• 제목/요약/키워드: visual symptom

검색결과 334건 처리시간 0.028초

Computed Tomography Fluoroscopy-Guided Selective Nerve Root Block for Acute Cervical Disc Herniation

  • Eun, Sang-Soo;Chang, Won-Sok;Bae, Sang-Jin;Lee, Sang-Ho;Lee, Dong-Yeob
    • Journal of Korean Neurosurgical Society
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    • 제48권5호
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    • pp.419-422
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    • 2010
  • Objective : To analyze the clinical outcomes of computed tomography (CT) fluoroscopy-guided selective neve root block (SNRB) for severe arm pain caused by acute cervical disc herniation. Methods : The authors analyzed the data obtained from 25 consecutive patients who underwent CT fluoroscopy-guided SNRB for severe arm pain, i.e., a visual analogue scale (VAS) score of 8 points or more, caused by acute soft cervical disc herniation. Patients with chronic arm pain, motor weakness, and/or hard disc herniation were excluded. Results : The series comprised 19 men and 6 women whose mean age was 48.1 years (range 35-72 years). The mean symptom duration was 17.5 days (range 4-56 days) and the treated level was at C5-6 in 13 patients, C6-7 in 9, and both C5-6 and C6-7 in 3. Twenty-three patients underwent SNRB in 1 session and 2 underwent the procedure in 2 sessions. No complications related to the procedures occurred. At a mean follow-up duration of 11.5 months (range 6-22 months), the mean VAS score and NDI significantly improved from 9 and 58.2 to 3.4 and 28.1, respectively. Eighteen out of 25 patients (72%) showed successful clinical results. Seven patients (28%) did not improve after the procedure, and 5 of these 7 underwent subsequent anterior cervical discectomy and fusion. Conclusion : CT fluoroscopy-guided SNRB may play a role as a primary conservative treatment for severe arm pain caused by acute cervical disc herniation.

심장 질환 진단을 위한 얼굴 주요 영역 및 색상 추출 (Main Region and Color Extraction of Face for Heart Disease Diagnosis)

  • 조동욱
    • 정보처리학회논문지B
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    • 제13B권3호
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    • pp.215-222
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    • 2006
  • 한방 진단 이론과 IT 기술의 융합화를 통한 국민 건강 증진이 새로운 과제로 떠오르고 있다. 이를 위해서는 한방의 진단 방법을 시각화, 객관화, 정량화하여 진단에 필요한 임상 자료를 제공하는 것이 우선적으로 필요하다. 특히, 한방의 망진(望診) 기법이 좀 더 객관화되고 시각화되어 정확한 질환 진단을 내릴 수 있다면 한방 진단 분야에 가장 큰 발전적 기회를 제공할 것으로 여겨진다. 본 연구에서는 우리 몸의 중심 기관이며 정신과 육체의 근원지인 심장의 질환 여부를 진단할 수 있는 시스템을 개발하기 위해 한방에서 제시하고 있는 심장 질환에 관한 내용을 분석하여 영상 처리 기술을 이용한 진단의 시각화에 연구의 목적을 두었다. 이를 위해 본 논문은 전체 시스템 중 우선 색상 보정을 통해 얼굴영상을 입력받아 얼굴 영역 분할을 행하고 얼굴 형태를 분석하여 한방의 망진 방법에 근거하여 심장 질환 진단에 필요한 얼굴 특징 요소인 명당을 추출하고자 한다. 최종적으로 실험에 의해 제안한 방법의 유용성을 입증하고자 한다.

한방치료로 호전된 주관절 외상과염 환자 4례 보고 (Lateral Epicondylitis of the Elbow by Oriental Medical Treatments : 4 Cases Report)

  • 엄봉군;김정원;김주영;한상욱;양기영;조태영
    • 척추신경추나의학회지
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    • 제7권1호
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    • pp.103-112
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    • 2012
  • Objectives : This study was performed to report the effect of oriental medical treatments on the 4 patients with lateral epicondylitis of the elbow. Methods : The 4 patients were treated by Bee Venom acupuncture, Dong-Qi acupuncture, acupuncture on tender points of the origin of the extensor carpi radialis and taping on the extensor carpi radialis. The state of patients was measured by visual analog scale(VAS), elbow range of motion(ROM) and patient's subjective symptom grade(PSSG). Results : After mean 9.5 times of treatments, the recovery of elbow ROM was measured and significant pain relief was seen as the average of VAS changed from 10 to 1.25 and average of PSSG changed from 2.75 to 0.5 grade. Conclusions : These results suggest that oriental medical treatments including Bee Venom acupuncture, Dong-Qi acupuncture, acupuncture, taping are effective to improve the lateral epicondylitis of the elbow.

