• Title/Summary/Keyword: Collaterals

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Superior Vena Cava Syndrome -2 Bypass Graft Cases- (상공정맥 증후군 -Dacron & Nylon 환치수술 2예-)

  • 김정석
    • Journal of Chest Surgery
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    • v.2 no.1
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    • pp.65-72
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    • 1969
  • Superior Vena Cava Syndrome: Dacron and Nylon graft between the left innominate vein and the right atrial appendage. Two cases with typical superior vena cave syndrome treated by by-pass graft between the left innominate vein and the right atrial apepndage were presented. One of them was a 58 year old farmer who suffered from marked swelling of the neck and upper half of body, the other was a 50 years old government employee who had acutely progressive symptoms of superior vena cave obstruction. Both of cases revealed that [1] cubitel venous pressure was markedly increased. [2] tumors were noted in the posterior mediastinum by laminography. [3] preoperative cavogram showed the occlusion of superior vena cava and marked collaterals. Dacron and Nylon graft were inserted between the left innominate vein and the right atrial appendage. Postoperatively, the symptoms were relieved markedly, showing edema free face and decreased cubital venous pressure. Postoperative cavogram showed patent graft. Histologically the first case was diagnosed as squamous cell carcinoma and the second as undifferentiated carcinoma, originated probably from bronchus. Total doses of 3150 r X-ray irradiation and 5000 mg of 5-FU were administered in each cases. The first case expired 11 months postoperatively without recurrence of superior vena cave obstruction symptom and the second case is living now without obstruction signs, 4 months after by-pass operation.

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Clinical observations on treatment of ankle-sprain (족관절 염좌의 치료에 대한 임상적 고찰)

  • You, Tae-seop;Park, Dong-suk;Kang, Sung-keel
    • Journal of Acupuncture Research
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    • v.21 no.1
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    • pp.168-175
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    • 2004
  • Objective: This report was designed to investigate characteristic of ankle sprain due to cause, degree of injury, treatment process, sex, age etc Methods: We selected 36 patients who visited our clinic at last over two times complaining of ankle-sprain since 8th, March, 2002. Results: The results were summarized as follows. 1. The major cause of ankle-sprain was injury of lateral collateral ligament. 2. Ankle-sprain was distinguished three degree, and generally presented pain, regional tenderness, swelling, limited movement, muscle spasm, redness, deformity. 3. In early stage of ankle-sprain, ice massage, compression, elevation, rest were very important. 4. In oriental medicine, the principle of treatment were promoting blood circulation to remove blood stasis, relaxing muscles and tendons and activating the flow of Gi and blood in the channels and collaterals, reducing edema or swelling, and alleviating pain. 5. There were more effective result to using three-edged needle with acupuncture. Conclusions: Ankle-sprain were treated successfully using acupuncture and three-edged needle.

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A 32 Years-old Female Accompanied by the Loss of Lung Volume, Complained of Hemoptysis (객혈을 주소로 폐용적 감소를 동반한 32세 여자환자)

  • Seo, Ki-Hyun;Moon, Seung-Hyug;Kim, Yong-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.3
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    • pp.288-293
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    • 2002
  • A 32-year-old woman presented with cough and hemoptysis. The radiologic findings showed increased interstitial markings in the right lung, a slightly decreased lung volume in the RLL and a hypoplastic right pulmonary artery with collaterals in the mediastinum and subpleural area. The pulmonary angiography showed an abrupt occlusion of the right lower pulmonary artery. The echocardiographic findings indicated pulmonary hypertension. A doppler leg ultrasonograph disclosed that the left popliteal vein was occluded with collateral veins, not filling the defect in the venous lumen. The D-dimer increased 1.0 ug/ml. This condition was initially misdiagnosed as a congenital pulmonary artery agenesis. Finally, a chronic pulmonary thromboembolism with a deep vein thrombosis was confirmed.

Individual Customers' Access to Credits at Commercial Banks in Viet Nam: The Case of Tra Vinh Province

  • NGUYEN, Ha Hong
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.9
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    • pp.371-376
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    • 2020
  • The study seeks to explore the factors affecting the access to credits by individual customers at commercial banks in Tra Vinh province, Vietnam. Based on these results, the author proposes solutions to further improve the ability to serve individual customers at commercial banks in the province in the future. The study was conducted with a method of collecting primary data of 300 individual customers including 150 people with access to credits and 150 people without accessing to credits at six commercial banks in Tra Vinh Province, Viet Nam - Bank of Agriculture and Rural Development, Bank for Foreign Trade Commercial Bank, Bank for Investment and Development of Vietnam, Asia Commercial Bank in Tra Vinh, Sai Gon Commercial Joint Stock Bank, and Bank of East Asia. The author has used binary regression methods, and the study found that seven factors affecting the ability of individual customers to access capital, namely, career, qualifications, collaterals, incomes, documents, loan and business plans, and experience. In particular, occupation, experience, and documents are the most influential factors. From the above results, the author proposes policy implications to improve individual customers' access to credits at commercial banks in Tra Vinh province in the near future.

