Consideration of the relationship between menstrual pain, menstruation accompanying symptoms and personality / 全日本鍼灸学会雑誌

[Objectives] Psychological factors are mentioned as one of the causes of menstrual pain and menstruation-associated symptoms. In this study, the relationship between menstrual pain, menstruation-associated symptoms, and personality was examined. [Methods] We targeted women who were menstruating and had provided informed consent. A questionnaire was conducted to obtain information on age, height, weight, degree of menstrual pain, menstruation-associated symptoms, and new personality inventory. Correlation analysis of Spearman was conducted on the relationship between menstrual pain, menstruation-associated symptoms, and personality.[Results] We distributed questionnaires to 250 persons and obtained responses from 166 persons. "Anxiety" correlated with menstrual pain and multiple factors of menstruation-associated symptoms, "depression" correlated with multiple factors of menstruation-associated symptoms. In addition, "aggression," "inferiority complex," and "non-cooperativeness" correlated with negative emotional factors of menstruation-associated symptoms.[Discussion] For "anxiety" and "depression," it was speculated that the symptoms became stronger due to poor circulation and serotonin deficiency during menstruation. In addition, the depressive aspects of "aggression," "non-cooperativeness," and "inferiority complex" were also considered to have an influence on negative emotional factors of menstruation-associated symptoms.[Conclusions] "Anxiety" correlated with menstrual pain and multiple factors of menstruation-associated symptoms, and "depression" correlated with multiple factors of menstruation-associated symptoms.

Prevalence of PCOS with Associated Symptoms and Complications at Tertiary Care Hospital of Karachi

Aim:The aim of this study is to determine the prevalence of PCOS among different gynecological disorders at tertiary care hospital of Karachi and to assess the most frequent presenting complaint with associated complications among them. Study Design:Single-centered cross-sectional study.Place and Duration of Study:Gynecological clinic of Karachi at a Tertiary care Hospital during 3rd December 2018 to 29th March 2019.Methodology:Total 335 premenopausal women approached the clinic with different gynecological disorders during the period of four months and 305 patients agreed to participate. The patients were enrolled via convenient sampling technique. After taking the informed consent they were evaluated through clinical interviews, questionnaire, and anthropometric measurements. The diagnosis of PCOS was made by using Rotterdam criteria 2003. Menstrual irregularities were assessed via history. Clinical hyperandrogenism was evaluated by using modified Ferriman–Gallwey scale and Acne Global Grading System. Obesity was calculated through BMI. The Hamilton scale was used to appraise associated psychological disturbances.Results:PCOS was the most prevalent gynecological disorder (55.41%) among women of the premenopausal age. Overall, the most frequent presenting complaint was infertility but age related variations in symptoms showed that young adolescent and adulthood had more menstruation irregularities while, in late adolescent the chief complaint was infertility. Moreover, these patients were either overweight 32% or obese 46.2%. Other associated problems such as anxiety and migraine were more frequent in young adults and juveniles respectively.Conclusion:PCOS is the most common gynecological problemin our region. These women usually presents with altered complains that influence their physiological and psychological health which in turn effects the quality of life

Clinical observation of percutaneous coblation nucleoplasty for the treatment of cervical spondylotic radiculopathy / 中国骨伤

<p><b>OBJECTIVE</b>To evaluate the clinical effects of percutaneous coblation nucleoplasty in treating cervical spondylotic radiculopathy and investigate its mechanism of action.</p><p><b>METHODS</b>Form January 2015 to January 2017, 21 patients with cervical spondylotic radiculopathy were treated by percutaneous coblation nucleoplasty, including 8 males and 13 females with an average age of 49.6 years old ranging from 43 to 61 years old. The course of disease was for 1 to 6 months with a median age of 4 months. Three cases were single segment, 9 cases were double segments, 7 cases were three-segment, 2 cases were four-segment. Intervertebral disc pressure, VAS were compared before and after operation. Angular displacement(AD) and horizontal displacement(HD) were measured by image data and in order to evaluate the cervical stability. Modified MacNab criteria was used to assess clinical effects.</p><p><b>RESULTS</b>All the patients were followed up from 1 to 12 months with an average of 8.6 months. Preoperative intervertebral disc pressure was (32.0±5.26) cmH2O and immediately after operation was (21.0±7.18) cmH2O, there was statistical significance between before and after operation(=0.003). Preoperative angular displacement and horizontal displacement was (3.85±1.26) ° and (1.23±0.58) mm, six months after operation was (4.18±1.31) ° and (1.69±0.46) mm, respectively. There was no statistical significance before and after operation(>0.05). Preoperative VAS scores were 7.49±0.53, postoperative at 3 days, 3, 6 months were 3.51±0.49, 2.63±0.61, 2.56±0.71, respectively, and postoperative obtained obvious improvement(<0.05). According to modified MacNab criteria, 6 cases obtained excellent results, 7 good, 4 fair 3 poor at 3 days;10 cases obtained excellent results, 5 good, 3 fair, 2 poor at 3 months; 12 cases obtained excellent results, 6 good, 1 fair, 1 poor at 6 months after operation. Postoperative clinical effect at 6 months was better than 3 d, and 3 months(<0.05), and postoperative at 3 months was better than 3 d(<0.05).</p><p><b>CONCLUSIONS</b>Percutaneous coblation nucleoplasty in treating cervical spondylotic radiculopathy can effectively relieve the pain of neck, shoulder and upper limb and can also relieve some associated symptoms such as headache and dizziness.</p>

