• 대한두개안면성형외과학회지
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• 제24권5호
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• pp.240-243
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• 2023

Metastasis of lung cancer to the skin is uncommon, presenting in 0.22% to 12% of lung cancer patients, and it is extremely rare for skin metastasis to be the first clinical manifestation of lung cancer. In the few cases where skin metastasis has been reported as the first sign of lung cancer, the patients were typically heavy smokers or had preexisting respiratory diseases and symptoms. This prompted clinicians to consider skin metastasis of a pulmonary malignancy. Large cell neuroendocrine carcinoma (LCNEC) is a rare type of lung cancer that accounts for approximately 3% of lung cancers. LCNEC mainly metastasizes to visceral organs, such as the liver, bone, and brain, and it only shows metastasis to the skin in very rare cases. Herein, we report an unusual case of a metastatic skin lesion as the first sign of primary pulmonary LCNEC, in a 63-year-old woman with no pulmonary symptoms or personal history of smoking or pulmonary disease.

• 대한한방내과학회지
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• 제32권2호
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• pp.170-187
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• 2011

Background : Obesity, the syndrome caused by a high fat diet, is a disease. At the same time, obesity causes diabetes mellitus, hyperlipidemia, and cardiovascular disease. Recently, its prevalence rate is increasing. Yagwan-cheunghyeoltang (YCT) used in this experiment is the prescription of Yagwanmoon added to Cheunghyeol-tang which is reported to be very effective in weight loss controlling and serum cholesterol. It is also reported that Yagwanmoon has significant antioxidant effects and YCT has a significant effect on blood glucose control. Objectives : This study was conducted to experimentally evaluate the effects of YCT on obesity in rats induced by high fat diet. Methods : The experiment was conducted with 4-week-old male rat s divided into 5 groups. They were a normal diet group, a high fat diet group, a positive drug control group, a 1% YCT group, and a YCT 3% group, and were tested for eight weeks. After four weeks of inducing obesity by a high fat diet, rats were allowed to lose weight by following the normal diet group, approximately 30% compared with 10 rats in each group were determined as still obese. Changes in body weight and organ weight and serum cholesterol, triglyceride, glucose-density, low density lipoprotein cholesterol, antioxidant activity were checked. Results : In the experimental groups, we observed weight loss and visceral fat reduction, improvement of liver function, reduction of serum glucose, activation of HMG-CoA reductase inhibitor, reduction of concentrations of leptin and it showed a significant effect on antioxidants and lipid peroxidation. Conclusions : YCT has significant effects on the regulation of hyperlipidemia and lipid peroxidation associated with obesity and has significant effects on, antioxidants and lipid peroxidation, too. Additional clinical studies are needed.

• 대한골관절종양학회지
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• 제12권1호
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• pp.71-77
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• 2006

연골 육종은 가장 흔한 원발성 골육종 중 하나로, 간엽성 연골육종을 제외하면 대체로 저 악성도 병변이며, 다발성 발현이나 원격 전이가 드문 것으로 알려져 있다. 다발성 내연골종(Ollier's disease)과 Maffucci's 증후군에서 다발성 연골육종이 발생한 례가 드물게 보고되었으며, 아직까지 한 관절을 사이에 두고 그 근위부와 원위부에서 연골육종이 동시에 발생한 례는 보고된 적이 없었다. 저자들은 30세 남자 환자에서 폐나 내장의 전이를 동반하지 않고, 한쪽 견관절을 사이에 두고 견갑골의 견봉과 상완골에서 동시에 발생한 다발성 연골육종을 경험하였으며, 이를 "동시성 다발성 관절 근접 연골육종"이라 명하였다. 견봉에 위치한 병변은 소파술과 함께 동종 골이식과 시멘트 충전술을 시행하였으며, 근위 상완골 병변은 설상 절제술과 시멘트 충전술을 시행하였다. 수술 후 18개월까지 재발의 증거가 관찰되지 않았으며, 통증 없이 전 범위 운동이 가능하였다.

