• Title/Summary/Keyword: visceral pain

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Assesment on the Transformation of Psychological Risk Images due to Development of Flight Skills (조종 숙련도 변화에 따른 심리적 리스크 이미지의 변화에 대한 평가)

  • Kim, Yeong-Gwan;Im, Hyeon-Gyo
    • Journal of the Ergonomics Society of Korea
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    • v.22 no.1
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    • pp.57-67
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    • 2003
  • The resonance behaviour needs be understood to identify the mechanisms responsible for the dynamic characteristics of human body, to allow for the non-linearity when predicting the influence of seating dynamics. and to predict the adverse effects caused by various magnitudes of vibration. However, there are currently no known studies on the effect of vibration magnitude on the transmissibility to thoracic or lumbar spine of the seated person. despite low back pain(LBP) being the most common ailment associated with whole-body vibration. The objective of this paper is to develop a proper mathematical human model for LBP and musculoskeletal injury of the crew in a maritime vehicle. In this study, 7 degree-of-freedom including 2 non-rigid mass representing wobbling visceral and intestine mass, is proposed. Also. when compared with previously published experimental results, the model response was found to be well-matching. When exposed to various of vertical vibration, the human model shows appreciable non-linearity in its biodynamic responses. The relationships of resonance for LBP and musculoskeletal injury during whole-body vibration are also explained.

Lymphangioleiomyomatosis with Bilateral Chylothorax -1 case report- (양측 유미흉을 동반한 림프관평활근종증)

  • 김시욱;최재성;나명훈;임승평;이영;유재현
    • Journal of Chest Surgery
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    • v.37 no.12
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    • pp.1029-1031
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    • 2004
  • We had expierienced pulmonary lymphangioleiomyomatosis(LAM) with bilateral chylothorax and chylous ascites. A twenty-one-year-old lass with chief complaint of abdominal pain was admitted through the emergency room. She received emergent pelvicoscopic surgery for the rupture of the right corpus luteum. We aspirated 1000ml of the uncoagulated blood. The bleeding point was cautherized electrically. LAM was diagnosed with tissue from the retroperitoneum. Chylous ascites and bilateral chylothorax were occurred despite of various treatments. On thoracotomy, bullous changed lung and lymphatic leakage from visceral and parietal pleura were observed. She died of respiratory insufficiency and general weakness after 6 months from admission.

A Study on Resonable Medical Insurance Fees for Orthopeadic Manual Therapy (정형물리치료의 적정 의료보험수가에 관한 연구)

  • Kim, Myung-Joon;Hwang, Seong-Soo;Kim, Ho-Bong;Kim, Soo-Hyung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.6 no.2
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    • pp.5-13
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    • 2000
  • The purpose of this study is to suggest reasonable medical insurance fees for orthopaedic manual therapy. This medical insurance fees include of direct and indirect costs. The reasonable medical insurance fees of orthopaedic manual therapy are as follows. 1. Spinal manual therapy fee is 10.173 won. 2. Upper and lower extremity manual therapy fee is 10,173 won. 3. Hand and foot manual therapy fee is 6.782 won. 4. Hand and visceral manual therapy fee is 6.782 won.

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Localized Fibrous Tumor of Pleura; A report of a case (흉막에 발생한 국소성 섬유성 종양;1례 보고)

  • 김남혁
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.959-961
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    • 1993
  • Localized fibrous tumor of pleura is submesothelial origin and related terms with localized mesothelioma, giant sarcoma of visceral pleura, post-inflammatory tumor of the pleura, pleural fibroma, submesothelial fibroma. This tumor is rare. We experienced a case of localized fibrous tumor.This 66 years old female was admitted with 2 years left persistant flank pain and mild dyspnea. Chest X-ray and CT scan showed a 12x10cm well-defined huge mass in the left subpulmonic area, and not metastatic lesion of any organs.Exploratory thoracotomy was done and a 14x10x8cm [650gm weight] sized mass was excised.The patient was discharged without any complications postoperatively.

