• Title/Summary/Keyword: integrated medicine

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Obesity-Associated Metabolic Signatures Correlate to Clinical and Inflammatory Profiles of Asthma: A Pilot Study

  • Liu, Ying;Zheng, Jing;Zhang, Hong Ping;Zhang, Xin;Wang, Lei;Wood, Lisa;Wang, Gang
    • Allergy, Asthma & Immunology Research
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    • v.10 no.6
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    • pp.628-647
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    • 2018
  • Purpose: Obesity is associated with metabolic dysregulation, but the underlying metabolic signatures involving clinical and inflammatory profiles of obese asthma are largely unexplored. We aimed at identifying the metabolic signatures of obese asthma. Methods: Eligible subjects with obese (n = 11) and lean (n = 22) asthma underwent body composition and clinical assessment, sputum induction, and blood sampling. Sputum supernatant was assessed for interleukin $(IL)-1{\beta}$, -4, -5, -6, -13, and tumor necrosis factor $(TNF)-{\alpha}$, and serum was detected for leptin, adiponectin and C-reactive protein. Untargeted gas chromatography time-of-flight mass spectrometry (GC-TOF-MS)-based metabolic profiles in sputum, serum and peripheral blood monocular cells (PBMCs) were analyzed by orthogonal projections to latent structures-discriminate analysis (OPLS-DA) and pathway topology enrichment analysis. The differential metabolites were further validated by correlation analysis with body composition, and clinical and inflammatory profiles. Results: Body composition, asthma control, and the levels of $IL-1{\beta}$, -4, -13, leptin and adiponectin in obese asthmatics were significantly different from those in lean asthmatics. OPLS-DA analysis revealed 28 differential metabolites that distinguished obese from lean asthmatic subjects. The validation analysis identified 18 potential metabolic signatures (11 in sputum, 4 in serum and 2 in PBMCs) of obese asthmatics. Pathway topology enrichment analysis revealed that cyanoamino acid metabolism, caffeine metabolism, alanine, aspartate and glutamate metabolism, phenylalanine, tyrosine and tryptophan biosynthesis, pentose phosphate pathway in sputum, and glyoxylate and dicarboxylate metabolism, glycerolipid metabolism and pentose phosphate pathway in serum are suggested to be significant pathways related to obese asthma. Conclusions: GC-TOF-MS-based metabolomics indicates obese asthma is characterized by a metabolic profile different from lean asthma. The potential metabolic signatures indicated novel immune-metabolic mechanisms in obese asthma with providing more phenotypic and therapeutic implications, which needs further replication and validation.

Case of the Pulmonary Thromboembolism in a Patient with Lacunar Cerebral Infarction by the Integrated Therapy of Korean and Western Medicine (열공성 뇌경색 환자에게 발생한 폐색전증을 한양방 협진으로 치료한 1례)

  • Yun Jong-Min;Lee Min-Goo;Lee Sun-Woo;Kang Baek-Gyu;Lee Seung-Eon;Kim Yong-Jeong;Son Ji-Woo;Lee In;Moon Byung-Soon;Park Sae-Wook
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.6
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    • pp.1676-1680
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    • 2005
  • There are few topic about a pulmonary thromboembolism(PTE) especially in Korean medical research. This case report is dealt with a rare situation that a PTE and a lacunar infarction are complicated in one patient. They have a similarity in that both are caused by the thrombosis. The former is the thrombosis in lung and the latter is the cerebral infarcion within the territory of a single perforating artery Recently the attack rate of PTE somewhat grow because of the development of medicine such as the increasing use of indwelling catheters, trauma or surgery of pelvis and lower extrimity, major surgery especially in senior, the use of estrogen containing compounds, cerebrovascular disease, obesity, etc. A 70 year-old lady was stroked by the cerebral infarction and has been getting rehabilitating therapy. She had the sudden onset of dyspnea, chest pain and those symptoms looked like a myocardial infarction. But she was diagnosed as PTE by ventilation perfusion lung scan. We cured her with the integrated therapy of Korean and Western medicine.