Tratamiento del síndrome lumbálgico agudo con auriculoterapia / Acute lumbar syndrome treatment with auriculotherapy

Introducción: en el primer nivel de atención, las lumbalgias representan el 5 por ciento de las consultas. Se utiliza un abordaje racional, siendo tratados con técnicas como la Auriculoterapia. Objetivo: evaluar el uso de la técnica de Auriculoterapia en el tratamiento del síndrome lumbálgico agudo. Métodos: estudio exploratorio, prospectivo, en pacientes con síndrome lumbálgico que asistieron al cuerpo de guardia del Policlínico María Emilia Alfonzo de Madruga, en el período de enero del 2015 a enero del 2016. Universo constituido por 120 pacientes, se seleccionó una muestra no probabilística de tipo intencionada de 60 pacientes diagnosticados por ortopedia, divididos en dos grupos para el tratamiento: grupo I: fisioterapia convencional indicada más medicamentos según la sintomatología del proceso, grupo II: fisioterapia convencional indicada más medicamentos según la sintomatología del proceso más Auriculoterapia según el diagnóstico asiático y la exploración del pabellón auricular. Se utilizó la hoja de cargo y la historia clínica individual, se tuvieron en cuenta variables como edad, sexo, diagnóstico según causa, síntomas asociados y evolución del tratamiento en ambos grupos. Resultados: predominó el grupo de edades de 56 a 65 años para un 37 por ciento, del sexo femenino para un 65 por ciento, diagnóstico de artrosis con 49 pacientes para un 82 por ciento, síntomas asociados de dolor en 60 para un 100 por ciento, con evolución buena en 42 para un 70 por ciento. Conclusiones: los pacientes con síndrome lumbálgico evolucionaron satisfactoriamente con el tratamiento convencional, siendo más efectivo el tratamiento convencional más Auriculoterapia(AU)

Introduction: In the first level of health care, lumbagos represent 5 percent of the consultations. A rational approach is used, being treated with techniques such as auriculotherapy. Objective: Assess the use of the technique auriculotherapy to treat the acute lumbar syndrome. Methods: Exploratory, prospective study on patients with lumbar syndrome who attended the emergency room of María Emilia Alfonzo Polyclinic of Madruga, in the period from January 2015 to January 2016. The universe was made up by 120 patients, we chose a nonprobabilistic and nontargeted sample of 60 patients diagnosed by orthopaedics, divided into two groups for treatment: group I: conventional physiotherapy and medication indicated for the process symptoms; group II: conventional physiotherapy and medication indicated for the process symptoms, and auriculotherapy, for the Asian diagnostic and the auricular pavilion exploration. The chart and person's clinical record were used, and variables such as age, sex, cause diagnosis, associated symptoms and treatment evolution were considered in both groups. Results: The predominating age group was 56-65 years (37 percent), female sex (65 percent), arthrosis diagnosed with 49 patients (82 percent), pain-associated symptoms in 60 (100 percent), with good evolution (70 percent). Conclusions: The patients with lumbar syndrome evolved satisfactorily with the conventional treatment, being more effective the conventional treatment plus auriculotherapy(AU)

Sintomatología asociada a neurocisticercosis en personas del área urbana y periurbana del municipio de coyaima del departamento del tolima y posibles variables asociadas / Symptoms associated with neurocysticercosis in people in the urban nd peri-urban of the municipality of coyaima the department of tolima and possible associated variables / Sintomas associados a neurocisticercose em pessoas da zona urbana e peri urbana do município coyaima do departamento de tolima e variáveis associadas possíveis

