• 제목/요약/키워드: pains

검색결과 366건 처리시간 0.032초

악관절증의 동통에 대한 국소마취제의 관절강내 Pumping에 의한 감별법 (DIFFERENTIAL DIAGNOSIS BY JOINT CAVITY PUMPING WITH LOCAL ANESTHETIC FOR PAIN OF TEMPOROMANDIBULAR JOINT ARTHROSIS)

  • 정훈;정학;키노 코지
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제14권1_2호
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    • pp.146-153
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    • 1992
  • In the outpatient clinic, we have many patients who suffer from temporomandibular joint disorders. These vary from MPD syndrome to osteoarthrosis, and many cases have tender spots or areas on the temporomandibular joint region and/or masticatory muscles. Further, they frequently have masticatory muscle pain when opening the jaw. This paper presents the results of our research on the differential diagnosis for tendernesses and pain on opening the jaw in the temporomandibular joint region and the masticatory muscles by joint cavity pumping with local anesthestic. The areas of tenderness and jae-opening paw in 65 patient suffering from temporomandibular joint disorder were examined and recorded before and after anesthetizing the upper joint cavity with 2% lidocaine. Maximum interincisal distance was similarly recorded. The results were as follows : In the area surrounding the upper joint cavity including the lateral pterygoid muscle, the tenderness and jaw-opening pain vanished almost entirely after anesthesia. This was considered a direct infiltrative effect of the local anesthesia. After the anesthesia, 86% of the tendernesses on the sternocleidomastoid muscles, and 66% of those on the posterior belly of the diagstric muscles vanished, while the disappearance rates on the masseter, temporal, and medial pterygoid muscles were 50~60%. Apart from the temporomandibular region, pain on opening the jaw was found on the masseter, temporal, posterior belly of the digastric muscles, and medial pterygoid muscles before anesthesia. The disappearance rates after anesthesia were 90~100% except for the pain of the posterior belly of the digastric muscles, for which the rate was 66%. These results suggest that more than 88% of the tendernesses on the sternocleidomastoid muscle, more than 60% of the tendernesses and jaw-opening pains on the digastric muscle, and more than half of the tendernesses and almost all of the jaw-opening pains in the jaw-closing muscles are referred pains from the temporomandibular joint. The tendernesses that had no change after anesthesia were considered to be derived from spasms of the muscles proper. Generally, maximum interincisal distance increased after anesthesia. The average distance was 34mm before anesthesia, but increased to 41mm after anesthesia. In a few cases, however little or no change was found in those distances. In these cases, pathological changes were found in the joint cavities arthrographically or arthroscopically.

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목덜미와 어깨의 통증에 관한 연구 (Studies on the Neck and Shoulder Pain)

  • 최중립
    • The Korean Journal of Pain
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    • 제5권2호
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    • pp.239-248
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    • 1992
  • Two hundred sisty five patients who complained of neck pain with stiffness and pain of the suprascapular area were studied. In most cases the anatomical locations of pain were in the levator scapulae muscles or trapezius muscles. Hyperactivity of dorsal scapular nerve or spinal accessory nerve which innervate those muscles was thought to be responsible for these pains. The hyperactivity of the nerves may be due to the spasm of the sternocleidomastoid muscle and the scalenus medius muscle which the nerves meet during their courses to the levator scapulae or trapezius muscles. Therefore, spasmolytic treatment on the scalenus medius provided effective relief for neck or shoulder pain.

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LOCALIZATION AND MULTIPLICATION OF DISTRIBUTIONS

  • Richards, Ian;Youn, Hee-Kyung K.
    • 대한수학회지
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    • 제37권3호
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    • pp.371-389
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    • 2000
  • Working within classical distribution theory, we develop notions of multiplication and convolution for tempered distributions which are general enough to encompass the classical cases -such as pointwise multiplication of continuous functions or the convolution of $L^1$ functions- which most textbook treatments of distribution theory leave out. Pains are taken to develop a theory which satisfies the commutative and asociative laws.

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구로공단지역의 요통재해분석에 관한 연구

  • 이남식;이관석;김호성;신찬수
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1996년도 춘계학술대회논문집
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    • pp.104-112
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    • 1996
  • This paper investigates the job-related low back pains (LBP) in Kuro industrial complex where the manufacturing industries are prevailing. The accident compensation claims during 1992 to 1994 were reviewed and total of 726 LBP claims were analyzed among 7920 compensation claims. A LBP database was constructed to analyze the LBP profiles of this area. The most frequent cause of LBPs was the manual materials handling related lifting, lowering, carrying, pushing or pulling(45.9%) and the second-most frequent cause was fall and slip (29.8%) and collision (7.9%) was the following cause of the LBP.