Phycocyanin alleviates alcohol-induced testicular injury in male Wistar rats

  • Oumayma Boukari;Soumaya Ghoghbane;Wahid Khemissi;Thalja Lassili;Olfa Tebourbi;Khemais Ben Rhouma;Mohsen Sakly;Dorsaf Hallegue
    • Clinical and Experimental Reproductive Medicine
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    • v.51 no.2
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    • pp.102-111
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    • 2024
  • Objective: Given the noteworthy implications of alcohol consumption and its association with male infertility, there has been a notable focus on investigating natural alternatives to mitigate its adverse effects. Thus, this study was conducted to assess the potential protective effect of phycocyanin extract derived from the blue algae Arthrospira (Spirulina) platensis against ethanol-induced oxidative stress, disturbances in testicular morphology, and alterations in sperm production. Methods: Male rats were divided into four groups (five rats each): the control group received a saline solution, the ethanol exposed group (EtOH) was subjected to intraperitoneal injections of 10 mL/kg of ethanol solution at a concentration of 38% (v/v), the phycocyanin alone treated group (P) received oral administration of phycocyanin at a dosage of 50 mg/kg, and the phycocyanin-cotreated group (PE) was given oral phycocyanin followed by ethanol injections. All treatments were administered over a period of 14 days. Results: Our findings demonstrated that ethanol exposure induced reproductive toxicity, characterized by reduced sperm production and viability, alterations in testicular weight and morphology, increased lipid peroxidation levels, and elevated oxidative enzyme activity. In addition, the ethanol-intoxicated group showed perturbations in serum biochemical parameters. However, the simultaneous exposure to ethanol and phycocyanin exhibited a counteractive effect against ethanol toxicity. Conclusion: The results showed that supplementation of phycocyanin prevented oxidative and testicular morphological damage-induced by ethanol and maintained normal sperm production, and viability.

Review on Teaching Traditional Korean Medical Student with English Medical Journals (한의과대학 학부생을 대상으로 한 영문 의학논문 교육의 효과 고찰)

  • Lee, Soo-Jin;Jang, Jung-Hee;Shin, Sang-Woo;Chae, Han
    • The Journal of Korean Medicine
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    • v.28 no.1 s.69
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    • pp.94-104
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    • 2007
  • Objectives : This study investigated the effects of teaching English medical journals to traditional Korean medical students as a way of integrated curriculum, focusing on evidence-based traditional Korean medicine (EBKM) in the light of globalization of traditional Korean Medicine. Methods : 232 students (l16 1st year and t 16 2nd year) were asked to complete a questionnaire at the end of the course in order to validate the course's efficacy on acquisition and utilization of the latest medical knowledge as well as change of attitude toward English itself. Results : The courses were very useful in reducing discomfort toward English journals and to applying the latest medical knowledge to academic reports, clinical practices, and finally to establish abilities for EBKM. The 1st year students who took the courses for two semesters consecutively showed more significant satisfaction than the 2nd year students with only one semester. Conclusion : The findings suggest that English medical journals are an essential curriculum f3r the advance of EBKM and globalization of traditional Korean Medicine and therefore developing adequate textbooks, teaching methods, and quality of instructors should be considered for successful achievements.

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Report of the Qualitative Research Related to Postpartum Depression (산후우울증과 관련된 질적 연구에 대한 보고 분석)

  • Park, Han-song;Lee, Do-Eun;Youn, In-Ae;Suh, Hyo-Weon;Seo, Joo-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.1
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    • pp.15-33
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    • 2021
  • Objectives: The purpose of this paper is to help the development of qualitative research in the field of Korean medicine and policy support for postpartum depression. Methods: Qualitative studies related to postpartum depression retrieved from five databases were evaluated independently by two researchers using the integrated criterion, Consolidated criteria for reporting qualitative research (COREQ). In addition, each subject of study was qualitatively synthesized. Results: A total of 1,374 papers were searched and 13 papers were finally selected. The results of the study using COREQ lacked information about the researchers. The results of the study were integrated into three themes: "Feeling Failure", "Struggling for self-identity and role of mother" and "Seeing Help and Recovery". Conclusions: Postpartum depression can be accessed through various methods such as Korean medicine counseling, acupuncture and herbal medicine, and further research and manual preparation is required.

