• Title/Summary/Keyword: disease pattern

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Interstitial Lung Disease and Diffuse Alveolar Hemorrhage, the Two Key Pulmonary Manifestations in Microscopic Polyangiitis

  • Kim, Min Jung;Shin, Kichul
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.4
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    • pp.255-262
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    • 2021
  • Microscopic polyangiitis (MPA) is an antineutrophil cytoplasmic antibody (ANCA)-associated necrotizing vasculitis, which mainly affects small vessels in various organs, especially the lungs. The two key pulmonary manifestations, interstitial lung disease (ILD) and diffuse alveolar hemorrhage (DAH), increase the morbidity and death rate of patients with MPA. ILD is more common in MPA than in other ANCA-associated vasculitis subsets and is primarily associated with myeloperoxidase-ANCA. Unlike alveolar hemorrhage due to pulmonary capillaritis, ILD can initially manifest as isolated pulmonary fibrosis. Of note, its most frequent radiographic pattern is the usual interstitial pneumonia pattern, similar to the characteristic pattern seen in idiopathic pulmonary fibrosis. In this review we present the pathogenesis, clinical manifestations, and radiographic and histopathologic features of ILD and DAH in MPA. We also briefly summarize the outcome and therapeutic options for the two conditions.

Four Case Reports of Neck Pain based on Shanghanlun 燒針(shaozhen) Provisions (『상한론(傷寒論)』 '소침(燒針)' 조문(條文) 및 변병진단체계(辨病診斷體系)에 근거하여 치료한 목통증 증례 4례)

  • Heo, Joo;Cho, Seong-hwan;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.95-114
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    • 2018
  • Objective : This study is to report four cases complaining of neck pain that diagnosed by Shanghanlun disease pattern identification diagnostic system and treated with the Shanghanlun Shaozhen(燒針) provision herbal medicine. Methods : Based on the Shanghanlun disease pattern identification diagnostic system, we analyzed four cases treated with Shanghanlun Shaozhen(燒針) provision herbal medicine. Results : In all cases, the NDI and NRS score improved. Conclusions : In Shanghanlun, Shaozhen(燒針) may indicate neck pain. And neck pain can be relieved by administering Shanghanlun Shaozhen(燒針) provision herbal medicine.

Research about application of Shanghanlun disease pattern identification diagnostic system to 2 cases treated by Oreong-san (오령산(五苓散)을 활용한 2개 증례 분석을 통한 『상한론(傷寒論)』 변병진단체계(辨病診斷體系) 응용에 관한 연구)

  • Park, Jae-kyung;Lim, Eun-Kyo
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.81-94
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    • 2018
  • Objective : The objective of this study is to define the clinical meaning of Shanghanlun sentence by applying Shanghanlun disease pattern identification diagnostic system. Methods : 2 clinical cases, which were treated by Oreong-san according to Shanghanlun provisions dualized with Je-Gang(提綱) and Jo-Moon(條文), were analyzed. Results : According to the results of analysis of 2 cases, the patients' diseases were improved. The pain was decreased, and general weakness and anorexia were improved in 2 cases. Conclusions : These results suggests that the medicines from Shanghanlun are clinically effective when Shanghanlun is interpreted considering the origins of Chinese characters in the text, and Shanghanlun disease pattern identification diagnostic system is applied.

Frequent Pattern Bayesian Classification for ECG Pattern Diagnosis (심전도 패턴 판별을 위한 빈발 패턴 베이지안 분류)

  • Noh, Gi-Yeong;Kim, Wuon-Shik;Lee, Hun-Gyu;Lee, Sang-Tae;Ryu, Keun-Ho
    • The KIPS Transactions:PartD
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    • v.11D no.5
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    • pp.1031-1040
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    • 2004
  • Electrocardiogram being the recording of the heart's electrical activity provides valuable clinical information about heart's status. Many re-searches have been pursued for heart disease diagnosis using ECG so far. However, electrocardio-graph uses foreign diagnosis algorithm due to inaccuracy of diagnosis results for a heart disease. This paper suggests ECG data collection, data preprocessing and heart disease pattern classification using data mining. This classification technique is the FB(Frequent pattern Bayesian) classifier and is a combination of two data mining problems, naive bayesian and frequent pattern mining. FB uses Product Approximation construction that uses the discovered frequent patterns. Therefore, this method overcomes weakness of naive bayesian which makes the assumption of class conditional independence.

