• Title/Summary/Keyword: disease history

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Hereditary protein S deficiency presenting acute pulmonary embolism

  • Kim, Jiwan;Kim, Sung Hea;Jung, Sang Man;Park, Sooyoun;Yu, HyungMin;An, Sanghee;Kang, Seonghui;Kim, Hyun-Joong
    • Journal of Yeungnam Medical Science
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    • v.31 no.1
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    • pp.52-55
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    • 2014
  • Protein S deficiency is one of the several risk factors for thrombophilia and can cause blood clotting disorders such as deep vein thrombosis and pulmonary embolism. A 54-year-old man was admitted with the complaint of dyspnea and was diagnosed with pulmonary embolism. The patient had very low level of free protein S, total protein S antigen, and protein S activity (type I protein S deficiency). In history taking, we found that his mother, 78 year old, had a history of same disease 10 years ago, and confirmed the pronounced low level of protein S. The patient's son also had very low level of protein S, however there had not been any history of pulmonary embolism yet. This case study suggests that asymptomatic persons with a family history of protein S deficiency and pulmonary embolism should be checked regularly for early detection of the disease, as protein S deficiency can be suspected.

A Study of Gynecology Theory in Qian-Jin-Yao-Fang and Qian-Jin-Yi-Fang (${\ll}$천금요방(千金要方)${\gg}$${\ll}$천금익방(千金翼方)${\gg}$ 에 기재(記載)된 부인과학설(婦人科學說)에 관(關)한 연구(硏究))

  • Kim, Eun-Ha;Kim, Ki-Wook;Park, Hyun-Guk;Lee, Byung-Wook
    • The Journal of Korean Obstetrics and Gynecology
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    • v.15 no.4
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    • pp.98-110
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    • 2002
  • $Sun{\sim}Si{\sim}Miao$(孫思邈) is known to everybody as a great medical doctor. He has written two famus books. Those are the $Qian{\sim}Jin{\sim}Yao{\sim}Fang$(${\ll}$千金要方${\gg}$) and the $Qian{\sim}Jin{\sim}Yi{\sim}Fang$(${\ll}$千金翼方${\gg}$). He said that woman's disease differ from man's disease, we must care of woman carefully. And he has written seven parts of the books on gynecology. He has introduced reason of woman' disease and method of medical treatment variously. Also he has introduced a method of making cosmetics and beauty treatment. So We summarized pediatrics theory in two books and decomposed reason of disease and method of medical treatment. Also I compared with $Xiao{\sim}Pin{\sim}Fang$(${\ll}$小品方${\gg}$) In conclusion, I have known that $Sun{\sim}Si{\sim}Miao's$ gynecology is consist of useful and various substance.

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A Research on the Deliria speech of "Sanghanmyeonglisoglon(傷寒明理續論)" ("상한명리속론(傷寒明理續論)" 중 섬어외 8증(證)에 대한 연구(硏究))

  • Choi, Dong-Su;Sheen, Yeong-Il
    • Journal of Korean Medical classics
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    • v.19 no.4
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    • pp.241-256
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    • 2006
  • Aversion to wind is a feeling of cold when exposed to wind; aversion to cold is a feeling of cold. The distinction between aversion to wind and aversion to cold is ambiguous because in greater yang disease the two terms seem to be used indiscriminately. It is, however, worth noting that "aversion to wind" does not occur in the lines presenting disease of the three yin. In this text, we render as "heat effusion" rather than "fever," since the Chinese term is somewhat wider in meaning than familiar English term, Heat effusion is associated with many conditions and occurs both in externally contracted disease and miscellaneous disease (雜病), disease due to causes other than external evils). In externally contracted disease of the three yang channels, heat effusion is a manifestation of the struggle between right qi and evil qi; it does not necessarily indicate the presence of evil heat. In diseases of the three yin, right qi is not strong enough to counter evil qi; hence heat effusion is absent, and instead only aversion to cold is present. Sweating occurs in a variety of patterns. A distinction is made between spontaneous and night sweating(自汗). Spontaneous sweating is so called because it occurs spontaneously without exertion. it has numerous causes. Night sweating(盜汗) is sweating during sleep that ceases on awakening.

