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Acupuncture transcutaneous electrical nerve stimulation reduces discomfort associated with barostat-induced rectal distension:A randomized-controlled study

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World Journal of Gastroenterology 2013年第3期19卷 381-388页

作者： Wing-Wa Leung Alice YM Jones Simon SM Ng Cherry YN Wong Janet FY Lee Department of Rehabilitation Sciences The Hong Kong Polytechnic UniversityHung HomHong Kong 999077China Faculty of Health Sciences The University of SydneySydneyNSW 2006Australia Division of Colorectal Surgery Department of SurgeryThe Chinese University of Hong KongPrince of Wales HospitalShatinHong Kong 999077China

AIM:To explore the effectiveness of acupuncture transcutaneous electrical nerve stimulation(Acu-TENS), a non-invasive modality in reduction of rectal discomfort during barostat-induced rectal distension. METHODS:Forty healthy subjects were randomized to receive 45 min of either Acu-TENS or placebo-TENS(no electrical output)over acupuncture points Hegu(largeintestine 4),Neiguan(pericardium 6)and Zusanli(stomach 36).A balloon catheter attached to a dual-drive barostat machine was then inserted into the subjects'rectum.A step-wise(4 mmHg)increase in balloon pressure was induced until maximal tolerable or 48 *** analogue scale and a 5-point subjective discomfort scale(no perception,first per-ception of distension,urge to defecate,discomfort/ pain and extreme pain)were used to assess rectal discomfort at each distension *** beta-endorphin levels were measured before,immediately after intervention,at 24 mmHg and at maximal toler- able distension pressure. RESULTS:There was no difference in the demographic data and baseline plasma beta-endorphin levels between the two *** threshold levels were higher in the Acu-TENS group when compared to the placebo group,but the difference reached statistical significance only at the sensations"urge to defecate"and"pain".The distension pressures recorded at the"urge to defecate"sensation for the Acu-TENS and placebo-TENS groups were 28.0±4.5 mmHg and 24.6±5.7 mmHg,respectively(P=0.043);and the pressures recorded for the"pain"sensation for these two groups were 36.0±4.2 mmHg and 30.5± 4.3 mmHg respectively(P=0.002).Compared to the placebo group,a higher number of participants in the Acu-TENS group tolerated higher distension pressures (>40 mmHg)(65%in Acu-TENS vs 25%in placebo, P=0.02).The plasma beta-endorphin levels of the Acu-TENS group were significantly higher than that of the placebo group at barostat inflation pressure of 24 mmHg(1.31±0.40 ng/mL vs 1.04±0.43 ng/mL,P= 0.044)and at maximal inflation p

关键词： Colonoscopy Rectal discomfort Transcu-taneous electrical nerve stimulation Acupuncture Visceral pain

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A Longitudinal Study of Patient Reported Positioning-Related discomfort and Pain after Laparoscopic Surgery in the Lithotomy Position

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Open Journal of Nursing 2022年第10期12卷 650-664页

作者： Ann-Chatrin Linqvist Leonardsen Egil Bekkhus Kristin E. Næss Tvete Kristin E. Næss Tvete Trine Hovland Dennis Haglund Astrid Wevling Department of Health and Welfare &#216 stfold University College Halden Norway Ø stfold Hospital Trust Gr&#229 lum Norway Department of Surgery &#216 stfold Hospital Trust Gr&#229 lum Norway

Background: Our hypothesis was that only established and persistent injuries and complications after positioning in the Trendelenburg position are reported and detected, despite that patients may have great discomfort after surgery. Aim: The aim of this study was to explore patient reported discomfort, pain and functional decrease two hours, 24 hours and four weeks after laparoscopic resection of the colon in the prone lithotomy position, as well as factors potentially associated with reported pain. Methods: A longitudinal self-report questionnaire study was conducted at three time-points. Results: A total of 37 patients responded. Findings show that patients mostly reported pain in relation to the surgical area, but also related to other areas that may be linked to positioning. Conclusion: Even though patients reported mild pain, several of the patients still reported this, four weeks postoperatively, as well as some functional decrease. Our findings support the need to focus on preventing positioning injuries.

