통증을 치료하는 의사의 잡다한 이야기

제3회 : 상해진단서 작성 요령<상해진단서(법률적 상해 증명서) 작성 요령>각종 사고나 재해와 관련 인체손상과 인간의 권리 침해 등에 상해진단서의 수요가 증가하고 있으며 수사당국과 법은 상해진단서에 의하여 상해정도를 평가하므로 민사나 형사의 문제를 해결하는 입증자료로..

Sleep Efficiency (SE): the proportion of time in bed actually asleep (% or fraction)Fragmentation Index: the number of sleep stage changes from deeper to lighter stage or awake per hourSleep Onset Latency (SOL): the time to first sleep entry episode defined as 30 seconds of stage 2 or sometimes 1 sleep.Wake After Sleep Onset (WASO): the amount of awake time after first sleep e..

2011 Revised IRLSSG Diagnostic Criteria for RLS Restless legs syndrome (RLS), a neurological sensorimotor disease often profoundly disturbing sleep and quality of life has variable expression influenced by genetic, environmental and medical factors. The symptoms vary considerably in frequency from less than once a month or year to daily and severity from mildly annoying to disa..

General exercise recommendations: http://www.nia.nih.gov/HealthInformation/Publications/ExerciseGuide/ Sleep hygiene recommendations: http://www.stanford.edu/~dement/howto.html General fibromyalgia Information http://www.knowfibro.com Fibromyalgia support groups and general fibromyalgia Information http://www.FMaware.org Arthritis foundations programs and general fibromyalgia ..

Adults (18–65 years) should perform 30 min or more of moderate intensity aerobic physical activity on 5 or more days of the week, vigorous intensity activity of at least 20 min, 3 days per week, or a combination of moderate intensity (30 min twice weekly) and vigorous intensity (20 min twice weekly) activities. Strength-enhancing activities should be performed at least t..

Duloxetine 경구제 (품명:심발타캡슐) 1. 허가사항 범위내에서 환자의 증상 등에 따라 필요·적절하게 투여시 요양급여함을 원칙으로 함. 2. 허가사항 중 우울병에 투여한 경우에는 아래와 같이 요양급여를 인정함. ◦ 정신과에서 우울병(Major Depressive Disorder)으로 확진된 경우에는 허가사..

Typical Lhermitte phenomenon (tingling sensations moving down the limbs or trunk on neck flexion) is a sign of intrinsic spinal cord pathology, most commonly cervical spinal cord demyelination. http://en.wikipedia.org/wiki/Lhermitte's_sign

AllodyniaPain due to a stimulus that does not normally provoke pain. Pain in response to nonnociceptive stimulus Brushing to skin is the only established example HyperalgesiaIncreased pain from a stimulus that normally provokes pain. Whether test stimulus may or may not activate nociceptors is unclear, hyperalgesia is preferred term. HypoalgesiaDiminished pain in response to a..

아래와 같은 논문이 있는데, 간단하게 이야기하면, 의사가 운동을 권하고 1주일 뒤에 운동을 권한것을 상기시키면 환자의 운동량이 늘어난다는 것이다. http://www.ncbi.nlm.nih.gov/pubmed/15454357 1. Ann Behav Med. 2004 Oct;28(2):105-13. Effects of an oncologist's recommendation to exercise on self-reported exercise behavior in ..

커피는 혈중 콜레스테롤을 높입니다. 커피에 첨가하는 프림, 우유, 크림 같은 유지방성분의 제품들은 당연하게 콜레스테롤 수치를 높입니다. 이런 유지방성분이 첨가되지 않은 커피들도 커피 자체적으로 가지고 있는 지방성분인 카페스톨(cafestol)과 카훼올(Kahweol)등이 혈중 콜레스테롤을..