Introducción: El complejo teniasis/cisticercosis es un problema de salud pública a nivel mundial. En Colombia estudios epidemiológicos evidencian la presencia de ésta parasitosis en humanos ocasionando Neurocisticercosis (NCC). Objetivo: Determinar la sintomatología asociada a Neurocisticercosis en personas del área urbana y periurbana del municipio de Coyaima del departamento del Tolima y posibles variables asociadas. Materiales y Métodos: Se realizó un estudio descriptivo de corte transversal en los habitantes del área urbana y periurbana del municipio de Coyaima en el departamento del Tolima, a quienes se les socializó un consentimiento informado. A las 159 personas que aceptaron participar voluntariamente, se les diligenció una encuesta epidemiológica estructurada, toma de 5ml de sangre periférica y simultáneamente por punción capilar sangre colectada en círculos de papel filtro de 4mm diámetro; de igual manera se solicitó una muestra coprológica que se fijó con reactivo de MIF al 5% y se procesó con la técnica de concentración de formol-éter y finalmente almacenadas a 4°C. Para la evaluación serológica, se empleó la técnica de ELISA bajo los siguientes parámetros: antígeno, fracción de 53kDa del metacéstodo de Taenia solium.; en concentración de 0,4μg/ml, dilución de suero y sangre total tomada con papel de filtro1/1, suero total 1/100 y conjugado 1/2500. El análisis estadístico incluyo tablas de contingencia de 2x2, cálculo de frecuencias y ji cuadrado. Resultados: De los 159 participante, el 17% (27/159) fueron diagnosticados seropositivos y de estos, el 67%(18/27) presentó alguna sintomatología de posible asociación con NCC. Los síntomas de mayor frecuencia en la población estudiada fueron: cefalea, 19,5%; disminución de capacidad visual, 5,7%; crisis convulsiva de aparición tardía, 4,4%; accidentes cerebrovasculares y alteración de conciencia 1,3% y 0,6%; respectivamente. Se confirmaron cuatro personas con NCC, del grupo de seropositivos (4/27) tres de género femenino y uno masculino, por técnicas de imagenología como Tomografía Axial Computarizada-TAC o Resonancia Magnética-RM. Las sintomatologías de mayor relevancia para estos pacientes fueron crisis convulsiva de aparición tardía y cefalea. La prevalencia general de parasitismo intestinal en la población participante fue del 43.3%, identificándose en el 2%(3/159) de los valorados, huevos de Taenia spp., y de estos una persona a su vez seropositiva, con sintomatología (crisis convulsiva de aparición tardía y cefalea) compatible con NCC y confirmación posterior por TAC, sugiriéndose una parasitosis mixta por el estadio adulto y el metacéstodo de T. solium.; en el paciente. Conclusiónes: El 17%(27/159) de la población estudiada fue seropositiva, se confirmaron cuatro personas por imagenología con NCC, cuyos síntomas de mayor relevancia fueron crisis convulsiva de aparición tardía y cefalea. El género femenino es proclive a sufrir la parasitosis. Se halló presencia de huevos de Taenia. spp.; en el 2% de la población participante en el estudio. La variable fuentes de agua para consumo presento significancia estadística p≤ 0,05.

Introduction: The complex teniasis/cysticercosis is a worldwide public health problem. Colombia epidemiological studies shows the presence of parasites in humans resulting in neurocysticercosis (NCC). Objective: To determine the symptoms associated with neurocysticercosis in people in the urban and peri-urban area of the town of Coyaima in the Department of Tolima and possible associated variables. Materials and methods: a descriptive cross-sectional study was performed in the inhabitants of the urban and peri-urban area of the town of Coyaima in the Department of Tolima, who socialized informed consent. The 159 people that they agreed to participate voluntarily, is filled them a structured epidemiological survey, 5ml of blood making peripheral and simultaneously by finger stick blood collected in 4mm diameter filter paper circles; Similarly be asked a coprological sample that was set with MIF reagent to 5% and was processed with the concentration of formol-eter technique and finally stored at 4°C. Serologic evaluation, used the ELISA technique under the following parameters: Antigen fraction of 53kDa of the metacestodo of Taenia solium.; concentration of 0,4μg/ml, dilution of serum and whole blood taken with filter1/1, total serum conjugated 1/2500 and 1/100 paper. Statistical analysis included calculation of frequencies and Chi square 2 x 2 contingency tables. Results: Of 159 participants, 17%(27/159) were diagnosed positive, and of these, 67%(18/27) presented any symptoms of possible partnership with NCC. Symptoms of greater frequency in the population studied were: headache, 19.5%; decrease of visual acuity, 5.7%; late-onset seizure, 4.4%; accidents cerebrovascular and alteration of consciousness 1.3% and 0.6%; respectively. Confirmed four people with NCC, of the positive Group(4/27) three female and one male, by techniques such as tomography Axial-TAC or magnetic resonance-MRI Imaging. The symptomatology of greatest relevance for these patients was seizure of late-onset and headache. The overall prevalence of intestinal parasitism in the participant population was 43.3%, identified in the 2%(3/159) rated, eggs of Taenia spp.; and of these a person positive turn, with symptoms (seizure of late-onset and headache) compatible with NCC and subsequent confirmation by TAC, suggesting a mixed parasitic infections by the adult stage and the metacestodo of T. solium.; in the patient. Conclusions: 17%(27/159) of the studied population was positive, four persons were confirmed by imaging with NCC, whose symptoms of greater importance were seizure of late-onset and headache. The feminine gender is prone to suffer parasitosis. We found the presence of eggs of Taenia. spp.; in 2% of the population participating in the study. The variable sources of water for consumption presented statistical significance p≤ 0.05.