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체외 충격파를 이용한 만성 근위부 족저 근막염의 치료 (Extracorporeal Shock Wave Therapy (ESWT) in Patients with Chronic Proximal Plantar Fasciitis)

  • 김병수;이근배;최진;박유복;백룡빈
    • 대한족부족관절학회지
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    • 제10권2호
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    • pp.163-167
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    • 2006
  • Purpose: To evaluate the results of extracorporeal shock wave therapy (ESWT) for patients with chronic proximal plantar fascitis. Materials and Methods: Between April 2005 and April 2006, 35 cases (24 patients) who were followed more than 6 months were evaluated. By $EvoTron^{(R)}$, 2 sessions of ESWT (Group 1: 1200 and Group 2: 1500 shock waves / session of $0.12\;mJ/mm^2$) were performed at 2 weeks interval. The mean age was 40.0 (range, 15-59) years. 13 patients were male and 11 patients were female. Visual analogue scale (VAS) on daily activity and a 100-point scoring system including 70 points for pain and 30 points for function were used. The clinical outcomes were rated as follows: excellent, no pain on daily activity; good, less than 50% of previous VAS; fair, 50-75% of previous VAS; or poor, more than 75% of previous VAS. Excellent and good were graded as satisfactory results. We compare clinical results between groups and evaluate the relationships between clinical results and duration of symptom, fascial thickening and previous steroid injection were evaluated. Results: Overall satisfactory rate were 71.4%. There was no significant difference of clinical results between groups. And there were no significant difference between clinical results and duration of symtom, preoperative fascial thickening and previous steroid injection. Conclusions: ESWT for recalcitrant chronic proximal plantar fascitis is useful treatment method with high patient satisfaction and pain relief, but more long-term study must be needed.

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EMLA® 연고를 이용한 불산 화학 화상의 통증 조절 (Pain Control for Hydrofluoric Acid Chemical Burn Using EMLA® creams)

  • 최환준;송진우;최창용
    • Archives of Plastic Surgery
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    • 제36권1호
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    • pp.113-117
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    • 2009
  • Purpose: Although Hydrofluoric acid(HF) is not a strong acid when compared to other hydrogen halides, it is a feared corrosive and is particularly dangerous at higher concentrations. HF burns are characterized by symptoms, often delayed and localized with diluted HF solutions, to include erythema, edema and severe pain. Pain, a well known symptom following exposure to calcium binding. And, EMLA$^{(R)}$ cream is a topical formulation based upon the eutectic mixture of lidocaine and prilocaine and is used in clinical settings to provide pain relief undergoing superficial surgical procedures. The aim of this study is to evaluate effects of EMLA$^{(R)}$ cream, pain - control dressing on the treatment for HF injury wound. Methods: From June 2007 to June 2008, this study was carried out with 10 patients who had HF partial thickness burns. We were applied topically EMLA$^{(R)}$ cream to injured wound with vaseline gauze and 10% calcium gluconate wet gauze dressings. As a principle, in the emergency treatment, partial or complete removal of the bullae along with copious washing with normal saline was done, depending on the degree of HF invasion of the distal digital extremities. The effect of dressing was investigated by visual analogue pain scale. Results: We therefore reviewed 10 cases of HF - induced pain and pain relief treatment principle. The 10 cases who came to the hospital nearly immediately after the injury healed completely without sequelae and EMLA$^{(R)}$ related complications. Conclusion: Proper initial treatment of HF burns are important, if not promptly recognized and properly treated, for produce serious injury. Topical EMLA$^{(R)}$ cream remain a powerful, new advancement for minimizing HF - related pain during dressing procedures. When used appropriately, topical EMLA$^{(R)}$ cream can provide a safe and effective alternative to other forms of HF - pain control treatment.

