Electrical Muscle Stimulation to Develop and Implement Menstrual Simulator System

Menstrual symptoms and cycles are complex, and the associated discomfort is difficult to quantify. Therefore, men, and some women, do not completely understand them. Here, we propose a system that simulates menstruation-like cramps through electrical muscle stimulation (EMS). We conducted an experiment to compare and evaluate the natural and electrically stimulated menstrual cramps. The results show that menstrual cramps using EMS can reproduce the nature of periodic dull pain. However, in this study, the position where the pain occurred was shallow. Furthermore, we constructed a demonstration system based on the proposed method. From the exhibition, we confirmed that this experience can help verbalize menstrual-related discomfort and allow people to better understand menstrual symptoms. In other words, this experience will help eliminate negative perception of menstruation.

AYURVEDIC MANAGEMENT OF ANKYLOSING SPONDYLITIS (ASTHIMAJJAGATA VATA) – A CASE STUDY

Ankylosing Spondylitis is a type of arthritis that mostly affects spine and has a strong association with genetic marker HLAB27. The etiology of this disease is not much clear, but the pathogenesis can be ruled out to be immune mediated. Late adolescence or early adulthood is the prime age for the onset with symptoms ranging from dull pain with mild stiffness and reaching up to totally fused spine and severe hip joint arthritis. It has been seen that the patients diagnosed with ankylosing spondylitis show a variety of symptoms which can be catego- rized according to Ayurveda under aamavata, vatarakta, sandhigatavata samavastha or asthimajjagata vata. Here in this case study the symptoms of the patients were much like asthimajjagata vata and the dosha dushti was lina up to asthi and majja dhatu, hence both shamana and panchakarma chikitsa by the means of basti was planned. Keywords: Ankylosing Spondylitis, Arthritis, Asthimajjagata vata, Basti.

Dor surda, grito abafado: Experiências e percepções de mulheres vítimas de violência obstétrica / Dull Pain, Muffled Scream: Experiences and Perceptions of Women victims of Obstetric violence

Resumo: Objetivos: avaliar o conhecimento de gestantes acerca da violência obstétrica, o impacto da aplicação de um projeto de intervenção baseado no protagonismo feminino no parto e analisar percepções e consequências da violência obstétrica na vida de mulheres acometidas. Métodos: Pesquisa quali-quantitativa, quasi-experimental, realizada com 10 gestantes do Cariri cearense. O teste T de Student com significância a 0,05 foi aplicado para comparação das médias de acertos. A análise qualitativa ocorreu através do método de Bardin. Resultados: A comparação das médias de acertos nos questionários pré (m=7.22±2.43) e pós-intervenção (m=9.11±0.92) revelou diferença estatística (p=0.0234). A análise qualitativa evidenciou as seguintes categorias: Experiências de violência obstétrica, Direito à privacidade e à companhia, Sentimentos evocados nas experiências e Sequelas da violência obstétrica. Conclusões: Os relatos constatam a permanência da violência obstétrica no Cariri cearense, promovendo sentimentos e percepções negativas. Ao contrário do que se imagina, a coerção não facilita o trabalho dos profissionais.

THE FREQUENCY OF SOME CLINICAL SYMPTOMS ACCORDING TO TRADITIONAL MEDICINE IN PATIENTS WITH SHOULDER AND NECK PAIN

Backgrounds: Shoulder and neck pain is a common disease in the world as well as in Viet Nam and tends to increasingly rejuvenate, it impacts on patient’s ability to work and quality of life. Surveying the clinical symptoms according to the traditional medicine on purpose of making diverse diagnostic and towards comprehensive treatment. Therefore, in this study we contribute to build standardization of diagnostic symptoms according to traditional medicine. Objectives: To survey the frequency of some clinical symptoms according to traditional medicine and find outseveral factors related with frequency appear clinical groups of shoulder and neck pain. Materials and Methods: Including 87 patients were diagnosed with shoulder and neck pain treatment at the Traditional Medicine Department of Hue Central Hospital and Thua Thien Hue Traditional Medicine Hospital. Research methodology is descriptive cross-sectional. Results: about the tongue body: higher abnormal group is 18.4% pale tongue, 27.6% enlarged tongue. About the tongue fur: 75.9% white fur, 58.6% thin fur, slippery fur (31%) is higher than dry fur (17.2%). Cold symptom are the most common: warm compress relieve pain (62.1%). Heat symptom are the most common: dry thirsty mouth (34.5%). About pain feature, common symptoms such as press relieve pain (64.4%), dull pain (71.3%) and persistent pain (69%). About the pulse: sunken pulse 65.5%, slow pulse (31.1%), moderate pulse (47.1%), weak pulse (55.2%). Conclusion: symptoms have high rate such as pink moist tongue, white fur, dull pain, sunken pulse. Symptoms have low rate such as bluish purple tongue, sticky slimy fur. There were significant relationships between clinical groups and age, gender, disease duration, warm compress relieve pain, body palpation and pulse frequency (p <0.05). Key words: frequency, symptoms, shoulder and neck pain, traditional medicine.

Penatalaksanaan Perawatan Saluran Akar Pada Gigi 11 dan Restorasi Porcelain Fused to Metal Crown dengan Custom-made Metal Post and Core

Dental caies almost infected the pulp. The ernomous of cavity need core as the retention. This paper aimed to describe the management of dental caries to final restoration. A woman aged 22 yearscome to Dental Hospital with chief complain a discoloration on her restorated front teeth. Objective examination showed still vital but spontaneous dull pain recorded from patient. Root canal treatment then suggested with custom made post and core porcelain fused to metal crown as a final restoration.