Introdução: O complexo teníase / cisticercose é um problema de saúde pública mundial. Estudos epidemiológicos na Colômbia mostram a presença de parasitasem seres humanos resultando em neurocisticercose (NCC). Objetivo: Determinar os sintomas associados à neurocisticercose em pessoas na área urbana e peri-urbana da cidade de Coyaima no Departamento do Tolima e possíveis variáveis associadas. Materiais e métodos: Um estudo descritivo transversal foi realizado nos habitantes da área urbana e peri-urbana da cidade de Coyaima, no Departamento do Tolima, que socializou o consentimento informado. As 159 pessoas que concordaram em participar voluntariamente, e preenchido um inquérito epidemiológico estruturado, 5 ml de sangue fazendo periférico e simultaneamente por sangue de vara de dedo coletado em círculos de papel de filtro de 4 mm de diâmetro; Do mesmo modo, ser-lhe-á solicitada uma amostra coprológica que foi fixada com reagente MIF a 5% e processada com a concentração de formol-eter e finalmente armazenada a 4 ° C. A avaliação sorológica utilizou a técnica ELISA sob os seguintes parâmetros: Fração de antígeno de 53kDa do metacesto de Taenia solium, concentração de 0,4μg / ml, diluição de soro e sangue total coletado com filtro1/1, soro total conjugado com 1/2500 e 1/100 de papel. A análise estatística incluiu o cálculo de frequências e tabelas de contingência Chi 2 x 2. Resultados: Dos 159 participantes, 17% (27/159) foram diagnosticados positivos, e destes, 67% (18/27) apresentaram qualquer sintoma de possível parceria com a NCC. Os sintomas de maior freqüência na população estudada foram dor de cabeça, 19,5%; Diminuição da acuidade visual, 5,7%; Ataque tardio, 4,4%; Acidentes vasculares cerebrais e alteração da consciência 1,3% e 0,6%; respectivamente. Confirmou quatro pessoas com NCC, do grupo positivo (4/27) três do sexo feminino e um do sexo masculino, por técnicas como a tomografia Axial-TAC ou ressonância magnética-Imaging RM. A sintomatologia de maior relevância para estes pacientes foi a convulsão de início tardio e dor de cabeça. A prevalência total de parasitismo intestinal na população participante foi de 43,3%, identificados nos 2% (3/159) avaliado, ovos de Taenia spp., e destes, por sua vez, uma pessoa positiva, com sintomas (apreensão de início tardio e dor de cabeça) compatível com NCC e subsequente confirmação por TAC, sugerindo uma mistos infecções parasitárias por a etapa de adultos e o metacestodo de T. solium., no paciente. Conclusões: 17% (27/159) da população estudada foi positiva, quatro pessoas foram confirmadas por imagem com NCC, cujos sintomas de maior importância foram apreensão de início tardio e cefaléia. O sexo feminino é propenso a sofrer parasitose. Encontramos a presença de ovos de Taenia spp., em 2% da população participante do estudo. As fontes variáveis de água para consumo apresentaram significância estatística p≤ 0,05.