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Indirect chiral separation of $\alpha$-arylmethylpropionic acids by liquid chromatography

  • Min, Chung-Sik;Jang, Seung-Jae;Choi, Bo-Kyung;Kim, Young-Lim;Jung, Hae-Yun;Bak, Kyung-Min;Lee, Kyung-Hee;Jo, Keang-In;Gu, You-Ni
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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    • pp.215.1-215.1
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    • 2003
  • A various ${\alpha}$-arylmethylpropionic acids(profen) have been widely used as non-steroidal anti-inflammatory drugs for the relief of acute and chronic rheumatoid arthritis and osteoarthritis, as well as for other connective tissue disorders and pains. Example is fenoprofen, ibuprofen, ketoprofen, and naproxen. All are chiral and, except for naproxen and ibuprofen, are marketed in racemic form. Enantioseparations of profens have been of considerable interest becaus their anti-inflammatory and analgesic effects have been attirbuted almost exclusively to their (S)-enantiomer. (omitted)

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Determination of Optical Purity of a-Arylmethylpropionic acds by Normal Phase Liquid Chromatography

  • Min-Chungsik;Jae, Jang-Seung;Lee, Song-Deuk;Park, Seung-Hee;Yun, Jang-Jung;Yun, Jung-Hae;Lee, Keang-Hee;Hae, Jo-Seung;In, Jo-Keang
    • 대한약학회:학술대회논문집
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    • 대한약학회 2002년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2
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    • pp.241.2-241.2
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    • 2002
  • A various 2-arylmethylpropionic acds(profen) have been widely used as non-steroidal anti-inllammatory drugs for the relief of acute and chronic rheumatoid arthritis and osteoarthritis. as well as for other connective tissue disorders and pains. Example is fenoprofen. ibuprofen, ketoprolen, and naproxen. All are chiral and, except for naproxen. are marketed in racemic form. Enantioseparations of profens have been of considerable interest because their anti-inflammatory and analgesic effects have been attributed almost exclusively to their (S)-enantiomer. (omitted)

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치위생학과 구강위생교육실에 내원한 대상자의 치과공포 원인과 구강건강관리행태 (Dental fear cause and oral health care behavior in the dental hygiene clinic clients)

  • 이준미;장선옥
    • 한국치위생학회지
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    • 제10권4호
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    • pp.705-715
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    • 2010
  • Objectives : This study is aimed to seek how to promote oral health care by leading the clients with dental fears to change their behaviors in oral hygiene care based on the analysis of the relationships between the dental fears and oral health care behaviors of the clients who visit the Dental Hygiene Education Room. Methods : This study analyzed the 361 dental hygiene records of the subjects with finished treatment and accurate records among a total of 370 clients who had received dental hygiene care at the Dental Hygiene clinic in Y University from March 2007 till June 2009. According to their general features, the study analyzed whether they had any dental fears and why such fears occurred and conducted Chi-square test to compare their oral hygiene care experiences and behaviors with dental fears. Data analysis was made using the SPSS 12.0K for Window, with level of significance set at 0.05. Results : 1. In terms of dental fear or non-fear, the comparison by gender showed that women had a higher level than men, with 76 women(47.2%) answering yes; the comparison by age showed that the age group of 30 years old or older had a higher level than other groups. 2. In terms of dental fear reasons, "the past pain experiences" recorded 34.2%, showing the highest rate. 3. In addition, dental fears had influences on regular dental examination, scaling and dental hygiene education and the subjects without dental fear showed higher levels in terms of tooth-brushing frequency and time. Conclusions : To control "the past pain experiences", future dental treatment should place priority on preventive treatment and get clients to cope with pains through the preliminary education with pains. Besides, to make an effective oral health care of the clients with dental fears, dental hygienists should control the fears of the clients and perform an appropriate oral health care for them using the communication techniques to make friendly and trustworthy impressions.