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A Clinical Study about Distribution of Serum Lipid Density on Stroke Patients (졸중풍(卒中風) 환자(患者)에 있어 혈중지질(血中脂質)의 분포(分布) 상황(狀況)에 대한 임상적(臨床的) 고찰(考察))

  • Chou, Li-Shan;Jung, Hyun-Ji;Han, Chang-Ho;Yoo, Jae-Yeon
    • The Journal of Internal Korean Medicine
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    • v.21 no.4
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    • pp.583-590
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    • 2000
  • Objective : The major risk factors of stroke are hyperlipemia, ateriosclerosis, hypertension, diabetis mellitus, smoking, drinking, age, personal history, family history etc. Hypertension, smoking and hyperlipemia are very important factor to promote stroke. We intended to observe the serum lipid density of 51 patients come to Joongpoong & Chronic Disease Center of Conmaul Oriental hospital, comparing with already reported study. Methods : We studied 51 stroke-patients( 38 cerebral infarction, 13 intracerebral hemorrhage) of Conmaul Oriental hospital, Department of oriental internal medicine, Joongpoong & Chronic Disease Center from January 1. 1999 to August 31. 2000, which examined by neurologic test, brain-CT, brain-MRI. . We used DOSHISA TBA-30FR(Japan) as instrument for measuring total cholesterol and triglyceride of serum. Results and conclusions : The results are as follows 1. The rate of hyperlipemia and presumed-hyperlipemia is higher in female patient-group than male patient-group. 2. The rate of hyperlipemia and presumed-hyperlipemia is higher in drinking group than non-drinking group. 3. The rate of hyperlipemia and presumed-hyperlipemia is higher in hypertension group than normotention group.

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Factors Affecting Bone Mineral Density of the Femur in Parkinson's Disease Patients (파킨슨병 환자의 골밀도 영향요인)

  • Kim, Sang Hee;Lee, Eun Nam;Park, Eun Young;Kim, Jae Woo
    • Journal of muscle and joint health
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    • v.19 no.3
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    • pp.350-361
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    • 2012
  • Purpose: The purpose of this study is to explore the level of bone mineral densities of the femur neck and to identify factors affecting bone mineral density of the femur in Parkinson's disease (PD) patients. Methods: Participants were 121 PD patients visiting the outpatient clinic of D University Hospital in B City. Bone mineral density was measured at the femur neck by using a dual-energy x-ray absorptiometry. The serum vitamin D level, the amounts of milk intake, caffeine intake, cigaret smoking, and alcohol consumption, and the number of steps taken daily were measured. Past and present disease history, the medication history, and duration of the disease were also collected. The level of disability was obtained by neurologists using the Hoehn and Yahr stage and the Unified Parkinson's Disease Rating Scale. Results: Among PD patients, 57% had osteopenia and 15.7% had osteoporosis. The bone mineral density of the femur was associated with weight, serum vitamin D level, age, and working status. Conclusion: The identification of weight and serum vitamin D level as important predictive factors emphasizes the importance of balanced nutrition for PD patients.

Correlation Between Knowledge and Educational Needs Related to Recurrent in Coronary Artery bypass graft patients (관상동맥 우회술환자의 수술 후 재발 관련 지식과 교육요구도와의 상관관계)

  • 김희승;박민정
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.549-559
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    • 2000
  • The purpose of this study was to investigate the correlation between the knowledge and educational needs related to recurrent in coronary artery bypass graft patients as a basis to provide an individual nursing education for the population. The subjects consisted of 110 patients who had coronary artery bypass graft(CABG) at Asan Medical Center in Seoul and Sechong hospital in Buchon. Data was obtained from a knowledge questionnaire and a learning needs questionnaire between November 1998 and February 1999. Data were analyzed using SAS program for Wilcoxon rank sum test and Spearman correlation coefficient. The results were as follows : 1. With regard to the 18 items to measure knowledge, the mean (median) of items 'don't know' was 4.9(4) items. The mean (median) of items answered wrong was 3.2(3) items. The number of items answered 'don't know' tend to show higher in those who had less education, blue color jobs and myocardiac infarction history than in their counter parts. There were higher frequency of items answered 'don't know' in those who had no hypertension 2. With regard to the level of knowledge by questionnaire about CABG, The most "I dont know" (59.1%) highly response was 'He has to be treated with anticoagulant drug to prevent revasculized vessel from obstructing.' The seond highest response (56.4%) was 'If you were hypotensive, the coronary attack would collapse. 'During the hospitalized day, the patient has complete bedrest.' The highest error probability was cholesterol has not to intake.', 'After surgery, the sexual life is need controlled for 1 year. 3. The mean of educational needs was 3.38. With regard to the level of learning needs by sentence about CABG, 'Food that benefit heart disease', 'Recurrence possibility of heart disease', 'Management method of operation site', 'Risk symptom that visit hospital or report immediately' were higher than other sentenses. With regard to the level of learning needs by factor 'food(5 items)', 'disease(9 items)' and 'exercise(3 items)' showed the highest than other factors. The educational needs by patients characteristics tend to show higher in males, under the age of 49, middle or high school degree, previous experience of admission with coronary artery disease, history of myocardial infarction, expierience of PTCA, history of cerebro-vascular accident, previous expierience of smoking than in their counter parts. 4. The number of items answered 'don't know', wrong and correct weren't correlated with the level educational needs. As the results, the number of items answered 'don't know' tend to show higher in those who had less educated, blue color jobs and myocardiac infarction history than in their counter parts. There were higher frequency of items answered 'don't know' in those who had no hypertension .There were higher frequency of items answered 'don't know' on anti-thrombolitic theraphy, hypotension and pain relief. Also there were higher frequency of items answered wrong on bed rest period, cholesterol intake, and sexual life. Educational needs were higher in young age group, had previous experience of procesure and history of other disease. And when we educate CABG patients, education for diet, recurrence possibility of disease, management methods of operation site and risk symptom should be emphasized.