Evaluation of Bt-cotton Genotypes for Resistance to Cotton Leaf Curl Disease under High Inoculum Pressure in the Field and Using Graft Inoculation in Glasshouse

  • Akhtar, Khalid Pervaiz;Hussain, Manzoor;Hassan, Mahmood-Ul;Sarwar, Muhammad;Sarwar, Nighat
    • The Plant Pathology Journal
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    • 제31권2호
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    • pp.132-139
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    • 2015
  • Bt-cotton germplasm, consisting of 75 genotypes was evaluated against cotton leaf curl disease (CLCuD) under high inoculum pressure in the field and using graft inoculation in glasshouse by visual symptom scoring assessments. None of the tested genotype was found disease free under both evaluation tests. Under field conditions in 2011, 3 genotypes were found resistant, 4 moderately resistant, 3 tolerant, 2 moderately susceptible and one susceptible; in 2012, 3 genotypes were tolerant, 7 moderately susceptible, 5 susceptible and 38 highly susceptible; in 2013, one was moderately susceptible and 51 were highly susceptible with varying degree of percent disease index (PDI) and severity index (SI). However, through graft evaluation in glasshouse, none of the graft inoculated plant was symptomless. All tested genotypes showed disease symptoms with SI values ranging between 5.0 and 6.0, and latent period between 12 and 14 days. Of the 75 genotypes evaluated using graft inoculation, 11 were found susceptible with SI values of 5.0 to 5.4 while remaining 64 were highly susceptible with SI values of 5.5 to 6.0. Inoculated plants of all tested genotypes exhibited severe disease symptoms within 10 days after the appearance of initial symptoms. No reduction in SI value was observed until the end of the experiment i.e., 90 days after grafting. Information generated under the present study clearly demonstrates that no sources of resistance to CLCuD are available among the tested Bt-cotton genotypes. So, a breeding programme is needed to introgress the CLCuD-resistance from other resistant sources to agronomically suitable Bt-cotton genotypes.

잠재적인 슬개대퇴동통증후군에 대한 근력 및 유연성운동의 효과 (Effects of Strengthening and Stretching Exercise for Individuals with Intrinsic Patellofemoral Pain Syndrome)

  • 김명철;이명희;한슬기;김용성
    • 대한물리의학회지
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    • 제6권2호
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    • pp.165-175
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    • 2011
  • Purpose: This study examined the effect of the strengthening exercise and stretching exercise to decrease symptom patellofemoral pain syndrome (PFPS). Methods: The Anterior Knee Pain Scale (AKPS) and Clark's test performed for diagnosis of intrinsic PFPS among young adults. Selected thirty young adults subjects who aged 20~26 years participated in the study. Participants were randomly assigned to strengthening, stretching, or control groups. Strengthening group consisted of quadriceps, hamstring and iliotibia band training used elastic band. Stretching group consisted of quadriceps, hamstring and iliotibia band trainings used stretching exercises program. Participants received 50-minute individualized exercise sessions, 3 times a week for 6 weeks. Results: The results were as follow: there were significantly difference stretching exercise group by all muscles on muscular strength test (p<.05). there were significantly difference both strengthening and stretching exercise group by all muscles on flexibility test (p<.05). There were significantly difference stretching exercise group by all muscles on step-down test (p<.05). There were significantly difference both strengthening and stretching exercise group by all muscles on visual analog scale (p<.05). Conclusion: Results suggest important implications for exercise programs of PFPS that stretching exercise is more improved knee pain, functional performance, patella mobility than strengthening exercise.

