• Title/Summary/Keyword: Modern Medicine

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Premedication & Anesthesia for OPD Based Laryngeal Procedures (외래 후두 수술의 술전처치 및 마취)

  • Lee, Seung-Won;Kim, Jae-Wook;Koh, Yoon-Woo;Lee, Jun-Ho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.1
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    • pp.11-16
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    • 2009
  • OPD based laryngeal procedures offers a new avenue to the modern laryngologist, incorporating new technology in the office setting. With the development of flexible fiberoptic endoscopes, compact video system, and short acting anesthetics and sedatives allow these procedures. The success or failure of procedures are depend on excellent topical anesthesia. An inadequately anesthetized patient is apt to be uncomfortable, anxious and hyperresponsive and therefore unlikely to tolerate the procedure. On the other hand, a patient who is well informed, reassured, and thoroughly anesthetized can complete procedures. Therefore, optimal anesthesia is obligatory for excellent surgical results. The phonosurgeon should choose the anesthetic and sedative agents based on duration of action, time of onset of action, and any medical contraindications that the patient may have. And should be familiar with the properties and interaction of the agents used, as well as the signs of toxicity.

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A Bibliographical Study on Jehotang (제호탕의 문헌 고찰)

  • Ji, Myoung-Soon;Ko, Byoung-Seob;Anh, Sang-Woo;Kim, Jong-Goon
    • Journal of the East Asian Society of Dietary Life
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    • v.18 no.1
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    • pp.158-164
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    • 2008
  • This study was performed to present new insights into the distinct aspects of Jehotang. Its history, significance, and effects were examined by evaluating the pertinent literature. In which the idea that Korean foods were original sources of medicine was well expressed. This study was also conducted with the anticipation that it may be useful in developing new foods and beverages based on modern science. References to the Jehotang were found in nine Korean medicine books, seven general books, and in dynastic records such as Bibyeonsa deungnok, Joseonwangjosilrok, Seungjeongwon Ilgi, etc; thus, it was likely a food since the early Korean age. Furthermore, it was discovered that in the Chosun era. Jehotang was not only drunk as a soft drink at the Royal Court in the summer, but was also used as a royal gifts to Cabinet members at the Tano festival on the fifth day of the fifth month of the lunar calendar.

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A study on 《Maek-beop, 脈法》 the oriental medicine scription from the tomb on Ma-wang-toe(馬王堆) (마왕퇴(馬王堆) 출토(出土) 의서(醫書) 중 《맥법(脈法)》에 관(關)한 연구(硏究) -경맥(經脈)과 맥진(脈診)과의 상관성(相關性)에 관(關)한 연구(硏究)-)

  • Seo, Yong-Won;Yoon, Jong-Hwa;Kim, Gap-Sung
    • Journal of Acupuncture Research
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    • v.19 no.1
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    • pp.210-224
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    • 2002
  • Objective : A study on $\ll$Maek-beop$\gg$ which is the first scription of pulse diagnosis method in history. Method : A translation of contents in $\ll$Maek-beop$\gg$ into modern concepts on the basis of researched books and the explanation of difficult characters and paragraphs to general concepts. Result : The pulse diagnosis method by comparison, moxibustion method, venesection method, a treatment of an abscess and the succession of treatment in $\ll$Maek-beop$\gg$ are delivered from $\ll$Sumen, 素問$\gg$, $\ll$Lingchui, 靈樞$\gg$. Conclusion : A $\ll$Maek-beop$\gg$ is the scription of the diagnosis of meridian and therapeutic method in $\ll$Zu bi shi yi mai jiu jing, 足臂十一脈灸經$\gg$, $\ll$yin yang shi yi mai jiu jing, 陰陽十一脈灸經$\gg$.

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Adult Idiopathic Renal Fanconi Syndrome: A Case Report

  • Park, Dae Jin;Jang, Ki-Seok;Kim, Gheun-Ho
    • Electrolytes & blood pressure
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    • v.16 no.2
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    • pp.19-22
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    • 2018
  • Renal Fanconi syndrome (RFS) is caused by generalized proximal tubular dysfunction and can be divided into hereditary and acquired form. Adult-onset RFS is usually associated with drug toxicity or systemic disorders, and modern molecular genetics may explain the etiology of previous idiopathic cases of RFS. Here, we report the case of a 52-year-old woman with RFS whose etiology could not be identified. She presented with features of phosphaturia, renal glucosuria, aminoaciduria, tubular proteinuria, and proximal renal tubular acidosis. Her family history was unremarkable, and previous medications were nonspecific. Her bone mineral density was compatible with osteoporosis, serum intact parathyroid hormone level was mildly elevated, and 25(OH) vitamin D level was insufficient. Her blood urea nitrogen and serum creatinine levels were 8.4 and 1.19 mg/dL, respectively (estimated glomerular filtration rate, $53mL/min/1.73m^2$). Percutaneous renal biopsy was performed but revealed no specific renal pathology, including mitochondrial morphology. No mutation was detected in EHHADH gene. We propose the possibility of involvement of other genes or molecules in this case of adult RFS.