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Intralobar Pulmonary Sequestration - A Report of Case - (내엽형 폐격리증 - 수술치험 1예-)

  • O, Chang-Geun;Im, Jin-Su
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.845-850
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    • 1989
  • Intralobar pulmonary sequestration is rare congenital lung disease characterized by a cystic portion of the lung that derives its arterial blood supply though aberrant vessel directly of systemic circulation. Intralobar pulmonary sequestration is usually contained within the visceral pleura of a pulmonary lobe and its venous drainage to the pulmonary venous system. We experienced a case of pulmonary sequestration postoperatively confirmed. The patient was 48-year-old female whose complaints were cough and left chest pain. Chest film showed large homogenous opacity in left lower lung field. By operation, adult fist sized mass at the lower lobe were noted. An aberrant artery, measuring 1.0 cm. in diameter and 2.0 cm. in length, arose from the descending thoracic aorta just above the diaphragm. The anomalous systemic artery was ligatures and resection, and associated with left middle, lower bilobectomy was done. The postoperative course was uneventful, and 10 days later discharged.

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Successful nonoperative management of a simultaneous high-grade splenic injury and devascularized kidney in Australia: a case report

  • Peter Thanh Tam Nguyen;Jeremy M. Hsu
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.431-434
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    • 2023
  • Severe blunt injuries to isolated solid abdominal viscera have been previously managed nonoperatively; however, management algorithms for simultaneous visceral injuries are less well defined. We report a polytrauma case of a 33-year-old man involved in a motorbike collision who presented with left-sided chest and abdominal pain. Initial imaging demonstrated multiple solid organ injuries with American Association for the Surgery of Trauma (AAST) grade V splenic injury and complete devascularization of the left kidney. The patient underwent urgent angioembolic coiling of the distal splenic artery with successful nonoperative management of simultaneous grade V solid organ injuries.

A Study on Bloodletting Therapy of Huangdineijing (『황제내경(黃帝內經)』의 자락요법(刺絡療法)에 대한 연구)

  • Choi, Back-ryul;Lyu, Jeong-ah
    • Journal of Korean Medical classics
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    • v.29 no.3
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    • pp.13-40
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    • 2016
  • Objectives : The practice of bloodletting therapy has taken place for several millenia all over the world. The therapy is still one of the most popular oriental treatments in Korea. This paper studies bloodletting therapy in Huangdineijing to provide the Korean Medicine doctors with knowledge of the therapy to effectively utilize it in their clinics. Methods : The author studied all of the diseases treated by bloodletting therapy in Huangdineijing, and placed them into three categories: the visceral and bowel diseases, the meridian diseases, and miscellaneous diseases. The author reviewed reference documents that show clinical experiences of using the therapy and the results from the research on the therapy's therapeutic dynamics. Results : The treatment principals such as diagnostic methods, meridian points selection, acupuncture methods, and tools for the bloodletting therapy were provided. Most of the diseases treated by the therapy were identified by the visceral pattern identification or meridian pattern identification except miscellaneous diseases. The characteristics of the diseases treated by the therapy were studied and the diseases were placed into categories such as fever, pain, qi counterflow, first-aid, mental disease, and deep-seated disease. Theoretical basis of the mechanism of bloodletting therapy was drawn from several researches and a number of clinical theses related to bloodletting therapy. Conclusions : Results of this study on bloodletting therapy in Huangdineijing could be a useful knowledge for the Korean medicine doctors to be utilized their clinics. Future studies on this type of therapy should be performed to identify the diseases that may be effectively treated by bloodletting therapy.