• Tuberculosis and Respiratory Diseases
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• 제66권4호
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• pp.314-318
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• 2009

저자들은 반복적인 코출혈이 있는 가족에서 폐동정맥기형이 있는 동생과 점막의 모세혈관확장증을 가진 형을 경험하고 희귀한 유전질환인 유전출혈모세혈관확장증의 가계도를 확인하였기에 문헌고찰과 함께 보고하는 바이다.

• Korean Journal of Acupuncture
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• 제34권2호
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• pp.88-99
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• 2017

Objectives : Saam acupuncture initiated by Saamdoin in $17^{th}$ century is one of the most widely adopted acupuncture techniques used by Korean medical doctors in clinic. Our study aimed to analyze the application of the Saam acupuncture method to pain diseases based on the literature data. Methods : Based on the contents described in "(Do Hae Kyo Kam) Saam's acupuncture method", the texts related to pain condition were analyzed. The frequency of prescription of Saam acupuncture method was analyzed, and then the relationships between each acupoint were visualized by network analysis and hierarchical cluster analysis for the quantitative aspect. Results and conclusions: In our study, Lung tonifying and Liver tonifying acupuncture were the most frequently used method for the treatment of pain disease. As the acupoints, BL66 and SI5 were used the most frequently. It was found that visceral pattern identification was considered as the most important factor in the selection of the Saam acupuncture method. Network analysis and hierarchical clustering analysis showed that each acupoint was closely related to other acupoints, and most of them were connected more closely according to the method of Saam acupuncture operation. The experiential prescriptions of Saam acupuncture were classified as an independent group. In the future, fundamental research on the principle of Saam acupuncture method is needed for the various diseases, and research for the clinical efficacy and the mechanism of Saam acupuncture method should be preceded.

• Tuberculosis and Respiratory Diseases
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• 제72권1호
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• pp.50-54
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• 2012

Hereditary hemorrhagic telangiectasia (HHT, Osler-Weber-Rendu disease) is a rare autosomal dominant disease characterized by heterogenous multisystemic dysplasia of the vascular tissue. Prevalence of HHT is 1 in 5,000~8,000. HHT commonly presents with recurrent epistaxis, but may have more serious consequences if visceral vascular beds are involved. Approximately 30~50% of HHT cases also present with pulmonary arteriovenous malformation (PAVM). Spontaneous hemothorax is less common, and PAVM is one of the causes leading to hemothorax. Our case involved an 18-year-old female who had suddenly developed right chest pain. The reason for chest pain was due to right spontaneous hemothorax accompanied by PAVM in the right middle lobe. The patient was additionally diagnosed with HHT upon examination of her family history, specifically through her mother's symptom that included recurrent epistaxis and mucosal telangiectasia.

• 대한수의학회지
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• 제4권1호
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• pp.35-42
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• 1964