Investigation of the electric currents on the skin of twelve meridian collaterals' meridian points below the elbow-knee joints ( I ) (십이경맥중(十二經脈中) 주슬관절이하(?膝關節以下) 경혈(經穴)의 생체전류량(生體電流量) 측정(測定) ( I ))

  • Jeon, Byeong-Hun;Kim, Jae-Hyo;Son, In-Cheol;Jeong, Dong-Myeong;Hwang, Geun-Chang;Jeong, U-Yeol
    • The Journal of Korean Medicine
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    • v.17 no.1 s.31
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    • pp.84-110
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    • 1996
  • Meridian collateral and meridian points have been the base of acupuncture and moxibustion therapy. Also the theory have composed the main portion of Oriental Medicine. But the mechanism and scientific background has not been completely eatablished, and the research on the objectification of diagnosis of meridian collateral and meridian points, and acupuncture & moxibustion therapy has been necessary nowadays. A new understanding of value of Oriental Medicine has been increasing, the scientific understanding of meridian collateral and meridian points should have been examined. The system of meridian collateral and meridian points was very interesting topics between the scientists in the world. Especially, the elucidation of function and mechanism of Qi(氣) was very important in the scientific theme of 21th century. But there has been many difficulties in the study of meridian collateral and meridian points, since the system of meridian collateral and meridian points has the complexed function and vague structure in the organism. As the one of index of meridian points, the electric current has been used. In this report, the volume of electric current on the skin around the meridian points was investigated. The results of investigation showed the meridian points have higher electric current volume than non-meridian points.

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A literatual study on the external treatment of sprain and strain using the herb (염좌(捻挫)의 약물외치요법(藥物外治療法)에 관(關)한 문헌적(文獻的) 고찰(考察))

  • Yang, Gi-Young;Kim, Young-Il;Hong, Kwon-Eui;Yim, Yun-Kyoung;Lee, Hyun
    • Journal of Haehwa Medicine
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    • v.14 no.1
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    • pp.83-94
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    • 2005
  • 1. The external treatment of sprain and strain using the herb used adhesive(貼敷), using soaking in medicinal smoke to focuses and rinsing methods(熏洗), rubbing(擦擦) and hot compression(熱熨). 2. In the external treatment of sprain and strain using the herb, Adhesive(貼敷) is used most. Because Adhesive(貼敷) brings fast reactions, has less side effects, and can control the processing time. 3. The effects of herbs used in this external treatment are almost the same as oral herb-medicines such as, promoting blood flow to remove blood stasis(活血化瘀), relieving rheumatic conditions(祛風濕), and removing obstruction in meridians and collaterals(通經絡).

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A bibliographic study of 'the four method of conducting the Qi(氣)' out of Synthetic reinforcing method (종합보사수기법중(綜合補瀉手技法中) 행기(行氣) 사법(四法)의 문헌적(文獻的) 고찰(考察))

  • Park Hui-Su;Kim Gyeong-Sik
    • Journal of Oriental Neuropsychiatry
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    • v.3 no.2
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    • pp.97-106
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    • 1992
  • The literature which was written about manual technique of 'Four method of conducting the Qi(氣)'suggest the following results. 1. Four method of conducting the Qi(氣) is a total method based on the basic manual method, lifing and thrusting, twisting and rotating(捻轉), timing the insertion and withdrawal(呼吸) ect. 2) Cheongryongphami method(靑龍擺尾法) come to understanding channels and conducting and Qi(氣), Paekhoyodu method(白虎搖頭法) using a channels understanding and Qi(氣) introducing, Changkuthamhyeol method(蒼龜探穴法) using a channels understanding, Ceokpongyeongweon method(赤鳳迎源法) using a collaterals understanding. 3) Cheongryongphami(靑龍擺尾) and Changkuthamhyeol method(蒼龜探穴法) were used on disease like insufficiency symptom-complex(盧證), Paekhoyodu(白虎搖頭) and Ceokpongyeongweon method(赤鳳迎源法) were used on excessivess symptom-complex(實證) of pathogenic factors selectively. But all of them often used on C.V.A. 4) The Yang Channel's points, under the elbow and knee point, are often used as points which are used in "Four method of conducting the Qi(氣), and the Yin, Ren(任) Du(督) channels are used less than the former. 5) The manual techniques of 'Four method of conducting the Qi(氣)' are often used in clinically. "Four method of conducting the Qi(氣)"has been studies as above, but there weren't a lot of literature which is about total manual technique of acupuncture. So there is a need study about it.

