• Title/Summary/Keyword: clinical diagnostics

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Development of Questionnaires for Pathogenesis Analysis of Bojungikgitang Symptom (보중익기탕증(補中益氣湯證)의 병인논(病因論)적 분석을 위한 설문문항(說問問項) 개발(開發))

  • Yoon, Tae-Deug;Park, Young-Jae;Park, Young-Bae;Lee, Sang-Chul;Oh, Hwan-Sup
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.11 no.1
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    • pp.61-71
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    • 2007
  • Background: Bojungikgitang is one of the most common herbs in oriental medicine. Principally, this medicine heals illness from overwork and stress. Therefore, it is frequently used in the ancient community. Because of insufficiency in data, objective judgements are difficult in remedial effects by Bojungikgitang. In order to make objectivity diagnose data, this research is developed. Purpose: The aim of the research is to make questionnaire for the medicine and the objective is to sell to the public from the local clinic. Methods: The questionnaire which includes symptoms and signs for diagnose of Bojungikgitang is studied by the Delphi method and average value. Results: By the Delphi method and average value, 25 Items of questionnaires are choosen for the research. Conclusions: Further research is necessary for modification of questionnaire by statistics and certification by clinical trial. The statistics and verification by clinical trial is necessary with modification for further research.

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Development of Questionnaires for Pathogenesis Analysis of Guibi-tang Symptom (귀비탕증(歸脾湯證)의 병인논적(病因論的) 분석(分析)을 위한 설문문항(說問問項) 개발(開發))

  • Lee, Byoung-Hee;Park, Young-Jae;Kim, Min-Yong;Oh, Hwan-Sup;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.12 no.2
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    • pp.41-48
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    • 2008
  • Background : Guibi-tang is one of the most common herbs in oriental medicine. Principally, this medicine heals illness from overstress. Therefore, it is frequently used in the ancient community. Because of insufficiency in data, objective judgements are difficult in remedial effects by Guibi-tang. In order to make objectivity diagnose data, this research is developed. Purpose : The aim of the research is to make questionnaire for the medicine and the objective is to sell to the public from the local clinic. Methods : The questionnaire which includes symptoms and signs for diagnose of Guibi-tang is studied by the Delphi method and average value. Results : By the Delphi method and average value, 22 Items of questionnaires are choosen for the research. Conclusions : Further research is necessary for modification of questionnaire by statistics and cerification by clinical trial. The statistics and verification by clinical trial is necessary with modification for further research.

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Pathogenic variant in NLRP7 (19q13.42) associated with recurrent gestational trophoblastic disease: Data from early embryo development observed during in vitro fertilization

  • Sills, E. Scott;Obregon-Tito, Alexandra J.;Gao, Harry;McWilliams, Thomas K.;Gordon, Anthony T.;Adams, Catharine A.;Slim, Rima
    • Clinical and Experimental Reproductive Medicine
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    • v.44 no.1
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    • pp.40-46
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    • 2017
  • Objective: To describe in vitro development of human embryos derived from an individual with a homozygous pathogenic variant in NLRP7 (19q13.42) and recurrent hydatidiform mole (HM), an autosomal recessive condition thought to occur secondary to an oocyte defect. Methods: A patient with five consecutive HM pregnancies was genomically evaluated via next generation sequencing followed by controlled ovarian hyperstimulation, in vitro fertilization (IVF) with intracytoplasmic sperm injection, embryo culture, and preimplantation genetic screening. Findings in NLRP7 were recorded and embryo culture and biopsy data were tabulated as a function of parental origin for any identified ploidy error. Results: The patient was found to have a pathogenic variant in NLRP7 (c.2810+2T>G) in a homozygous state. Fifteen oocytes were retrieved and 10 embryos were available after fertilization via intracytoplasmic sperm injection. Developmental arrest was noted for all 10 embryos after 144 hours in culture, thus no transfer was possible. These non-viable embryos were evaluated by karyomapping and all were diploid biparental; two were euploid and eight had various aneuploidies all of maternal origin. Conclusion: This is the first report of early human embryo development from a patient with any NLRP7 mutation. The pathogenic variant identified here resulted in global developmental arrest at or before blastocyst stage. Standard IVF should therefore be discouraged for such patients, who instead need to consider oocyte (or embryo) donation with IVF as preferred clinical methods to treat infertility.