경추부 압통점의 황련해독탕 약침치료를 통한 경추성 어지럼증 환자 호전 치험 3례 (Case Series: Three Patients with Cervical Vertigo Treated with Hwangryunhaedok-Tang Pharmacupuncture)

  • 임수연;신원빈;사공종원;이지연;전현아;문영주;이유라
    • 동의신경정신과학회지
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    • 제31권3호
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    • pp.187-195
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    • 2020
  • Objectives: The purpose of this case report was to evaluate the effectiveness of Hwangryunhaedok-tang pharmacupuncture on three patients diagnosed as cervical vertigo. Methods: Three patients were diagnosed as cervical vertigo with cervical sprain, resulting from an alteration of the neck proprioceptive afferents of the upper cervical spine. Hwangryunhaedok-tang pharmacoacupuncture was injected in the patients once daily for 10 days. The symptom change of dizziness was checked daily before and after treatment by the Visual Analogue Scale (VAS) score. The cervical pain and patient satisfaction were checked by the NRS (Numerical Rating Scale), NDI (Neck Disability Index), and the EQ-5D (EuroQol-Five Dimensions). Results: After the treatment, there was significant decrease in the value of the VAS score, measurement of dizziness, as well as the value of the NRS, NDI, a measure of pain. Also, the life quality measured by the EQ-5D improved. Conclusions: The results indicated that the Hwangryunhaedok-tang pharmacupuncture may have an effect on cervical vertigo with cervical pain.

Grey 증상 잎담배의 색채 및 화학성분 특성 (Colorimetric and Chemical Characteristics of Grey Leaf Tobacco)

  • 이철환;진정의
    • 한국작물학회지
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    • 제40권3호
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    • pp.359-364
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    • 1995
  • 논담배 품질저하 요인으로 알려져 있는 grey엽발생원인 구명의 기초자료로 이용하기 위하여 논토양에서 자연발생된 grey엽을 채취, 피해정도별로 색채와 화학성분적 특성을 조사 분석한 결과는 다음과 같다. 1. Grey엽의 발생엽수와 발생율은 하위엽에서 가장 많았고 중 > 본 > 상엽 순이었으며 엽중성분함량은 정상엽에 비하여 Fe, Mn, Cl함량이 놓았고 피해증상이 심할수록 높았다. 2. 동일엽내에서 grey피해부위가 정상부위에 비하여 Fe, Mn, Cl함량이 높고 전질소, 에테르추출물은 낮았으며, 니코틴, 전당, Ca함량에서는 차이가 없었다. 3. Grey엽의 내용성분간에는 전질소와 Cl, Fe와 Mn간에 정상관이, 전질소와 전당 및 Mn, Cl과 전당간에는 각각 부의 상관관계가 있었다. 4. 색상은 정상엽에 비하여 증상이 심할수록 L치가 크게 감소하고 b치, a치 순으로 감소하였으며, L치와 a치는 일정한 경향이 없었으나 b치는 현저히 낮아 grey엽의 특성으로 나타났다.

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골다공증 환자에서 신허와 골밀도의 상관성에 대한 관찰연구 (Observation of Correlation between Deficiency Syndrome of Kidney and Bone Mineral Density in Osteoporosis Patients)

  • 김윤주;강재희;곽규인;이현
    • Korean Journal of Acupuncture
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    • 제31권3호
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    • pp.99-107
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    • 2014
  • Objectives : This study was designed to analyze correlation in deficiency syndrome of kidney index and bone mineral density(BMD) in 130 osteoporosis patients. Methods : 130 women who were over 50 years old and visited in Department of Acupuncture & Moxibustion Medicine, Cheonan Oriental Hospital of Daejeon University from January 1, 2012 to December 31, 2013, answered the questionnaire consisting of symptom of deficiency syndrome of kidney, to determine the deficiency syndrome of kidney Index(DSKI). Grade of low back pain were measured in the visual analogue scale(VAS). BMD of the patients were determined by quantitative computerized tomography(QCT). Then, DSKI with BMD, VAS and age were analyzed by correlation analysis, variance analysis and Kruskal-Wallis test. Results : 1. Between DSKI and BMD, patients in total and in-their-50's group did not show a statistically significant result, but in-their-60's group and over-70 group showed a statistically significant result by correlation analysis. 2. Between DSKI and VAS, groups in total, in-the-50's, 60's, and over-70 groups showed a statistically significant result by correlation analysis. Conclusions : DSKI and BMD of the patients group who are over 60, DSKI and VAS of the patiens over 50 years old were associated with each other.