John Keats’s ‘Sickness Not Ignoble’

Chapter five argues that John Keats, usually read as Romanticism’s most ardent poet-physician, had knowledge of British medical ethics that led him to deny any neat congruity between the humanitarian duties of physicians and poets. While the former are ethically bound to dull pain, the latter are tasked with furthering the painful, pedagogical process of ‘Soul-Making’ Keats outlines in an 1819 letter. By reading Keats’s two Hyperion poems against an 1816 medical ethics text written for students of Guy’s Hospital like Keats, this chapter argues that by the end of his life, Keats dismissed the idea that poets, like physicians, must above all spare pain to their patients. Fallen from deity to mortality, the Titans of Hyperion develop distinct selves as they acquire individual histories of suffering. Their agony, re-presented in the metapoetic Fall of Hyperion, represents the ideal effect of art on readers: a pedagogical ‘sickness not ignoble’ whose infection is essential to crafting an individual subject. Anticipating a key mandate of narrative medicine, Keats enlists poetry in the rich but difficult mission of exploring how pain shapes an individual’s life story.

S’engager par le rire. Autour de quelques textes mineurs d’Albert Cohen

<p>Albert Cohen, a committed writer? It is difficult to answer this question, so much the writer is difficult to classify, as he refuses to belong to any aesthetic movement. But the Zionist cause and the love of the Jewish people have marked his life as a man and as a writer. We will try to specify what is the Cohenian commitment from the analysis of some minor texts, in particular Projections ou Après-minuit à Genève et Mort de Charlot. Albert Cohen chose an aesthetic that is that of laughter, derisory and grotesque to express a dull pain that only humor can translate.</p>

Manifestations of pain symptoms in reduced occlusion

This article presents the analysis of the relevant literature highlighting the mechanisms of the development of malocclusion and pain symptom at the reduced occlusal vertical dimension. In this case, the key complaint presented by patients is permanent steady pain described as dull, stabbing, or compressing by its character. Most often, the pain is localized within the paratoid-masticatory area as well as buccal, temporal and frontal areas, and irradiates to the upper and lower jaw or the teeth that often leads to performing unnecessary dental manipulations; to the region of the temporomandibular joint (TMJ); to the ear that sometimes is accompanied with fullness and tingling in the ears. In some cases this pain can irradiate to the hard palate and tongue. Many patients note the growing intensity of pain when chewing. Some patients experience episodic increase in pain when there are pain attacks described as compressing or stabing in the background of steady dull pain. The pain gets more intense even at the slightest movements of the head, lower jaw, or when speaking. The duration of the pain attack is approximately 20–30 minutes. A few minutes before the onset of the attack, all patients notice the emergence of somes forerunning symptoms, e.g. hyperlsalivation, paresthesia, toothache. The attacks can be provoked by conversation, overcooling, and emotional tension. It has been experimentally proven that a prolonged muscle contraction, which is often observed during emotional stress, can cause pain in the regions mentioned above. But whether will it arise or not and to what extent, it depends on the state of adaptive capacity of the body and dentofacial system. When the adaptive capacity of the body and the dentofacial system as its part are weakened, the local background for the occurrence of pain symptoms in the maxillofacial area may be: affective states (depression, anxiety), prolonged chewing load, and prolonged neck muscle tension during dental manipulations. Among the local factors that can cause pain, malocclusions rank the leading place. For example, a hyperbalancing contact is a sign of impaired muscle activity and coordination during the maximal closure of teeth in the lateral position of the mandible, and occlusal contacts on the balancing side affect the distribution of muscle activity during parafunctional closure, and this redistribution can impact on the temporomandibular joint (Andres K. H. et al.). Occlusion abnormalities may result from reduced occlusal vertical dimension, deformation of the dentitions caused by periodontal disease, partial loss of teeth, pathological tooth wearing, as well as due to improperly inserted fillings, unfit inlays, onlays, crowns. Reduced occlusal vertical dimension can also cause otalgia and some other otorhinolaryngological problems, pathogenesis of which is quite debatable and controversial in current literature. J. S. Costen considered hearing loss, tingling and other ear symptoms are associated with pressure produced by the head of the mandible joint onto the auditory tube. Reducing the vertical occlusal dimension results in increasing pressure of the head of the mandible joint onto the subtle bone arch of the articular fossa, which separates the cavity of the joint from the dura mater; this can trigger dull pain in the spine. It is important to remember that pain is a symptom that most often makes patients to search for a dental care. Pain is one of the first clinical manifestations of the body decompensation. Patients with TMJ dysfunction who experience the pain symptom is to a greater or lesser extent make up a group of patients who require a special integrated approach in their treatment.

A 30 year old female with continuous dull pain following perforation during root canal treatment in lower left first molar tooth

<p><span>This article has no abstract. The first 100 words appear below:</span></p><p>A 30 year old female reported to the Department of Conservative Dentistry and Endodontics with the complaint of continuous dull pain in her lower left first molar tooth. She told that the tooth was attempted for endodontic treatment three weeks before and the perforation might occur at that time. On clinical examination, although the tooth was found sealed coronally with a temporary cement but it was sensitive to percussion and palpation. The mean probing pocket depth was within the normal level of 2 mm. Radiographic examination revealed a destruction of pulpal floor area with radiolucency.</p>