Clinical Significant of Breathing in the oriental, western Medicine (조식(調息)의 동서의학적(東西醫學的) 임상(臨床) 의의(意義))

  • Park, Jin-Sung;Park, Young-Jae;Park, Young-Bae;Huh, Young
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.12 no.1
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    • pp.63-79
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    • 2008
  • Background: The consequences of disordered breathing patterns are not only distressing to the patient but also expensive to our health care systems if they are not diagnosed and treated. So we performed this study to investigate clinical significants trough gigong, yoga and hyperventilation in oriental medicine and westen medicine Method: Voluntary control of respiration is one of the main methods of physical and mental training such as meditation, qigong meditation or Yoga. So, this study focuses on breathing in qigong and yoga. This study appreciates a role that a control of respiration has in physical, mental aspects and searches side-effects in qigong and yoga Conclusions: A control of respiration has a function that manages Jung(精), Qi(氣), Shin(神) in Oriental Medicine. It manages Autonomic Nerve system, Endocrine system and induces natural awareness. So Briging the body and mind work through a control of breathing. Breathing pattern disorder has Damum and Qiher pattern in Oriental Medicine pattern. This disease pattern concearnes ATP metabolism. Qiher is concearned with a mitochondria disorder and Damum is concearned with a products of lactate. we guess that Lactate analysis may be utilized as a diagonostic criteria of Breathing pattern disorder. After this, It needs a study that Lactate analysis is concearned with Breathing pattern disorder as Damum pattern. Result: A control of respiration is related not only breathing but also spiritual and physical state. Joo-hwa-ip-ma as Breathing pattern disorder is smiliar to hyperventilation. HVS is patternated Damum and Qi-Weakness pattern in oriental medicine. Lactate is an important complement that diagonates HVS and will be concearned with Damum.

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A Basic Study on the Analysis Method of Thermography (Thermography의 분석방법에 관한 기초연구)

  • Lee, Hyuk-Jae;Park, Young-Jae;Oh, Hwan-Sup;Lee, Sang-Chul;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.2
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    • pp.110-122
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    • 2005
  • Background: The basic concept of thermographic interpretation is the thermologic equality of both side in normal person. But both sides diseases were limited diagnostic values by thermographic interpretation, and this interpretation does not apply to the case in thermal temperature of each part of body. Nevertheless, the measurement conditions are not standardized. So, for its clinical applications are extended, we think that the measurement conditions are considered the individual variations. Objectives: The purpose of this study is to examine the optimum conditions thermal temperature of the time period and region are not effected by internal and external variables. Methods: After the subjects took off their clothes, the filming were repeatedly five times made on duration of 5minutes during 20minutes. We selected nine regions around acupoints including Yin dang[印堂, HN1], Sugu[水溝, GV26], Ch’ondol[天突, CV22], Chonjung[CV17], Chung-wan[中脘, CV12], Ch’onch'u[天樞 S25], No-gung[勞宮, P8], and calculated based on the utility of R.O.I.(Region of Integer) in our system these points temperature. We measured the optimal time period and region that has little variation of thermal temperature. Results: The results shows that the optimal time period is 20minutes after undressed, and the optimal region is the region around acupoints including Sugu[水溝, GV26]. Conclusions: we obtained the measurement conditions were considered the individual variations. And also, this study offers basic sources for that the measurement conditions would be standardized. Furthermore, based on this results, we expect that clinical applications using thermography would be extended.