关键词： Positioning Injuries Operating Room Nursing Pain discomfort Functional Decrease

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Ultrathin endoscope flexibility can predict discomfort associated with unsedated transnasal esophagogastroduodenoscopy

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World Journal of Gastrointestinal Endoscopy 2013年第7期5卷 346-351页

作者： Satoshi Ono Keiko Niimi Mitsuhiro Fujishiro Tomoko Nakao Kazushi Suzuki Yumiko Ohike Shinya Kodashima Nobutake Yamamichi Tsutomu Yamazaki Kazuhiko Koike Center for Epidemiology and Preventive Medicine Graduate School of Medicine the University of TokyoTokyo 113-8655 Japan Department of Gastroenterology Graduate School of Medicine the University of TokyoTokyo 113-8655 Japan Department of Endoscopy and Endoscopic Surgery Graduate School of Medicine the University of TokyoTokyo 113-8655 Japan

AIM: To evaluate the effects of choice of insertion route and ultrathin endoscope types. METHODS: This prospective study (January-June 2012) included 882 consecutive patients who underwent annual health checkups. Transnasal esophagogastroduodenoscopy (EGD) was performed in 503 patients and transoral EGD in 235 patients using six types of ultrathin endoscopes. Patients were given a choice of insertion route, either transoral or transnasal, prior to EGD examination. For transoral insertion, the endo-scope was equipped with a thin-type mouthpiece and tongue depressor. Conscious sedation was not used for any patient. EGD-associated discomfort was assessed using a visual analog scale (VAS; no discomfort 0maximum discomfort 10). RESULTS: Rates of preference for transnasal insertion were significantly higher in male (male/female 299/204 vs 118/117) and younger patients (56.8 ± 11.2 years vs 61.3 ± 13.0 years), although no significant difference was found in VAS scores between transoral and transnasal insertion (3.9 ± 2.3 vs 4.1 ± 2.5). Multivariate analysis revealed that gender, age, operator, and endoscope were independent significant predictors of VAS for transnasal insertion, although gender, age, and endoscope were those for transoral insertion. Further analysis revealed only the endoscopic flexibility index (EFI) as an independent significant predictor of VAS for transnasal insertion. Both EFI and tip diameter were independent significant predictors of VAS for transoral insertion. CONCLUSION: Flexibility of ultrathin endoscopes can be a predictor of EGD-associated discomfort, especially in transnasal insertion.

关键词： Esophagogastroduodenoscopy Ultrathin endoscope Visual analog scale discomfort Surveillance

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Causative factors of discomfort in esophagogastroduodenoscopy: A large-scale cross-sectional study

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World Journal of Gastrointestinal Endoscopy 2020年第4期12卷 128-137页

作者： Kenichiro Majima Takeshi Shimamoto Yosuke Muraki The Department of Health Management Kameda Medical CenterKamogawa City 296-8602Chiba PrefectureJapan The Department of Gastroenterology Graduate School of MedicineThe University of TokyoChiba City 261-7114Chiba PrefectureJapan

BACKGROUND It is important to reduce patient discomfort in *** measures can be taken to alleviate discomfort if the causative factors are determined;however,all the factors have not been elucidated *** To clearly determine the factors influencing discomfort in transoral esophagogastroduodenoscopy using a large-size cross-sectional study with readily available *** Consecutive patients who underwent screening transoral esophagogastroduodenoscopy consecutively between August 2017 and October 2017 at a health check-up center were *** was evaluated using a face scale between 0 and 10 with a 6-level *** and multiple regression analyses were performed to investigate the factors related to the discomfort in *** analysis was performed in both the unsedated and sedated study ***,sex,height,body mass index,smoking status,alcohol intake,hiatal hernia,history of gastrectomy,biopsy during examination,Lugol’s solution usage,administration of butylscopolamine with/without a sedative(pethidine,midazolam,or both),endoscope model,history of endoscopy,and endoscopists were considered as possible factors of *** Finally,1715 patients were enrolled in this ***,the median discomfort score was 2 and the interquartile range was *** discomfort(score≥6)was recorded in 18%of the *** to univariate analysis,in the unsedated group,young age(Pdiscomfort;additionally,significant differences were found in smoking status(P<0.001),type of sedation(P<0.001),and endoscopists(P=0.027).There