Social media impact in the Match: A survey of current trends in the United States

  • Steele, Thomas N.;Galarza-Paez, Laura;Aguilo-Seara, Gabriela;David, Lisa R.
    • Archives of Plastic Surgery
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    • v.48 no.1
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    • pp.107-113
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    • 2021
  • Background Applicants to integrated plastic and reconstructive surgery (PRS) residency in the United States spend exorbitant amounts of time and money throughout the interview process. Outside of first-hand experience through a visiting rotation, applicants utilize various resources in learning about a program. Today's applicants are "Millennials," the demographic cohort raised during the information age and proficient with digital technology. The authors evaluated whether programs have a presence on social media, and whether applicants are following these accounts. Methods An online survey was sent to applicants to a single integrated plastic surgery program evaluating basic demographics, social media utilization, and sources of information accessed throughout the residency application process. A manual search of popular social media platforms (Instagram, Facebook, and Twitter) was performed in October 2019. Accounts affiliated with integrated PRS programs were identified and analyzed. Results Eighty-four of 222 applicants (37.8%) completed the survey. Ninety-six percent of applicants were within the Millennial demographic. Ninety-six percent of applicants had some form of social media presence, with Facebook (90%) and Instagram (87%) being the most popular platforms. Seventy-three percent of applicants reported following a PRS residency social media account. As of October 2019, 59 integrated residency programs (73%) have active Instagram accounts. Conclusions Applicants still rely on the program website when researching potential residencies, but social media is being rapidly adopted by programs. Program social media accounts should be used as a dynamic form of communication to better inform applicants of program strengths and weaknesses.

Development of an Integrated Breast Health Program for Prevention of Breast Cancer among Middle-aged Women (중년 여성의 유방암 예방을 위한 통합적 유방건강 프로그램 개발)

  • Hur, Hea-Kyung;Park, So-Mi;Kim, Chang-Hee;Park, Jong-Ku;Koh, Sang-Baek;Kim, Gi-Yon
    • Women's Health Nursing
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    • v.15 no.1
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    • pp.54-63
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    • 2009
  • Purpose: This study was done to develop an integrated breast health program for prevention and early detection of breast cancer, integrating primary and secondary prevention factors using cognitive-behavioral strategies. Method: This methodological study conducted as follows; Selection of components for the program through a literature review, survey to identify women's knowledge and risk perception of breast cancer and diet, and building prototype for the program using discussion based on findings. Using structured questionnaires, interviews were done with 130 women aged 40-59 who lived in a rural area. Result: Primary prevention (diet pattern, knowledge about breast cancer, and risk perception) and secondary prevention (early detection behaviors) factors were identified through the literature review. The survey showed that women lack knowledge and awareness about the risks of breast cancer, and have a low compliance rate for early detection behavior. Based on these results, a program was developed utilizing counseling and models to provide education and practice related to diet, breast cancer, and early detection behaviors. Conclusion: Use of this integrated and tailored breast health program with women at risk will contribute to better breast health, but further study is needed to verify the effects.