M.S.T로 호전된 요통 환자 1례 보고 (Case Report of Low Back Pain patient treated with Motion Style Treatment)

  • 권승로;유혜경;김규태
    • 대한추나의학회지
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    • 제5권1호
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    • pp.93-100
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    • 2004
  • 본 증례는 요각통 환자에게 다양한 한방치료를 시술하였으나 별무호전인 경우 M.T.S요법을 추가로 시행함으로써 양호한 결과를 보인 임상례이다. 요통환자가 장기간의 치료에도 차도가 없거나 호전에 미미했을 때 물론 의사의 마음에도 불가피하게 수술을 해야 될 것이라는 생각이 떠오르게 된다. 하지만 수술을 해야 할 것인지 혹은 하지 말아야 할 것인지 결정을 내리기 전에 충분히 다른 치료법을 시행해 볼 필요가 있다. 이에 저자는 장기간의 치료에도 차도가 없거나 호전이 미미한 요통 환자에게 M.S.T 요법을 시행할 경우 양호한 결과를 얻으리라 사료되어 보고하는 바이다.

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진액(津液)의 유무(有無)에 따른 『상한잡병론(傷寒雜病論)』의 통증(痛症) 치법(治法)에 관하여(태양병편을 중심으로) (Pain management in 『Treatise on Cold Damage and Miscellaneous Disease』 according to sufficiency-deficiency of fluid and humor (mainly with greater yang disease part))

  • 이명철;강연석
    • 한국의사학회지
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    • 제27권2호
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    • pp.135-143
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    • 2014
  • Human body fluid and humor include not only sweat, joint fluid but also every fluids, for example, blood, essence, kidney essence and marrow. Historically, in the oriental medicine, there are a lot of efforts in order to preserve fluid and humor. In "Treatise on Cold Damage and Miscellaneous Disease (傷寒雜病論)", when treating cold damage, preservation of fluid and humor is put first. I tried to find out the relation about fluid and humor and pain treatment in "Treatise on Cold Damage and Miscellaneous Disease". So, I investigated sentences related to pains in "Treatise on Cold Damage and Miscellaneous Disease" "greater yang disease part" and commentaries of several chinese medical doctors. And I divide pain treatments into four categories. (fluid and humor sufficiency-exterior pattern, fluid and humor sufficiency-interior pattern, fluid and humor deficiency-exterior pattern, fluid and humor deficiency-interior pattern) At first, when treating pains of cold damage, there are many considerations about deficiency and sufficiency of fluid and humor through pulse condition and symptoms. Second, in pain-cases of fluid and humor sufficiency, purge methods is chosen. And in pain-cases of fluid and humor deficiency, tonifying methods is chosen. Finally, one of the main objects of "Treatise on Cold Damage and Miscellaneous Disease" is preservation and supply of fluid and humor.

근관절가동기법이 퇴행성 디스크 질환을 가진 환자의 통증과 유연성에 미치는 영향 (The Effects of Joint and Muscle Mobilization on Pain and Flexibility of the Patients with Degenerative Disc Disease)

  • 전재국;김명준
    • 대한정형도수물리치료학회지
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    • 제16권2호
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    • pp.28-33
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    • 2010
  • Purpose : The purpose of this study is to find out the effects of Joint and Muscle Mobilization applied to the patients with Degenerative Disc Disease by measuring, assessing and analyzing the changes on pain and in flexibility before and after Joint and Muscle Mobilization. Method: Surveyed from June. 2008 to July. 2009 were 10 patients suffering from DDD. Joint and muscle Mobilization were applied for 15 minutes in total. After Joint Mobilization, the Oswestry Disability Index(ODI), Visual Analogue Scale (VAS) were used to measure the degree of the pain on the patients. After Joint and Muscle Mobilization, Spinal-$Mouse^{(R)}$ were used to measure the degree of the flexibility on the patients. Result: 1. There was significant decrease in the numerical values of the VAS & ODI after Joint and Muscle Mobilization (p<0.01). 2. There was significant decrease in the degree of the pain on the patients after Joint and Muscle Mobilization (p<0.01). 3. From the analysis into DDD in the degree the pain before and after Joint and Muscle Mobilization with Paired Sample T-test, It became evident that the longer the period of treatment was, the higher the pains decreases drastically, while significant difference was shown in the flexibility and the degree of the pain (p<0.01). Conclusion: Summed up, it can be generally concluded that Joint and Muscle Mobilization is an effective treatment to rid the patients with DDD of pains safely and promptly. It is, therefore, suggested to continue and expand the study on the cure of DDD and to motivate patients. Joint and Muscle Mobilization is considered as safest and most efficient pain remedy.

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