Drug Discovery Insights from Medicinal Beetles in Traditional Chinese Medicine

  • Deyrup, Stephen T.;Stagnitti, Natalie C.;Perpetua, Mackenzie J.;Wong-Deyrup, Siu Wah
    • Biomolecules & Therapeutics
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    • v.29 no.2
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    • pp.105-126
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    • 2021
  • Traditional Chinese medicine (TCM) was the primary source of medical treatment for the people inhabiting East Asia for thousands of years. These ancient practices have incorporated a wide variety of materia medica including plants, animals and minerals. As modern sciences, including natural products chemistry, emerged, there became increasing efforts to explore the chemistry of this materia medica to find molecules responsible for their traditional use. Insects, including beetles have played an important role in TCM. In our survey of texts and review articles on TCM materia medica, we found 48 species of beetles from 34 genera in 14 different families that are used in TCM. This review covers the chemistry known from the beetles used in TCM, or in cases where a species used in these practices has not been chemically studied, we discuss the chemistry of closely related beetles. We also found several documented uses of beetles in Traditional Korean Medicine (TKM), and included them where appropriate. There are 129 chemical constituents of beetles discussed.

An Analysis of Guange (關格) in 『Yixuerumen (醫學入門)』 from the Perspective of Emergency Medicine (응급의학 측면에서 『의학입문(醫學入門)』 관격(關格)의 분석)

  • JO Hak-jun
    • The Journal of Korean Medical History
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    • v.35 no.1
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    • pp.69-86
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    • 2022
  • This study examined guange (關格) in Yixuerumen (醫學入門) from a new perspective and evaluated its value in terms of emergency medicine. We compared and analyzed the definition, symptoms, and treatment methods of guange in Yixuerumen with related clinical presentations in modern medicine. Guange includes nausea and vomiting, dysphagia, dysuria, and constipation without diarrhea. A representative disease related to dysuria is uremia, while one related to constipation, nausea, and vomiting is enterocleisis, and and a third related to dysphagia is chronic esophagitis and esophagus cancer. Li Chan, the author of Yixuerumen, recognized guange as an emergency of serious eating and elimination disorder as various symptoms of diseases (病症) gradually get worse from the perspective of external diseases (外感病) and miscellaneous diseases (雜病) and handled it in various ways including yin-tonifying medicinals (補陰藥), qi-tonifying medicinals (補氣藥), qi-regulating formulas (理氣劑), phlegm-dispelling formulas (去痰劑), and "water rising, fire falling" formulas (水升火降) in addition to emetic formulas (催吐劑), diuretic formulas (滲利劑), and interior-attacking formula (攻裏劑). Concepts like guange in Yixuerumen were somewhat useful when handling the applicable emergencies at the level of then medical treatment.

Revealing Joseon period People's single nucleotide polymorphism associated with lactase gene by ancient DNA analysis of human remains from archaeological sites in Korea

  • Chang Seok Oh;Myeung Ju Kim;Yi-Suk Kim;Sori Min;Kyong Taek Oh;Soong Deok Lee;Dong Hoon Shin
    • Anatomy and Cell Biology
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    • v.56 no.1
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    • pp.54-60
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    • 2023
  • Lactase non-persistence (LNP), one of the causes of lactose intolerance, is related to lactase gene associated single nucleotide polymorphisms (SNPs). Since the frequency of LNP varies by ethnic group and country, the research to reveal the presence or absence of LNP for specific people has been conducted worldwide. However, in East Asia, the study of lactase gene associated SNPs have not been sufficiently examined so far using ancient human specimens from archaeological sites. In our study of Joseon period human remains (n=14), we successfully revealed genetic information of lactase gene associated SNPs (rs1679771596, rs41525747, rs4988236, rs4988235, rs41380347, rs869051967, rs145946881 and rs182549), further confirming that as for eight SNPs, the pre-modern Korean people had a lactase non-persistent genotype. Our report contributes to the establishment of LNP associated SNP analysis technique that can be useful in forthcoming studies on human bones and mummy samples from East Asian archaeological sites.