关键词： Esophagogastroduodenoscopy discomfort Smoking Alcohol Pethidine Endoscopy

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Does music reduce anxiety and discomfort during flexible sigmoidoscopy?A systematic review and meta-analysis

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World Journal of Gastrointestinal Endoscopy 2017年第5期9卷 228-237页

作者： Arun P Shanmuganandan Muhammad R Sameem Siddiqui Nicholas Farkas Kiran Sran Rhys Thomas Said Mohamed Robert I Swift Al Mutaz Abulafi Department of Colorectal Surgery Croydon University Hospital Department of Surgery Royal Free Hospital

To investigate the role of music in reducing anxiety and discomfort during flexible sigmoidoscopy. METHODSA systematic review of all comparative studies up to November 2016, without language restriction that were identified from MEDLINE and the Cochrane Controlled Trials Register (1960-2016), and EMBASE (1991-2016). Further searches were performed using the bibliographies of articles and abstracts from major conferences such as the ESCP, NCRI, ASGBI and ASCRS. MeSH and text word terms used included “sigmoidoscopy”, “music” and “endoscopy” and “anxiety”. All comparative studies reporting on the effect of music on anxiety or pain during flexible sigmoidoscopy, in adults, were included. Outcome data was extracted by 2 authors independently using outcome measures defined a priori. Quality assessment was performed. RESULTSA total of 4 articles published between 1994 and 2010, fulfilled the selection criteria. Data were extracted and analysed using OpenMetaAnalyst. Patients who listened to music during their flexible sigmoidoscopy had less anxiety compared to control groups [Random effects; SMD: 0.851 (0.467, 1.235), S.E = 0.196, P 2 = 0). Patients who listened to music during their flexible sigmoidoscopy had less pain compared to those who did not, but this difference did not reach statistical significance [Random effects; SMD: 0.345 (-0.014, 0.705), S.E = 0.183, P = 0.06]. Patients who listened to music during their flexible sigmoidoscopy felt it was a useful intervention, compared to those who did not (P 2 = 0). CONCLUSIONMusic appeared to benefit patients undergoing flexible sigmoidoscopies in relation to anxiety and was deemed a helpful intervention. Pain may also be reduced however further investigation is required to ascertain this.

关键词： Music Flexible sigmoidoscopy Anxiety discomfort Screening

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Effect of vaginal speculum lubrication on cervical cytology and discomfort during smear examination

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World Journal of Obstetrics and Gynecology 2014年第3期3卷 134-137页

作者： Monika Madaan Anuradha Singh Manju Puri Harvinder Kaur Shubha Sagar Trivedi Department of Obstetrics and Gynecology ESIC Hospital Department of Obstetrics and Gynecology Lady Hardinge Medical College and Smt Sucheta Kriplani Hospital

AIM: To evaluate the role of lubricant gel in the cytology of a Pap smear and whether it results in an improvement in the discomfort experienced by women while undergoing Pap smear ***: A total of 151 women were analyzed in the study. After screening for inclusion criteria, a Pap smear was taken with no lubricant in all the women and the discomfort experienced was rated on a visual analogue scale. The women underwent a second Pap smear on the next visit using a lubricant gel and were again rated on a visual analogue scale for the discomfort felt. The pathologist was blinded to the fact of whether the lubricating gel was ***: The number of unsatisfactory smears in the no gel group was 3 vs 5 in the gel group, P discomfort experienced by women while undergoing a Pap smear.