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A Study on Drinking, Smoking and Family Disease Histories in the Family Members of Cerebrovascular Disease Patients (뇌졸중 환자 가족의 음주, 흡연 및 가족병력에 관한 연구)

  • Choe, Myeon;Kim, Jong-Dai;Kim, Sung-Sil
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.25 no.6
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    • pp.1050-1054
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    • 1996
  • This project was to investigate cerebrovascular disease incidence relation to alcohol consumption, cigarette smoking and family disease history in the family members of normal and cerebrovascular disease patients, besides patients themselves. Alcohol consumption in the family members of cerebrovascular disease patients was significantly higher, especially in male with thirties, forties and fifties, than those of normal. Mean of daily cigarette smoking in the family members of cerebrovascular disease patients was found to be significantly higher, especially in males with forties and fifties, 1]lan those of normal families. Mean of monthly income of normal subjects was significantly higher than those of cerebrovasndar disease families(normal: $673, 000\pm$ 187, 000 won, cerebrovascular: $483, 000\pm213, 000$ won). A degree to be attacked with cerebrovascular disease was very higher in the family members of cerebrovascular disease patients than normal family. Such cases were much higher in father side than in mother side.

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The history of oriental medicine at certain point of internal-external and Eumyang (내외(內外).음양(陰陽)의 관점에서 본 한의학(韓醫學)의 역사(歷史))

  • Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.21 no.4
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    • pp.161-177
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    • 2008
  • The oriental medicine is not static knowledge. Since the publication of "Hwangjenaegyeong(黃帝內經)", it has unceasingly changed and developed, that changes and developments ate the reflex of culture and civil progression, and they also are active acceptance of the time's demand. when we look back into the history of the Oriental medicine, angle of understanding disease can be classified into two concepts ; internal-external and Eumyang. Internal-external is whether we find the source of disease internal or external. Eumyang is deciding which is more important between yin-essence and yang-gi which are components of the essence-gi of body. This thesis view course of development of theory of the oriental medicine since publication of "Hwangjenaegyeong(黃帝內經)" at certain point of internal-external and Eumyang and with those as background, will inquire into sameness and difference between the Korean medicine and the Chinese medicine, and provide an advanced course for the oriental medicine.

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A Study of Queen Inhyun's death through the Clinical Records in Seungjeongwon Ilgi (인현왕후의 발병에서 사망까지 "승정원일기"의 기록 연구)

  • Pahng, Sung-Hye;Cha, Wung-Seok
    • Korean Journal of Oriental Medicine
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    • v.18 no.1
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    • pp.1-11
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    • 2012
  • The objective of this article is to investigate from what kind of disease Queen Inhyun(仁顯王后) died through the clinical records written in Seungjeongwon Ilgi("承政院日記"). The method to do this study was to search the records of Seungjeongwon Ilgi("承政院日記") from Sukjong 26th year to 27th year on the website databased and serviced by National Institute of Korean History. The results was as follows. According to the website search, Queen Inhyun(仁顯王后) suffered from purulent coxarthritis for one and a half year. As time passed by, the lesion of disease spread to her abdomen and heart. Finally, she died of difficulty in breathing.

A Historical Study on Cho Heon-yeong's 『Eastern Medicine Series (東洋醫學叢書)』 (조헌영의 『동양의학총서(東洋醫學叢書)』에 대한 의사학적 연구)

  • KIM Do-won;CHA Wung-seok
    • The Journal of Korean Medical History
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    • v.35 no.1
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    • pp.119-134
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    • 2022
  • This study is about Cho Heon-yeong's 『Eastern Medicine Series (東洋醫學叢書)』. It consists of 5 clinical books, 『Therapy for People (民衆醫術理療法)』, 『Tuberculosis Eastern Medical Treatment (肺病漢方治療法)』, 『Neurasthenia Treatment (神經衰弱症治療法)』, 『Gastrointestinal Disease Treatment (胃腸病治療法)』 and 『Gynecological Treatment (婦人病治療法)』, which were published between 1935-1941. This series mainly succeeded 『Donguibogam (東醫寶鑑)』, and was influenced by 『Kyeongakjeonseo (景岳全書)』, and 『Hwangjenegyeong (黃帝內經)』. Cho Heon-yeong's medical philosophy appears in two ways. First, he emphasized invigoration in treatment for the people who lacked nutrition and medical care at the time. Second, eclecticism of Korean Medicine and Western medicine is specifically revealed through this series. He aimed for a comprehensive medicine that consists mainly of Korean medicine and includes only a part of Western medicine.