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Hemorrhagic Moyamoya Disease : A Recent Update

  • Fujimura, Miki;Tominaga, Teiji
    • Journal of Korean Neurosurgical Society
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    • v.62 no.2
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    • pp.136-143
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    • 2019
  • Moyamoya disease (MMD) is a progressive cerebrovascular disease with unknown etiology, characterized by bilateral steno-occlusive changes at the terminal portion of the internal carotid artery and an abnormal vascular network formation at the base of the brain. MMD has an intrinsic nature to convert the vascular supply for the brain from internal carotid (IC) system to the external carotid (EC) system, as indicated by Suzuki's angiographic staging. Insufficiency of this 'IC-EC conversion system' could result not only in cerebral ischemia, but also in intracranial hemorrhage from inadequate collateral anastomosis, both of which represent the clinical manifestation of MMD. Surgical revascularization prevents cerebral ischemic attack by improving cerebral blood flow, and recent evidence further suggests that extracranial-intracranial bypass could powerfully reduce the risk of re-bleeding in MMD patients with posterior hemorrhage, who were known to have extremely high re-bleeding risk. Although the exact mechanism underlying the hemorrhagic presentation in MMD is undetermined, most recent angiographic analysis revealed the characteristic angio-architecture related to high re-bleeding risk, such as the extension and dilatation of choroidal collaterals and posterior cerebral artery involvement. We sought to update the current management strategy for hemorrhagic MMD, including the outcome of surgical revascularization for hemorrhagic MMD in our institute. Further investigations will clarify the optimal surgical strategy to prevent hemorrhagic manifestation in patients with MMD.

Study on the ${\ulcorner}$Medical Recoreds as a Guide to Diagnosis${\lrcorner}$ ("임증지남의안(臨證指南醫案)"에 관한 연구)

  • Shin, Soon-Shik;Hong, Won-Sik
    • Korean Journal of Oriental Medicine
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    • v.1 no.1
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    • pp.47-68
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    • 1995
  • A proper understanding of 'diagnosis and treatment based on overall analysis of symptoms and signs' can result in efficient clinical effect. Studies on the ${\lceil}$Medical Recoreds as a Guide to Diagnosis${\rfloor}$ can be expected to achieve a part of this purpose. In this study, the period, author, xylographica, contents and influence of next generation of ${\lceil}$Medical Records as a Guide to Diagnosis${\rfloor}$were investigated. Tian shi and his 12 followers completed thsis Medical recoreds with clinical experiences and data obtained throughout their lives. These books were first published in 1764. Since then these books have been published twenty times based on the first edition. These books are comprised of 10 volumes, from ${\lceil}$volume 1${\rfloor}$to ${\lceil}$volum 8${\rfloor}$are internal medicine, ${\lceil}$volum 9${\rfloor}$ is gynecology, ${\lceil}$volum 10${\rfloor}$ is pediatrics. The contents are as follows; 'method of regluating astenia-syndrome' , 'diagnosis and treatment based on overall analysis of symptoms and signs on eight extra meridians', 'theory of Yang forms endogenous wind-syndrome', 'theory of spleen-energy rise up and stomach-energy descend', 'theory of stmach-Yeum', 'diagnosis and treatment based on overall analysis of symptoms and signs on collaterals'. Tian shi completed his work by compling the previous medical theories and through clinical studies. It is expected that his theories are effectively applied to improve clinical medicine.

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A Bibliographical Study of Oriental Medical Records on Alopecia (탈발(脫髮)에 관한 한의학(韓醫學) 문헌적(文獻的) 고찰(考察))

  • Lee, Yeong-Jong
    • The Journal of Korean Medicine
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    • v.16 no.1 s.29
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    • pp.141-159
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    • 1995
  • The causes and treatment of alopecia are concluded based on the records found successive oriental medicine in order to persuade new treatments for alopecia as following : 1. In the context of modern medical science male-dominated alopecia was referred as dok-rak(禿落), cho-dok(早禿), chon-dok(全禿), pal-ju-tal-bal, chu-bal-sun and pal-sun(髮癬) alternatively, while alopecia areata was refereed as yu-pung(油風), pan-dok(斑禿), kwi-ji-du and kwi-che-du(鬼剃頭). 2. The causes of alopecia is related with condition of Gi(vital energy) and Hyul(blood) in the twelve channels, such as weakening of vital energy in the conduits, condition of internal organs as heat in the lung, weak kidney or liver vitality, and eating habits such as severe ingestion of bitter taste or sweet taste food. Other distinct reasons are penetration of wind and dryness into a head due to weakening Gi and Hyul inside human body, flaring up of the asthenic fire due to excessive eatings, hard labour or psychological sufferings deficiency of blood, deficiency of vital essence of kidney, phlegm caused by dampness and heat, and stagnated blood. 3. According to demonstration of alopecia, the causes of alopecia areata are listed as internal wind due to heat of blood, deficiency of liver and kidney, blookage of channels and collaterals by stagnated blood, and causes of male-dominated alopecia are listed as wind dryness caused by heat of blood, dampness and heat, and heat, wind and dryness due to deficiency of blood.

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