계백혈병군중(鷄白血病群中) 특(特)히 장기형임파종증(臟器型淋巴腫症)은 한국전쟁이후(韓國戰爭以後) 계군(鷄群)의 증가(增加)와 더불어 점차(漸次) 그 발생(發生)이 많아져 양계업계(養鷄業界)에 상당(相當)한 손해(損害)를 끼치는 것으로 주목(注目)되어 왔다. 저자(著者)들은 야외계군(野外鷄群)에서의 장기형임파종증(臟器型淋巴腫症)의 발생상황(發生狀況)을 조사(調査)하기 위(爲)하여, 1961년(年)~1963년(年)의 3년간(年間)에 본대학실험실(本大學實驗室)과 춘천지역(春川地域)의 양계장(養鷄場) 및 닭 소매상(小賣商)에서 부검관찰(剖檢觀察)할 수 있었던 계체(鷄體)에 대(對)해서, 다음과 같은 결과(結果)를 얻었다. 1). 총(總) 3,500의 부검예중(剖檢例中) 266 례(例)(7.6%)에서, 한가지 이상(以上)의 장기(臟器)에서 장기형임파종증(臟器型淋巴腫症)의 병변(病變)을 관찰(觀察)하였다. 이 비율(比率)은 제외국(諸外國)의 것에 비(比)하여 낮은 율(率)이나, 우리나라의 전사양계군수(全飼養鷄群數)와 그간(間)의 관찰계수(觀察鷄數)를 고려(考慮)할 때, 본병(本病)이 가금질병중(家禽疾病中)에서 상당(相當)한 비중(比重)을 차지할 것으로 예상(豫想)된다. 저자(著者)들이 검안(檢案)한 범위내(範圍內)에서는 장기형임파종증(臟器型淋巴腫症) 이외(以外)의 다른형(型)(백혈병군중(白血病群中))은 관찰(觀察)되지 않았다. 2). 육안적병변(肉眼的病變)은 간(肝), 비(脾), 신(腎), 난소(卵巢) 및 장(腸)에서 관찰(觀察)되었고, 제외국(諸外國)의 보고(報告)처럼 심(心), 폐등(肺等)에서는 관찰(觀察)되지않았다. 그 발생빈도(發生頻度)는 간(肝)이 가장 높았으며, 그 다음으로 비(脾), 난소(卵巢), 신(腎), 장(腸)의 순(順)을 따랐고, 각장기(各臟器)는 단독(單獨) 또는 여러가지 조성(組成)으로 병변(病變)을 나타내었다. 그 육안적병변(肉眼的病變)은 Horiuchi(1961)의 분류기준(分類基準)에 따라 각형(各型)으로 관찰(觀察)되었다. 즉(卽) 간(肝)은 미만형(46.5%), 결절형(結節型)(25.1%), 과립형(顆粒型)(14%), 혼합형(混合型)(14.4%)으로, 비(脾)는 미만형(64%), 결절형(結節型)(32%), 여포종대형(濾胞腫大型)(4%)으로, 난소(卵巢)는 미만형(19%) 및 여포종대형(濾胞腫大型)(81%), 신(腎)은 미만형(91%) 및 결절형(結節型)(9%), 장(腸)은 다만 결절형(結節型)으로 각각(各各) 분류(分類)되었다. 3). 병리조직학적병변(病理組織學的病變)은 Horiuchi(1961)의 분류기준(分類基準)에 따라, 24 례(例)의 간(肝) 및 10 례(例)의 비(脾)에 있어서, 침윤성증식형(浸潤性增殖型), 결절성증식형(結節性增殖型) 및 미만성증식형으로 관찰(觀察)되었고, 3 례(例)의 신(腎)에 있어서 미만성증식형과 결절성증식형(結節性增殖型)이, 3 례(例)의 장(腸)에 있어서 침윤성증식형(浸潤性增殖型)이, 2 례(例)의 난소(卵巢)에 있어서 침윤성증식형(浸潤性增殖型)이 관찰(觀察)되었다. 이와같은 증식형태(增殖形態)를 보이는 목종양세포(木腫瘍細胞)는 임파구계(淋巴球系)에 속(屬)하는 것으로 생각되는 세포(細胞)로, 크기, 모양 및 염색성(染色城)이 다양(多樣)하였다.

• 동의생리병리학회지
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• 제21권2호
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• pp.444-452
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• 2007

Acupuncture treatment cures disease by regulating the functional excessiveness or deficiency which occurs in the meridian and visceral organs, and by letting stagnated Qi and Blood flow through the whole body and then controlling Qi. Whether or not to have Qi feeling is the main factor needed to manifest the efficacy of acupuncture. So it needs the very stimulus to make Qi felt rather than the simple stimulus. In order to have Qi feeling, it needs to acupuncture a patient according to patient's thinness or fatness, constitution, richness or poverty and age. And also it needs to vary the way to acupuncture a patient according to meridian, kinds of pulse, degrees of disease, new or old diseases, seasons with a disease and local areas of disease. In order to ascertain that it is important for the quality and quantity of acupuncture stimulus and the state of feeling acupuncture to get the efficacy of acupuncture, the experiment was planned to confirm whether the form and Qi of subject has different result according to the stimulated duration and depth. On the basis of the report that acupuncture on derma, when using electroacupuncture at Zusanli(ST 36) which denotes small intestinal motility, is more efficient than full depth acupuncture, I got the following result, after I observed whether the stimulated duration and depth give different efficacy according to the sex and weights of rat in experiment. The increased effects of small intestinal motility by electroacupuncture on Zusanli(ST 36) appeared after stimulating full depth for thirty minutes without distinction of sex and weights. This significant change was observed only in the female experimental group when I distinguished the sex. The small interstinal motility in rats by electroacupuncture at zusanli(ST 36) decreased in the 10 minutes' stimulated group and 30 minutes' stimulated group by duration on the one hand, and derma-deep stimulated group and full depth stimulated group by the depth of stimulus on the other hand, as the weights increased. This result shows that the duration and depth of acupuncture depends on the differences of acupuncture points, sex of the experimental animals, ages, and, weights. And the further study on the experimental and clinical differences and sextual differences need to be continued on.