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A Case Study the Relationship Between Five Woon Constitutions And Five Zhang Symptoms Based on 286 Clinical Data of Asian Women near L.A (운기체질과 오장병증의 상관관계 - 캘리포니아에 거주하는 아시아 여성 286명의 임상연구 -)

  • Jin, Seng-Hee;Kim, Tae-Hee;Choi, Kyung-Mee
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.2
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    • pp.110-120
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    • 2010
  • Objective: To relate with significant relationship between symptoms and Five Zhang(五臟)symptoms in Five Woon Constitutions and to characterize Five Woons of Asian women who live at Los Angeles area in U.S.A. Methods: 19 diagnostic questions were given to 286 Asian females subjects who were treated for their symptoms at an Asian medical clinic near Los Angeles in USA. The participants were given their constitutions, one of the Five Woons based on their birthdays. The Cross tabulation analysis was also applied to look for the effectiveness of Five Woons on the symptoms. Results: 1. The cross tabulation analysis showed the significant effectiveness of the Five Woons on the five symptoms including dizziness, hot and cold, lower body edema and face fever(p<0.1). 2. The dizziness and the hot and cold were related with Liver diseases, the lower body edema was related with Kidney diseases and the face fever was related to Heart diseases. Conclusions: This study can explain the relationship between the significant symptoms of Five Woons and Five Zhang(五臟)symptoms with reference which is the book by Yoon, ChoChang who lived 1700 years. Further clinical research is necessary to develop more delicate questionnaires and look for ways of characterizing the Five Woons. The diagnosis and corresponding treatment based on the Five Woons should be further studied in view of the Asian medicine.

A Study on Relations between MRS, MENQOL, HRV, Yin-Deficiency Questionnaire in Menopausal Woman with Hot Flush (안면홍조 증상을 호소하는 갱년기 여성의 MRS, MENQOL, HRV, 음허(陰虛)설문의 상관성 연구)

  • Kim, Jin-Woo;Jo, Jun-Young;Yoo, Seung-Yeon;Park, Kyoung-Sun;Park, Young-Jae;Lee, Jin-Moo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.4
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    • pp.71-84
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    • 2011
  • Purpose: To evaluate the correlation of MRS, MENQOL, HRV, Yin-Deficiency Questionnaire and the clinical use of Yin-Deficiency Questionnaire by comparison with MRS, MENQOL, and HRV. Methods: The participants were 21 women(44-58yr) with hot flush who were not currently on hormone therapy. The evaluating index of this trial are MRS, MENQOL, HRV, Yin-Deficiency Questionnaire. Results: The MRS and the MENQOL were significantly correlated with each other. The MRS and the HRV(LF/HF ratio) were significantly correlated with each other. The MENQOL and the HRV(LF/HF ratio) were significantly correlated with each other. The MRS somatic subscale and the Yin-Deficiency Questionnaire were significantly correlated with each other. The MENQOL and the Yin-Deficiency Questionnaire were significantly correlated with each other. The Yin-Deficiency Questionnaire and the HRV(LF/HF ratio) were significantly correlated with each other. Conclusions: The Yin-Deficiency Questionnaire is a valuable tool of oriental medicine for assessment of symptoms. The Yin-Deficiency Questionnaire were significantly correlated with the MRS somatic subscale, the MENQOL and the HRV(LF/HF ratio). Yin-Deficiency Questionnaire could serve as an adequate diagnostic instrument of oriental medicine for menopausal syndrome. Further large-scale study is needed for evaluation of the correlation of these measurements related with Menopausal syndrome and the clinical use of Yin-Deficiency Questionnaire.

A Study of Exploration for the Educational-Industrial Joint Research Projects on Oriental Medicine (산학공동연구를 위한 기초조사 연구)

  • Kang, Hyo-Shin;Kwon, Young-Kyu;Park, Jae-Hyun;Seo, Bu-Il;Lee, Jeong-Ho
    • The Journal of Korean Medicine
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    • v.17 no.2 s.32
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    • pp.58-72
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    • 1996
  • I. PURPOSE AND SIGNIFICANCE OF RESEARCH The presentation of research direction for compositive study and application of oriental medicine is urgently demanded. Since there is few investigation for the interest in basic and clinical field of oriental medicine, and we hope that compositive study and concentrative research between instruction in college and local clinics is established by this research. II. RESEARCH CONTENT ${\cdot}$ Analysis of survey in basic field of oriental medicine as instruction curriculum. ${\cdot}$ Analysis of survey in clinical field of oriental medicine as the classification of disease. III. RESULT The result of investigation shows that the most interested field is acupuncture and moxibustion in clinical field and diagnostics in basic field of oriental medicine. And oriental medicinal clinic doctors are concerned about prescription and a newly-developed techniques such as new acupuncture therapy, new machines. They hope that a study of oriental medicine in clinical field be accomplished with the special clinics as leader. According to the previous results, we can work out the foundation of compositive study and concentrative research between instruction in college and local clinics, and on this ground it is considered that we can grope for the presentation of research direction of local clinics.