Spontaneous Pneumothorax associated with Thoracic Endometriosis - Report of a case- (흉부 자궁내막증에 의한 자연 기흉 - 1예 보고 -)

  • Cho Jung Soo;Kim Young Sam;Kim Joung Taek;Baek Wan Ki;Lee Kyung Hi;Kim Lucia;Kim Kwang Ho
    • Journal of Chest Surgery
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    • v.38 no.7 s.252
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    • pp.518-521
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    • 2005
  • Pneumothorax associated with thoracic endometriosis is a rare clinical entity and it is called catamenial pneumothorax if the recurrence of pneumothorax is related to the period of menstruation. Several hypotheses about its pathogenesis are suggested including spontaneous rupture of the bulla, endometrial implants of the visceral pleura, and passage of air from the genital tract through endometrial fenestration of the diaphragm. Pneumothorax is associated with chest pain and dyspnea within 72 hours of the onset of menses in young women and developed usually at right side. We report a case of 32-year-old woman who had bilateral pneumothorax and thoracic endometriosis confirmed histopathologically in the visceral pleura by thoracotomy.

Case Report of 62 Cases of Dyspepsia Classified by Symptom Types (증상 유형별로 분류한 소화불량 환자 62개 증례 관찰 보고)

  • Ha, Yu-bin;Shin, Gil-cho
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.734-739
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    • 2020
  • Objectives: The purpose of this study was to propose a diagnostic method for classifying patients with dyspepsia by symptom type. The correlation between symptom types and X-ray findings was studied in 62 patients with indigestion. Methods: In this study, the complaints and abdominal X-ray findings were collected for 62 patients who visited the outpatient Korean medicine clinic. The medical information related to dyspepsia was grouped for similar patients and classified by symptom type. Results: The patients with dyspepsia were classified into three types according to their medical symptoms: Distention type (N=43, 68.3%), Abdominal Pain type (N=16, 25.5%), and Constipation type (N=12, 19.0%). Intestinal fecal findings (80.6%) on x-rays were noted in most of the cases, followed by intestinal gas pattern findings (14.5%). Conclusion: Classifying patients with dyspepsia by symptom types is an appropriate diagnostic method due to the unclear pathophysiology of indigestion and the difficulty in applying a Korean medical dialectic. Irrespective of the symptom types, the large number of fecal material findings (80.6%) on x-rays means an effect on the interior environment of the body where intestinal feces accumulate easily and decreased gastrointestinal motility in patients with indigestion. This can be correlated with "food accumulation (食積)" as intestinal feces are tangible substances. In addition, gas in the intestine increases visceral sensitivity, causing abdominal distention or pain. The gas pattern findings (14.5%) on x-ray were observed in the "Distention type" and "Abdominal pain type," but not in the "Constipation type."

The Study to standardize the ST36 Acupoint Location on Rats (흰쥐에서 족삼리 취혈 위치 표준화를 위한 연구)

  • Kim, Jong-Yeop;Choi, Il-Hwan;Hong, Yo-Han;Lim, Sabina
    • Korean Journal of Acupuncture
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    • v.27 no.3
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    • pp.97-108
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    • 2010
  • Background : The location of acupoints on rat, which may differ from that of human body due to anatomical structure, is defined variously among researchers, which may cause the problem of low repeatability and objectivity. Design : The measurement of hind limb consist of measuring the distance between knee joint and tibia tubercle in order to set the knee joint as common criteria. Based on it, the three mostly referred location of ST36 were represented with the knee joint as a datum point and compared. The electroacupuncture stimulation was administrated after the abdominal pain was induced by acetic acid. And the analgesic activity of each ST36 acupoint was evaluated by measuring the number of writhing reflex, in order to observe the differences of treatment effect in accordance with the location of ST36 acupoints. Results : The result of measurement confirmed the differences in the acupoint location of ST36 among researchers. The writhing reflex test using the acetic acid-induced abdominal pain stimulated with electroacupuncture of 100Hz showed that there were statistically significant differences in the analgesic effect between control group and three ST36 groups (P<0.05). However there were no differences observed among three mostly referred location of ST36 acupoints (P>0.05). Conclusions : We recommend "the point located 6.5 mm below the knee joint at the anterior tibial muscle" as a standard ST36 acupoint location qualified by the WHO Standard Acupuncture Point Locations in 2008.