Correlacionando icterícia, resultados de exames laboratoriais e diagnósticos de doenças / Correlating jaundice, laboratory test results and diagnosis of diseases

Para descobrir quais as doenças que mais comumente cursam com a icterícia em pacientes internados no Hospital Universitário Antônio Pedro (HUAP) e correlacioná-las com marcadores bioquímicos foram utilizados dados extraídos de prontuários de pacientes internados durante os anos de 2005 a 2007. 0s dados foram analisados usando métodos estatísticos como qui-quadrado e teste Z. Utilizamos a análise das dosagens de aspartato-aminotrans ferase (AST), alanina-aminotransferase (ALT), fosfatase alcalina (FA), gama-glutamiltransferase (gama-GT), bilirrubina (Bb) total e suas frações direta e indireta. Os sinais e sintomas mais comuns na amostra estudada foram: dor abdominal, vômitos e colúria, que estão presentes em cerca de 60% das queixas dos pacientes estudados. Na população entre nove e 85 anos de idade, a análise sugere que AST e ALT nos chamam atenção para uma possível lesão hepática associada aos casos de icterícia. Enquanto que FA e GGT são marcadores de colestase. A bilirrubina direta tem média mais elevada no grupo de pacientes entre nove e 85 anos e a bilirrubina indireta atinge níveis maiores no grupo com até dois meses de vida. As dosagens bioquímicas são armas muito importantes na pesquisa etiológica dos casos de icterícia.

To find out which diseases most commonly lead to jaundice in hospitalized patients in HUAP and correlate them with biochemical markers. We used data from medical records of patients hospitalized during the years 2005 to 2007. The data were analyzed using statistical methods to test and chi-square-Z. We used the analysis of the strengths of AST, ALI, FA, GGT, Bb and its fractions total direct and indirect. The most common signs and symptoms in the sample studied were abdominal pain, vomiting and choluria that are present in about 60% of complaints from patients. In the population between nine and 85 years of age, the analysis suggests that AST and ALT in calling attention to a possible liver damage linked to cases of jaundice. While FA and gamma-GT are markers of cholestasis. The direct bilirubin is highest average in the group of patients between nine and 85 years and indirect bilirubin levels higher in the group with up to two months of life. The biochemical doses are very important weapons in the etiological research of cases of jaundice.

Analysis of Associated Symptoms of Bell's Palsy / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: We aimed to evaluate associated symptoms in patients with Bell's palsy and prognosis according to associated symptoms. SUBJECTS AND METHOD: Seventy-four patients with Bell's palsy were enrolled in this study. We evaluated the degree of facial palsy with Facial Nerve Grading System 2.0. The grade of facial palsy was determined as initial facial palsy at admission and as final facial palsy at visit after 3 months. Afterwards, we examined symptoms (such as otalgia, facial numbness, taste disturbance, eye problems, hyperacusis, and tinnitus) and co-morbid diseases (such as diabetes mellitus and hypertension) associated with facial palsy. After 3 months of the onset of facial palsy, we examined the changes in the associated symptoms. RESULTS: At admission, 71.6 percent of all patients had symptoms associated with facial palsy. Of the associated symptoms, facial numbness and taste disturbance were the most common, which were still found in 23% of the patients after 3 months of the onset of facial palsy. Patients with a high initial grade of facial palsy were accompanied by taste disturbance and hyperacusis more than by other symptoms. Also patients who had auricular pain during the recovery period of Bell's palsy showed poor prognosis. Compared to non-hypertension patients, for patients with hypertension, taste disturbance was more common during the early period whereas eye problems were more common during the recovery period. CONCLUSION: Patients with Bell's palsy had diverse symptoms associated with facial palsy. During the early period of Bell's palsy, we concluded that there was no correlation between the symptoms and the prognosis. However, patients with pain around the ear during the recovery period showed poor recovery of facial palsy.

The Effect of Preventive Medication on the Improvement of Associated Symptoms in Pediatric Migraine

PURPOSE: Migraine is a common disorder in childhood. Its associated symptoms such as nausea or dizziness etc. are frequently complained about and worsen discomfort in cases of pediatric migraine. This study aimed to investigate the relieving effect of preventive therapy on the associated symptoms as well as headache-related characteristics. METHODS: We reviewed the clinical data of subjects aged seven to eighteen years who were diagnosed with migraine and had received prophylactic medication for more than two months. The headache-related characteristics and associated symptoms were analysed with prophylactic drugs at one month and three months after medication. RESULTS: The gender ratio was 11:10 and the mean age was 10.8 years. One month after medication, the duration of headache was reduced in ten of nineteen, a reduction in frequency was observed in fourteen, and improvement in headache intensity in nine. The duration time was shortened in three of eight subjects three months after initiation of medication, the frequency reduced in five, and decreased intensity in seven. Nausea was absent in eight of fifteen one month after treatment, abdominal pain in seven of thirteen, dizziness in five of sixteen, photophobia in six of seventeen, and phonophobia in seven of sixteen. The ratio of disappearance of associated symptoms increased three months after initiation of treatment. CONCLUSION: Prophylactic medication may be effective in relieving migraine-associated symptoms as well as improving headache-related characteristics.