• Nutrition Research and Practice
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• 제7권1호
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• pp.43-48
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• 2013

Quantities as well as distributions of adipose tissue (AT) are significantly related to cardiovascular disease (CVD) risk factors and can be altered with caloric restriction. This study investigated which cross-sectional slice location of AT is most strongly correlated with changes in CVD risk factors after caloric restriction in obese Korean women. Thirty-three obese pre-menopausal Korean women ($32.4{\pm}8.5$ yrs, BMI $27.1{\pm}2.3\;kg/m^2$) participated in a 12 weeks caloric restriction program. Subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) were measured using computed tomography (CT) scans at the sites of L2-L3, L3-L4, and L4-L5. Fasting serum levels of glucose, insulin, triglyceride, total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C), leptin and homeostasis model assessment-insulin resistance (HOMA-IR) were observed. Pearson's partial correlation coefficients were used to assess the relationship between AT measurement sites and changes in CVD risk factors after calorie restriction. When calories were reduced by 350 kcal/day for 12 weeks, body weight (-2.7%), body fat mass (-8.2%), and waist circumference (-5.8%) all decreased (P < 0.05). In addition, following caloric restriction, serum levels of glucose (-4.6%), TC (-6.2%), LDL-C (-5.3%), leptin (-17.6%) and HOMA-IR (-18.2%) decreased significantly (P < 0.05) as well. Changes in VAT at the level of L3-L4 were significantly greater than those at other abdominal sites, and these changes were correlated with changes in TC (P < 0.05), LDL-C (P < 0.001), SBP (P < 0.001) and HOMA-IR (P < 0.01). These results show that VAT at L3-L4 had a stronger correlation with CVD risk factors than with other AT measurement sites after caloric restriction.

• 대한본초학회지
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• 제27권2호
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• pp.69-75
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• 2012

Objectives : We investigated the effects of mountain cultivated ginseng water boiled extract(MCG) on blood glucose and insulin levels, and examined whether lipid metabolism are improved by it in male db/db mice(a murine model of type 2 diabetes mellitus). Methods : 9 weeks old, male db/db mice were divided into 5 groups : C57BL/6J normal, control, MCG-250mg/kg (MCG-1), MCG-500mg/kg(MCG-2) and MCG-1000mg/kg(MCG-3). After mice were treated with MCG for 8 weeks, we measured body weight, food intake, fat weight, visceral organ weight and blood glucose, insulin and lipid levels. Results : 1. We found no difference in body weight, food intake, fat weight and visceral organ weight among the animal groups. 2. Compared with controls, MCG-treated mice had lower blood glucose level and higher blood insulin levels, the magnitude of which was prominent in MCG-2. 3. Compared with controls, MCG-treated mice had lower LDL-cholesterol and higher HDL-cholesterol levels. 4. Compared with controls, MCG-treated mice had blood triglyceride and free fatty acid levels, the magnitude of which was prominent in MCG-2. 5. Blood AST and ALT concentrations were not changed by MCG, indicating MCG do not show any toxic effects. Conclusions : These results demonstrate that MCG effectively increases blood insulin level and decreases blood glucose level, blood lipid levels, and prevents and improves diabetic dyslipidemia and cardiovascular disease.