A Study on the 27 Pulse Patterns of Heo Jun Based on the Theoretical Principle and Analysis of the Seven Exterior Pulses (허준(許浚) <이십칠맥(二十七脈)>에 대한 고찰 - 입론(立論) 원칙과 칠표맥(七表脈) 분석을 중심으로 -)

  • Jang Woo-chang;Yoon Eunkyung;Nanjie;Kim Jin-uk;Kim Hyeon-ki
    • Journal of Korean Medical classics
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    • v.36 no.4
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    • pp.1-24
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    • 2023
  • Objectives : To understand the theoretical principle of the pulse patterns listed in the 27 Pulses chapter in the Donguibogam, to further examine the relationship between the pattern and according disease of each pulse. Based on these findings, the fundamental meaning of Heo's theories and specific characteristics of the seven exterior pulses were understood. Methods : First, the 27 Pulses chapter of Heo Jun and Zhenmaimun chapter of Lichan were compared. Next, the Chandomaekgyeol and the Maijing were compared to determine bibliographical evidence of Heo's integration of pulse patterns. Based on the main references, the relationship between pattern and disease were studied, along with cases where the principles of the 27 pulses were applied in the Maekbeob chapter of the Donguibogam. Results & Conclusions : In the 27 Pulses chapter, Heo undertook the task of integrating the pulse patterns based on the differentiation of the excessive type and deficient type, along with the awareness of the issue of pulse pattern and disease matching. In specific, he organized and integrated the linguistic expressions of pulses in major pulse texts, directly intervening in places that he felt needed additional explanation. In conclusion, we found that the 27 pulses are systematic, rational, and unique in terms of pulse integration.

Genetic Association of SNPs Located at PON1 Gene with Dampness and Phlegm Pattern Identification among Korean Stroke Patients (Human Paraoxonase 1(PON1)의 유전자 다형성에 따른 중풍환자의 습담 변증과의 상관성 연구)

  • Lim, Ji-Hye;Ko, Mi-Mi;Lee, Jung-Sup;Bang, Ok-Sun;Cha, Min-Ho
    • The Journal of Internal Korean Medicine
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    • v.31 no.4
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    • pp.752-762
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    • 2010
  • Objective : In the present study, we investigated genetic distribution of eight single nucleotide polymorphisms of PON1 between Dampness and Phlegm and non Dampness and Phlegm pattern identification(PI) among Korean stroke patients. Materials and Methods : One hundred forty stroke subject without Dampness and Phlegm and fifty eight stroke subjects with Dampness and Phlegm were participated in this study. After informed consents, eight single nucleotide polymorphisms(SNPs) in PON1 of each subjects were identified by DNA sequencing and primer extension method and statistical analysis was performed to determine the significant difference between Dampness and Phlegm and non Dampness and Phlegm groups. Results : Among anthropometric characteristics and blood parameters, waist circumference and total cholesterol were significantly higher in Dampness and Phlegm. Among 8 SNPs of PON1, frequency of M allele and subjects with M allele in L55M SNP were significantly higher in Dampness and Phlegm group (p=0.0032 and p=0.0053, respectively) but subjects with T allele in C-2033T SNP were lower in Dampness and Phlegm group(p=0.0302). Effect of L55M and C-2033T on Dampness and Phlegm were 3.07% and 1.75%, respectively. Conclusion : Our results suggest that L55M SNP in exon and C-2033T in promoter region of PON1 maybe affect to Dampness and Phlegm pattern identification. However, further study should be carried out to find out the detailed mechanism how L55M and C-2033T can affect Dampness and Phlegm stroke patients.

Studies on the Infection Rate and Distribution Pattern of Metacercaria of Clonorchis sinensis in Pseudorasbora Parva (참붕어내 간흡충 피낭유충의 감염률 및 분포양상에 관한 연구)

  • Kim, Ki-Hong;Yie, Jae-Hyun;Joo, Kyoung-Hwan;Lee, Joon-Sang;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.14 no.1
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    • pp.44-53
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    • 1989
  • The distribution pattern of Clonorchis sinensis metacercaria in Pseudorasvora parva population and correlation between P. parva and metacercaria of C. sinensis were studied. The surveved areas were Chomanpo and Bulamdong, Kim-Hae Gun which were endemic area of clonorchiasis, and wansa, Sa-Chon Gun, Souh Kyong-Sang Do. The results are as follows: 1) The areas of Chornanpo and Wansa showed high infectivity in 99-100% of infection rate and 282-308 of average infection number per-fish. But the area of Bulamdong showed relatively. low infectivity in 95.8% of infection rate and 44 of average infection number. 2) The distribution patterns of C. sinensis metacercaria in P. parva population which were collected in Chomanpo and Wansa were shown Poisson distribution and the distribution pattern in Bulamdong showed mid-pattern of shifting over from Poisson distribution to Negative binomial distribution. 3) The correlation between P. parva length and average number of C. sinensis metacercaria in the present studied areas represented as direct proportion relationship.