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Clinical Diagnosis of Oral Cancer (구강암의 임상적 진단)

  • Choi, Sung Weon
    • The Journal of the Korean dental association
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    • v.49 no.3
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    • pp.136-145
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    • 2011
  • Oral cavity cancer accounts for approximately 3-4% of all malignancies and is a significant worldwide health problem. The Korea Central Cancer Registry estimates that there will be approximately 1500 new cases of oral cancer in Korea. Oral cancer occurs most commonly in middle-aged and elderly individuals. The majority of oral malignancies occur as squamous cell carcinomas and despite remarkable advances in treatment modalities, the 5-year survival rate has not significantly improved over the past several decades, hovering at about 50% to 60%. The unfavorable 5-year survival rate may be attributable to several factors. First, oral cancer is often diagnosed at a late stage, with late stage 5-year survival rates as low as 22%. Additionally, the development of secondary primary tumors in patients with early stage disease has a major impact on survival. The early detection of oral cancer and premalignant lesions offers the promise to cure chance of oral cancer. The major diagnostics moddalities for oral cancer include oral cavity examination, supravital staining, oral cytology, and optical detection systems. But the clinical finding of oral mucosa is the most important key to confirm the oral cancer until now. The traditional clinical examination of oral cavity can be performed quickly, is without additional diagnostic expense to patients, and may be performed by health care professionals. Therefore, clinicians must be well-acquainted with clinical characteristics of oral cancer and practice routine screening for oral cancer in dental clinic to decrease the morbidity and mortality of disease.

Models for Predicting Five Jang Biological Ages with Clinical Biomarkers (임상 생체지표를 이용한 오장생체나이 추정 모델)

  • Kim, Tae-Hee;Kim, Seok;Bae, Chul-Young;Kang, Young-Gon;Cho, Kyung-Hee;Kwon, Su-Kyung;Park, Mei-Hua
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.2
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    • pp.175-190
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    • 2011
  • Objectives: Even though there has been no consensus on the concept of viscera organ between the oriental and western medicine, we tried to investigate the correlation between clinical biomarkers of five Jang and chronological age and develop the models for predicting five Jang biological ages by statistical analysis. Methods: We obtained data from about 120,000 subjects who visited health promotion centers for health promotion and disease prevention from January 2004 to June 2009. Participants were included if they were over 20 years old, and excluded if reported to have cardiovascular disease or other serious medical illness such as cancer, malignant hypertension, uncontrolled diabetes, cardiopulmonary insufficiency, liver disease, pancreatic disease or renal disease. Among the clinical biomarkers obtained, we selected the biomarkers which were associated with the function of 5 Jang in previous studies, or showed statistically significant correlation with age. Multiple regression models were used for building prediction models of biological age after adjusting for potential confounders for men and women, respectively. Pearson correlation coefficient was calculated to examine the linear relationship between age and various biomarkers, and multiple regression analysis was used for building the prediction models of five Jang biological ages for men and women, respectively. All statistical data analysis was performed by using SPSS Version 12.0 software and statistical significance was obtained if p<0.05. Results: For males, the best models were developed using 12, 2, 8, 3, and 4 biomarkers for predicting biological ages of heart, lung, liver, pancreas, and kidney, respectively (R2 = 0.57, 0.43, 0.11, 0.24, and 0.93, respectively). Similar to males, for the females, 10, 2, 8, 3, and 4 biomarkers were selected as the models respectively (R2 = 0.76, 0.44, 0.14, 0.38, and 0.89, respectively). Conclusions: As we have developed for the first time the models for predicting five Jang biological ages with common clinical biomarkers, it is expected that these models may be used as clinical supplementary tools in the evaluation of aging status and functional decline of five Jang according to age in health promotion centers and private clinics. At the same time, it is considered that the use as objective tools to evaluate aging status and functional decline of each Jang.