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The Web Application of Integrated Sasang Constitutional Diagnosis β-version (통합 체질진단 툴 β-version의 웹기반 응용프로그램)

  • Jin, Hee-Jeong;Kim, Jang-Woong;Kim, Young-Su;Lee, Si-Woo;Jang, Eun-Su
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.1
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    • pp.13-20
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    • 2012
  • 1. Objectives : It is very important to classify people into Sasang constitution correctly in SCM. There have been many researches for this and several tools have been developed for diagnosis of Sasang constitution. In our study, we introduce a new web application for Integrated Sasang Constitutional Diagnosis (ISCD) ${\beta}$-version and algorithm on the base of face, body shape, voice and questionnaire. 2. Development : The web application of ISCD ${\beta}$-version was designed to be used easily for subject, staffs, and oriental medical doctors. For this purpose, we developed a web-application of Integrated Sasang Constitutional Diagnosis ${\beta}$-version using mysql database, tomcat web system, JSP, JAVA, and C++ languages. 3. Current State : The ISCD ${\beta}$-version could be accessed at http://210.218.196.115/SDT/login.jsp. The ISCD ${\beta}$-version consisted of 3 parts, for staffs, subject and oriental medical doctors. The system has been managed since February 2011. Currently 7 oriental hospitals have used the system and 1,439 subjects have been diagnosed by the system. 4. Conclusion and future work : Although many researchers have tried to develop a system or an algorithm for diagnosis of subject's constitution, we could have not used the system based on objective information of human body type, characters, symptoms. In this study, we describe a web application of objective diagnosis algorithm as ISCD ${\beta}$-version. This system may help an oriental medical doctors to make a decision of Sasang constitutional diagnosis easily and correctly.

Effects of an Integrated Breast Health Program according to Stages of Breast Cancer Risk Appraisal (유방암 위험평가 단계에 따른 통합적 유방건강관리 프로그램의 효과)

  • Hur, Hea-Kung;Kim, Gi-Yon;Kim, Chang-Hee;Park, Jong-Ku;Koh, Sang-Baek;Park, So-Mi
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.15-26
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    • 2009
  • Objectives: The current study evaluated the effects of an integrated breast health program according to levels of breast cancer risk appraisal on knowledge on breast cancer, early detection behaviors, and diet patterns and attitudes in Korean healthy women. Method: A nonequivalent control group pre-posttest design was used. A total of 413 women aged 40-59, registering at the Life Long Health Center in two cities, were classified into intervention groups of 179 women and control groups of 234 women. The integrated breast health program included education, counseling on breast cancer, early detection behaviors, and appropriate diet with multimedia and individual practice session using breast models, reflecting characteristics of each level according to levels of risk appraisal. The knowledge on breast cancer, early detection behaviors, and diet were investigated using questionnaires at baseline and three months after intervention. Results: In both normal and borderline-risk group, intervention groups reported significantly higher scores of knowledge on breast cancer and higher stages of BSE behaviors than control groups. Conclusion: The results showed positive effects on knowledge and early detection behaviors of breast cancer in normal and borderline-risk groups. Further studies should investigate longitudinal effects of the intervention program on dietary change.

The Comparative analysis of MaRMI(Magic and Robust Methodology Integrated) & RUP(Rational Unified Process) (MaRMI(Magic and Robust Methodology Integrated)와 RUP(Rational Unified Process) 개발방법론 비교 분석)

  • Kim, jae-yeol;Song, mi-young
    • Proceedings of the Korea Contents Association Conference
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    • 2007.11a
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    • pp.607-610
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    • 2007
  • 시스템 개발방법론은 소프트웨어 생성을 위한 개발 단계를 정의하고, 활동, 산출물, 검증 절차, 각 단계의 완결 조건을 명시하는 체계적인 방법으로 정의할 수 있다. 정보시스템의 대형화, 복잡화, 분산화 추세에 따라서 표준화된 개발방법론에 대한 관심이 국내에서도 급속히 증가하고 있다. 정보기술의 발전에 따른 신기술의 계속적인 수용과 사용자 요구사항의 변화의 수용, 시스템 개발의 생산성과 품질의 보증을 위해서는 개발방법론과 개발도구의 활용이 필수적이다. 최근 많은 관심을 보이고 있는 마르미(Magic and Robust Methodology Integrated)와 RUP(Rational Unified Process)을 비교 분석하고자 한다.

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