treatment to patients with chronic pain (만성 통증 환자에서 제주도 상수원을 이용한 전신 수치료와 온습포 치료 후 우울증 지표 및 삶의 질 척도의 변화)

  • Im, Sang-Hee;Han, Eun-Young
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.1041-1043
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    • 2010
  • 만성 통증 환자의 우울증 및 삶의 질 저하에 대한 많은 보고가 있으며, 통증 조절을 위해 심리적 측면도 중요한 요소로 포함된다. 온열 수치료는 통증 조절을 위하여 가장 많이 시행되는 치료법 중의 하나이며 다양한 방법으로 임상에서 적용될 수 있다. 현재까지 전신 온열 수치료가 통증, 심리, 주관적인 삶의 질에 미치는 영향에 대하여 포괄적인 연구가 시행된 사례가 없으므로, 본 연구에서는 만성 통증 환자에게 제주도내 상수원을 이용한 온습포치료, 즉 통증 부위의 부분치료 또는 전신 온열 수치료를 시행한 후 통증의 정도, 정서, 주관적 삶의 질 평가 결과에 변화가 있는지 알아보기로 하였다.

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