• Journal of Physiology & Pathology in Korean Medicine
• /
• v.19 no.4
• /
• pp.897-902
• /
• 2005

Internal deficiency of vital Qi is origination of cancer and root cause of its development from the viewpoint of traditional Chinese medicine(TCM). For about 40 years, China has developed a combined system of TCM and Western medical system in treatment of cancers, laying stress on the therapeutic principle of strengthening the body resistance and restoring normal functioning of the body to consolidate the constitution (Fu Zheng Pei Ben). According to the results of the latest clinical and experimental studies, Chinese medicine not only increases curative effectiveness, but also reduces the side effect caused by the toxic, radio and chemical treatment of cancer cases in the western medical system as well as various complications. Long-term taking Chinese herbal medicine prevents recurrence and metastasis of tumor, and heightens long-term curative effectiveness after western medical treatments. It also helps to relieve symptoms, improve the quality of life, and prolong life of terminal cancer patients who have already lost opportunities of western medical treatments. In addition, it can prevent and cure premonitory symptoms of cancer.

• Journal of Chest Surgery
• /
• v.29 no.6
• /
• pp.651-654
• /
• 1996

Recently, we report a surgical experience of one case of acute prosthetic valve failure due to throe- bosis. The patient was 39-year old male who complained of dyspnea and orthopnea for 3 days before admission. The patient had not taken anticoagulant therapy for recent 4 months against medical ad- vice. The limitation of valve motion was revealed on echocardiography. We performed emergency reoperation with thrombectomy and prosthetic valve replacement. The patient had anuncomplicated postoperative course and have been followed up.

• Korean Journal of Bronchoesophagology
• /
• v.18 no.1
• /
• pp.5-8
• /
• 2012

Cryosurgery is a safe method for palliation of endobronchial malignancies causing airway obstruction. Due to its simplicity and effectiveness for controlling bleeding, endobronchial cryosurgery is considered to be a good method that is clinically applicable to a malignant endobronchial tumor. In cases with stenosis caused by an endoluminal tumor, cryo-recanalization with a cryoprobe was immediately effective in most of the patients. A novel technique described by Hetzel in 2004 to achieve rapid recanalization of central airway obstruction with endobronchial cryoprobe. Cryorecanalization technique is feasible and offers many advantages in the interventional therapy of malignant intraluminal tumors of the respiratory tract.

• Journal of Chest Surgery
• /
• v.29 no.12
• /
• pp.1373-1376
• /
• 1996

From October 1993 to February 1996, 9 patients with Wolfr-Parkinson-White syndrome underwent surgical ablation of the accessory atrioventricular conduction pathways. The indications for surgical ablation we e radiofrequency ablation failure in 6 cases, multiple accessory pathways in 1 case, catheter tip fracture ducting catheter ablation in 1 case and additional procedure(redo mitral valve replacement due to valve thrombosis) in 1 case. There was no operative mortality. The postoperative complications were noted In 2 cases pericardial effusion and wound Infection. All patients had accessory atrioventricular connections ablated which were proven by surface ECG and follow-up electrophysiologic study and have remained free of symptomatic tachycardia. The indications for surgical treatment of Wolff-Parkinson-White syndrome are radiofrequency ablation failure, multiple pathways, or when additional procedures are required The present results were satisfactory.

• Journal of Korean Medical classics
• /
• v.21 no.1
• /
• pp.303-315
• /
• 2008

안등창익(安藤昌益)(1703-1762)시일본강호시대적의사(是日本江戶時代的醫師), 야시독창이진보적사상가(也是獨創而進步的思想家). 비시의학적시대(卑視醫學的時代), 타주장여의론병제고의술혹의도적사회지위(他主張與醫論병提高醫術惑醫道的社會地位). 타사료(他寫了)"자연진영도(自然眞營道)"전정료대어의학원리화치방기술상참신적철학기초. 타적의학사상불시종병론출발(他的醫學思想不是從病論出發), 이시종생명론출발적(而是從生命論出發的), 즉생명시자연적창조물(卽生命是自然的創造物). 타인위유어사회적모순(他因爲由於社會的矛盾), 대자연화인회생병(大自然和人會生病), 나착사회병리학적기초(拿着社會病理學的基礎), 사병인론체계화(使病因論體系化). 이차병인시제기관관계적고취(而且病因是諸器官關係的告吹), 호성적부조(互性的不調), 인차타나출농정호성관계적호성치료론(因此他拿出弄正互性關係的互性治療論). 창익부정종장부론도삼초화심포적존재(昌益否定從藏腑論到三焦和心包的存在), 병중시위화비특이적기능. 인이주장별유분개적사장사부론(因而主張別有分開的四臟四腑論). 창익강조자연치유법적의학사상(昌益强調自然治癒法的醫學思想), 중시예방의학(重視豫防醫學), 재치료상현현출소극적일면(在治療上顯現出消極的一面). 재가상비판전통적의학론(再加上批判傳統的醫學論). 타이독창적자연철학위기초(他以獨創的自然哲學爲基礎), 당확립신적의학방법론시(當確立新的醫學方法論時), 사호범료조지과급적착오(似乎犯了燥之過急的錯誤). 상차여차(尙且如此), 타적독창사상도현재부단몰유피망기(他的獨創思想到現在不但沒有被忘記), 다소재의학분야상유열렬적후계자화지지자시(多少在醫學分野上有熱烈的後繼者和支持者是), 아문응해요주목적일면(我們應該要注目的一面).