关键词： Lubrication Cytology Pain scoring Pap smear discomfort

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Objective Evaluation Method of Steering Comfort Based on Movement Quality Evaluation of Driver Steering Maneuver

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Chinese Journal of Mechanical Engineering 2014年第5期27卷 1027-1037页

作者： YANG Yiyong LIU Yahui WANG Man JI Run JI Xuewu School of Engineering and Technology China University of Geosciences(Beijing) State Key Laboratory of Automotive Safety and Energy Tsinghua University National Research Center for Rehabilitation Technical Aids

The existing research of steering comfort mainly focuses on the subjective evaluation,aiming at designing and optimizing the steering *** the development of steering system,especially the evaluation of steering comfort,the objective evaluation methods considered the kinematic characteristics of driver steering maneuver are not proposed,which means that the objective evaluation of steering cannot be conducted with the evaluation of kinematic characteristics of driver in steering *** order to propose the objective evaluation methods of steering comfort,the evaluation of steering movement quality of driver is developed on the basis of the study of the kinematic characteristics of steering ***,the steering motion trajectories of the driver in both comfortable and certain extreme uncomfortable operation conditions are detected using the Vicon motion capture *** operation conditions are under the restrictions of the vertical height and horizontal distance between steering wheel center and the H-point of driver,and the steering resisting torque ***,the movement quality evaluation of driver steering maneuver is assessed using twelve kinds of evaluation indices based on the kinematic analyses of the steering motion trajectories to propose an objective evaluation ***,an integrated discomfort index of steering maneuver is proposed on the basis of the regression analysis of subjective evaluation rating and the movement quality evaluation indices,including the Jerk,discomfort and Joint Torque *** test results show that the proposed integrated discomfort index gives a good fitting with the subjective evaluation of discomfort,which means it can be used to evaluate or predict the discomfort level of steering *** paper proposes an objective evaluation method of steering comfort based on the movement quality evaluation of driver steering maneuver.

关键词： steering maneuver movement quality evaluation driver discomfort

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TREATMENT OF PERIPHERAL FACIAL PARALYSIS BY SCALP ACUPUNCTURE——A Report of 100 Cases

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Journal of Traditional Chinese Medicine 1992年第2期12卷 106-107页

作者：崔允孟 Tangshan Hospital of TCM Hebei Province 063000

It is well known that comparativelysatisfactroy effect can be achieved in thetreatment of cerebrogenic diseases by ***,little has been re-ported in the literature on its therapeutic ef-fect in the treatment of peripheral facial *** August 1972 through Decem-ber 1989 the author treated 100 cases of thisdisease by scalp acupuncture with satisfac-tory results in most cases.A report follows.

关键词： acupuncture facial ported deviation diseased minute discomfort routine closing rounding

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TREATMENT OF PERIOMARTHRITIS WITH SCALP ACUPUNCTURE THERAPY——A Report of 210 Cases

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Journal of Traditional Chinese Medicine 1993年第3期13卷 199-201页

作者：贾怀玉李巧菊 People's Hospital Dongming CountyShandongProvince 274500 Department of Acupuncture & Moxibustion Hospital of Jincheng Mining BureauShanxi Province

Over recent years,the authors haveadopted scalp acupuncture therapy for thetreatment of 210 periomarthritis cases withfair therapeutic *** mode of treat-ment has the merits of simplicity in selectionof points,easy man... 详细信息

关键词： acupuncture discomfort shoulder simplicity sensation needle markedly night motility Selection

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YISHOU JIANGZHI (DE-BLOOD-LIPID) TABLETS IN THE TREATMENT OF HYPERLIPEMIA

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Journal of Traditional Chinese Medicine 1995年第3期15卷 178-179页

作者：关颖明赵淑芬 Affiliated Hospital of Liaoning College of Traditional Chinese Medicine Shenyang 110032

The Yishoujiangzhi (de-blood-lipid) tablets (composed of Radix Polygori Multiflori, Rhizoma Polygonati, Fructus Lycii, Crataegus Pinnatifida and Cassia Tora) were used in the treatment of 130 cases of hyperlipemia, ac... 详细信息

关键词： lowering Radix Crataegus triglyceride tablets cholesterol lipid Cassia markedly discomfort

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