Radiation Proctitis and Management Strategies

  • Dushyant Singh Dahiya;Asim Kichloo;Faiz Tuma;Michael Albosta;Farah Wani
    • Clinical Endoscopy
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    • v.55 no.1
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    • pp.22-32
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    • 2022
  • Radiotherapy (RT) is a treatment modality that uses high-energy rays or radioactive agents to generate ionizing radiation against rapidly dividing cells. The main objective of using radiation in cancer therapy is to impair or halt the division of the tumor cells. Over the past few decades, advancements in technology, the introduction of newer methods of RT, and a better understanding of the pathophysiology of cancers have enabled physicians to deliver doses of radiation that match the exact dimensions of the tumor for greater efficacy, with minimal exposure of the surrounding tissues. However, RT has numerous complications, the most common being radiation proctitis (RP). It is characterized by damage to the rectal epithelium by secondary ionizing radiation. Based on the onset of signs and symptoms, post-radiotherapy RP can be classified as acute or chronic, each with varying levels of severity and complication rates. The treatment options available for RP are limited, with most of the data on treatment available from case reports or small studies. Here, we describe the types of RT used in modern-day medicine and radiation-mediated tissue injury. We have primarily focused on the classification, epidemiology, pathogenesis, clinical features, treatment strategies, complications, and prognosis of RP.

A Study on the Historical Changes in the Theory of 'Syndrome Differentiation' from the Viewpoint of Yoon Gilyeong (윤길영(尹吉榮)의 변증론(辨證論) 변천(變遷) 연구(硏究)에 대한 고찰)

  • Kim, Gyeong Cheol;Lee, Hai Woong
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.3
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    • pp.151-158
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    • 2015
  • Objectives Syndrome differentiation and treatment (辨證論治) is one of the core theories in Korean medicine and syndrome differentiation (辨證) constitutes a branch of disease diagnosis in Korean medicine. Yoon Gil-Young, one of the modern outstanding scholar of basic medical science in Korean medicine, wrote on basic theories of Korean medicine such as physiology, pathology, formula science, etc. Hereby we will analyze and discuss his works to understand his recognition of historical changes in the syndrome differentiation. Methods We conducted researches into the two works of Yoon Gil-Young's, which are "The Clinical Formula Science of Eastern Medicine (東醫臨床方劑學)" and "The theory of Four-Constitution Medicine (四象體質醫學論)". From Yoon's academic standpoint which connects the basic medical science with the clinical medicine, we analyzed his opinion about syndrome differentiation and its historical changes. Results According to Yoon's research work on syndrome differentiation and its historical changes, the development of syndrome differentiation, which goes in harmony with the history of Korean medicine, has its deep root in " Huangdi's Internal Classic (黃帝內經)" and "Treatise on Cold Damage and Miscellaneous Diseases (傷寒雜病論)". And through "Treatise on the Spleen and Stomach (脾胃論)" and the articles of warm disease (溫病論), the theory of syndrome differentiation became extended to the whole clinical diagnostic field in Korean medicine, finally including the achievements in "Treasured Mirror of Eastern Medicine (東醫寶鑑)", "Longevity and Life Preservation in Eastern Medicine (東醫壽世保元)". Conclusions Yoon Gil-Young recognized that the system of syndrome differentiation was developed in accordance with the theories from the "Treatise on Cold Damage and Miscellaneous Diseases", then the "Treatise on the Spleen and Stomach" and the articles of warm disease. The four-constitution medicine in Korea and Koho school in Japan which lays emphasis on abdominal signs also contributed to its development. Syndrome differentiation can be categorized basically into three states of intrinsic cold (本寒), intrinsic deficiency (本虛), intrinsic heat (本熱) according to the deficiency and excess in human body metabolism.

Non-pharmacological interventions for depression in Persian medicine

  • Yousofpour, Mohammad;Kamalinejad, Mohammad;Esfahani, Mohammad Mahdi;Iran-nejad, Sharzad;Shorofi, Seyed Afshin;Shams, Jamal
    • CELLMED
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    • v.5 no.4
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    • pp.22.1-22.7
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    • 2015
  • Depression is an important medical problem in today's world. Despite its high prevalence, treatment of depression remains problematic, as its cause is still not fully understood. Of the ways recommended to tackle this problem is implementing the potentials of various medical schools. A medical school which has played an important role in the history of medicine in the world is Persian medicine. This study was intended to identify non-pharmacological interventions for depression in the most reliable references on Persian medicine, classify these interventions and compare them with the latest medical findings. The study was set to review the most reliable references on Persian medicine. In addition, relevant keywords were used to search the PubMed and Scopus databases. In Persian medicine sources, melancholia is categorized into three main types. One type is regarded as cerebral melancholia, which resembles modern psychiatry's depression closely. Therefore, some key points put forth by Persian medicine scholars regarding melancholia can be used to answer questions concerning depressive disorders and their etiology and treatment. Although recent studies have confirmed most approaches offered by Persian medicine physicians in ancient Persia, it is imperative to design and conduct clinical trial studies according to these approaches.