• The Journal of Pediatrics of Korean Medicine
• /
• v.33 no.4
• /
• pp.89-99
• /
• 2019

Objectives The purpose of this study is to report a case of a child with alopecia areata who was reintroduced with the same herbal treatment that was used before. Methods The patient was treated for 10 months with the herbal medicine. After a relapse, this patient took the same herbal medicine for another 2 months. Results After the treatment, the patient's hair loss and hair conditions were improved. After a relapse, alopecia areata was resolved by reintroducing the same herbal medicine treatment, and the condition was maintained well for several months even after the end of the treatment. Conclusion This study shows the effects of the herbal medicine for alopecia areata in a child. However, further studies are needed, including long-term follow-up studies after the end of the treatment.

• Journal of the Korean Orthopaedic Association
• /
• v.56 no.1
• /
• pp.87-92
• /
• 2021

The radiographic findings of an osteolytic lesion in the knee may indicate numerous possible impressions. Furthermore, osteolysis is a possible cause if there is a surgical history of total knee arthroplasty (TKA). The authors diagnosed osteolysis of the fibular head after aseptic loosening of the tibial component of a cemented TKA in an 83-year-old female patient who visited with right knee pain and report their treatment with revision TKA along with a literature review.

• Journal of Medicine and Life Science
• /
• v.20 no.1
• /
• pp.32-37
• /
• 2023

The demand for total knee arthroplasty (TKA) is rapidly increasing worldwide. The most common indication for TKA is osteoarthritis (OA); however, some patients with rheumatoid arthritis (RA) also undergo TKA. This study aimed to investigate the effects of RA on TKA. Our findings revealed that patients with RA underwent TKA at a younger age than did patients with OA. However, contrary to the findings of pre-21st century studies, the average age of TKA among patients with RA was not significantly different from that of patients with OA. Additionally, patients with RA had a 1.5-fold higher risk of undergoing TKA. Although not statistically significant, patients with RA had a higher revision TKA rate, a shorter time until revision TKA, and underwent more revision TKAs due to infections than did patients with OA. An analysis of factors that affect revision TKA revealed that the risk of revision increased if the erythrocyte sedimentation rate and C-reactive protein levels were increased at the time of TKA. This study showed that patients with RA have a slightly higher risk of undergoing TKA than did patients with OA. Furthermore, the presence of inflammation at the time of TKA increases the risk of revision; therefore, inflammation should be adequately controlled before performing TKA.

• Journal of Chest Surgery
• /
• v.31 no.10
• /
• pp.939-944
• /
• 1998

Background: The sugical results of the Cox-Maze procedure (CMP) for lone atrial fibrillation(AF) have proven to be exellent. However, those for AF associated with mitral valve(MV) disease have been reported to be a little inferior. Materials and methods: To assess the efficacy and safety of the CMP as a combined procedure with MV operation, we studied retrospectively our experiences. Between April 1994 and October 1997, we experienced 70 (23 males, 47 females) cases of CMP concomitantly with MV operation. Results: The etiologies of MV disease were rheumatic in 67 and degenerative in 3 cases. The mean duration of AF before sugery was 66$\pm$70 months. Fifteen patients had the past medical history of thromboembolic complications, and left atrial thrombi were identified at operation in 24 patients. Twelve cases were reoperations. Aortic cross clamp (ACC) time was mean 151$\pm$44 minutes, and cardiopulmonary bypass (CPB) time was mean 246$\pm$65 minutes. Concomitant procedures were mitral valve replacement (MVR) in 19, MVR and aortic valve replacement (AVR) in 14, MVR and tricupid annuloplasty (TAP) in 8, MVR with AV repair in 3, MV repair in 11, MVR and coronary artery bypass grafting (CABG) in 2, MVR and AVR and CABG in 1, redo-MVR in 10, redo-MVR and redo-AVR in 2 patients. The rate of hospital mortality was 1.4%(1/70). Perioperative recurrence of AF was seen in 44(62.9%), and atrial tachyarrhythmias in 10(14.3%), low cardiac output syndrome in 4(5.7%), postoperative bleeding that required mediastinal exploration in 4(5.7%) patients. Other complications were acute renal failure in 2, aggravation of preoperative hemiplegia in 1, and transient delirium in 1 patient. We followed up all the survivors for 16.4 months(3-44months) on an average. Sinus rhythm has been restored in 65(94.2%) patients. AF has been controlled by operation alone in 73.9% and operation plus medication in 20.3%. Two patients needed permanent pacemaker implantation; one with sick sinus syndrome, and the other with tachycardia- bradycardia syndrome. Only two patients remained in AF. We followed up our patients with transthoracic echocardiography to assess the atrial contractilities and other cardiac functions. Right atrial contractility could be demonstrated in 92% and left atrial contractility in 53%.We compared our non-redo cases with redo cases. Although the duration of AF was significantly longer in redo cases, there was no differences in ACC time, CPB time, postoperative bleeding amount and sinus conversion rate. Conclusions: In conclusion, the CMP concomitant with MV operation demonstrated a high sinus conversion rate under the acceptable operative risk even in case of reoperation.

• Journal of Chest Surgery
• /
• v.42 no.2
• /
• pp.248-251
• /
• 2009

Nonocclusive mesenteric ischemia (NOMI) is a rare complication that occurs in about 0.05% of patients after openheart surgery, and NOMI refers to the mesenteric ischemia that's caused by splanchnic vasospasm without occlusion of the great intestinal vessels. In the presently reported case, NOMI developed to maintain the blood flow to the heart and brain after several minutes of a hypotensive status and the latter was caused by acute aortic dissection that complicated an aortic cannulation procedure. Unfortunately, the patient died even though the problems were diagnosed early and proper treatment was administered. Early diagnosis of NOMI by angiography and the selective infusion of vasodilators are thought to be the only way to improve survival for patients with clinically suspected NOMI.