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Study on Clinical Diseases of Yang Deficiency Pattern (양허증(陽虛證)의 임상적 질환 범위에 대한 고찰)

  • Park, Mi Sun;Ki, Yeong Mok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.2
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    • pp.153-166
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    • 2013
  • Yang deficiency pattern is a representative syndrome differentiation. This article is a study on to which categories of modern diseases yang deficiency is assigned by reference to modern clinical papers and the meaning of yang deficiency interpreted with a perspective of Korean Medicine and a modern perspective. Yang deficiency, yang qi deficiency, lack of yang qi and yang qi debilitation are the words found in "Nei Ching" and yang qi can be interpreted as something to warm, drive and arouse. Zhangzhongjing considered recovery or loss of Yang as the key to life in "Shanghanlun". Danxi proposed "Yang being liable to hyperactivity, Yin being insufficient" and emphasized pathological ministerial fire of Yang exuberance rather than physiological ministerial fire of Yang deficiency. Zhangjingyue proposed "Yang not being in excess, Yin being often deficient" and understood growth and decline of yin qi are all led by yang qi and put emphasis on true yin in addition to yang qi. Diseases of yang deficiency pattern are related with decline of metabolic level, hypofunction of internal secretion, disorder of immune function, disorder of automatic nerve system, sympathetic nerve inhibition, metabolic disorder of microelements, increase of cGMP, change of microcirculation, low speed of blood stream, kidney malfunction. Diseases related with kidney are sterility, polycystic ovary syndrome, spinal stenosis, edema, renal failure, IgA nephropathy, erectile dysfunction, nephritis, prostatitis, benign prostatic hyperplasia, decrease of adrenal cortical hormone by nephrotic syndrome, myelodysplastic syndrome. Disease related with heart are heart failure, arrhythmia, cardiomyopathy, atherosclerosis heart disease, hypertension, hyperlipidemia, pulmonary heart disease. Diseases related with spleen are irritable bowel syndrome, ulcerative colitis. Diseases related with liver are hypothyroidism, liver cirrhosis ascites, hepatitis B, chronic hepatitis, hepatic diabetes. Diseases related with lung are allergic rhinitis, cough variant asthma, bronchial asthma, pulmonary emphysema. And diabetes mellitus, metabolic syndrome, aplastic anemia, headache, encephalatrophy, Alzheimer's disease are also related with yang deficiency.

Correlation between Korean Food Pattern Index (Kdiet-index) and Metabolic Disease - 2017 KNHANES - (한식 식이패턴 평가지표(Kdiet-index)와 대사성질환과의 상관관계 - 2017 국민건강영양조사(KNHANES) -)

  • Yang, Hye Jeong;Kim, Min Jung;Hur, Haeng Jeon;Jang, Dai Ja;Shin, Ga-Hee;Kim, Myung-Sunny
    • Journal of the Korean Society of Food Culture
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    • v.37 no.4
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    • pp.376-384
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    • 2022
  • This study was performed to develop a Kdiet-index based on the definitions and characteristics of traditional Korean food. The Korean Food Pattern Index (Kdiet-index) for diseases was applied using dietary data from the 2017 National Health and Nutrition Examination Survey (KNHANES) and the association between Kdiet-index and metabolic disease was confirmed. The study subjects were 1,971 Korean adults aged >40, and the components were classified according to 14 criteria used to establish the Kdiet-index. Main ingredients up to the top 3 were designated using dish names, ingredients, and contents using KNHANES dietary data. Kdiet-index was classified using scores of ≤3 points, 4-7 points, and ≥8 points and total Kdiet-index were calculated by summing dietary scores. Correlations between Kdiet-index and obesity, hypertension, hyperlipidemia, and diabetes were analyzed. The odds ratio (OR) and 95% confidence interval (CI) for obesity were 0.531, 0.385~0.732 and for elevated cholesterol (≥240 mg/dL) indices were 0.471, 0.282~0.788, respectively, which showed a significant decreased in the risk for each disease for Kdiet-index of ≥8 points. This study confirms that metabolically related clinical results improved significantly as Kdiet-index increased and that higher Korean food pattern indices are associated with lower risks of metabolic disease

The Pathologic Study on Difference between Prescriptions of 『Wenbingtiaobian』 and their Sources (『온병조변(溫病條辨)』 처방의 기원과 처방 변화의 병리학적 고찰)

  • Park, Mi Sun;Kim, Yeong Mok
    • Herbal Formula Science
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    • v.25 no.2
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    • pp.253-270
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    • 2017
  • Ojectives : To indicate source of prescriptions in "Wenbingtiaobian" and draw pathologic consideration for differences between prescription and source. Methods : Analysed cause and mechanism of disease, pattern identification, treatment, prescriptions and medicinal herbs based on "Translation of Wenbingtiaobian", "Modern Shanhanlun", "Jinkuiyaolueyishi", "Medical collection of Yetianshi" and "Herbal Formula Science". Results : 64.5% of prescriptions in "Wenbingtiaobian" are derived from "Linzhengzhinanyian", "shanghanlun" or "Jinkuiyaolue". Prescriptions from "shanghanlun" or "Jinkuiyaolue" have been modified to fit for heat pattern differentiations, to expand or reduce their medicinal scope, to build up efficacy by adding cold herbs, herbs of nourishing yin, engendering fluid or outthrusting through the exterior, to diffuse water-dampness or warm yang by adding warm herbs. Prescriptions from "Linzhengzhinanyian" have been modified to eliminate cold-dampness, disperse and outthrust with lightness, tonify yin. Conclusions : Wenbingtiaobian" inherited "Linzhengzhinanyian", "shanghanlun" nd "Jinkuiyaolue" andchanged and developed them to cure the febrile disease in the aspect of prescription, mechanism of disease, pattern differentiation and treatment.