• 제목/요약/키워드: visceral pain

검색결과 78건 처리시간 0.022초

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

  • 김영관;임현교
    • 대한인간공학회지
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    • 제22권1호
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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.

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

  • 김시욱;최재성;나명훈;임승평;이영;유재현
    • Journal of Chest Surgery
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    • 제37권12호
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    • pp.1029-1031
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    • 2004
  • 림프관평활근종증은 드문 질환이며, 임상경과상 악성으로 분류할 수 있다. 복통을 주소로 입원한 21세 여자 환자가 골반 내시경을 통해 난소 황체 출혈을 지혈하였고, 그 후 유미성 복수로 개복하여 후 복막에 위치한 낭성 종양을 절제하여 림프관평활근종증으로 조직 진단 받았다. 홀몬 치료 중 유미흉이 발생하여 흉부외과에서 개흉하여 림프액 누출부위를 봉합결찰하였고, 10% 포타딘 관주로 유미흉은 호전되었으나 유미성 복수가 재발하였으며 진단 6개월에 전신 쇠약과 호흡 부전으로 사망하였다.

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

  • 김명준;황성수;김호봉;김수형
    • 대한정형도수물리치료학회지
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    • 제6권2호
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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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흉막에 발생한 국소성 섬유성 종양;1례 보고 (Localized Fibrous Tumor of Pleura; A report of a case)

  • 김남혁
    • Journal of Chest Surgery
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    • 제26권12호
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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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내엽형 폐격리증 - 수술치험 1예- (Intralobar Pulmonary Sequestration - A Report of Case -)

  • 오창근;임진수
    • Journal of Chest Surgery
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    • 제22권5호
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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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    • 제36권4호
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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.

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

  • 최박렬;류정아
    • 대한한의학원전학회지
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    • 제29권3호
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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.

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

  • 조정수;김영삼;김정택;백완기;이경희;김루시아;김광호
    • Journal of Chest Surgery
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    • 제38권7호
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    • pp.518-521
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    • 2005
  • 흉부 자궁내막증에 의한 기흉은 드문 질환으로 일반적으로 월경과 연관되어 재발하여 발생하는 경우 월경성 기흉(Catamenial pneumothorax)으로 명명된다. 발생 기전은 아직 명확히 밝혀지지 않았으나, 단순 폐기포의 파열, 장측 늑막에 형성된 자궁내막조직에 의하여 발생된 경우, 횡격막에 형성된 자궁내막조직에 의한 횡격막결손부위를 통한 공기의 이동 등으로 설명되고 있다. 전형적인 월경성 기흉은 주로 30-40대 여성에서 월경 후 48-72시간 안에 발생하며 편측성으로 우측에 호발하는 것으로 알려지고 있다. 본 저자들은 양측 성으로 발생한 자발성 기흉 환자에서 시행한 개흉술로 절제된 폐의 병리조직검사 소견상 '자궁내막증(endometriosis)'으로 확진된 1예를 경험하였기에 보고한다.

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

  • 하유빈;신길조
    • 대한한방내과학회지
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    • 제41권5호
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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."

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

  • 김종엽;최일환;홍요한;임사비나
    • Korean Journal of Acupuncture
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    • 제27권3호
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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.