• 제목/요약/키워드: Clinical Terminology

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Real time automatic EEG report making based on quantitative interpretation of awake EEG

  • Nakamura, Masatoshi;Shibasaki, Hiroshi;Imajoh, Koaru;Ikeda, Akio;Mitsuyasu, Isao
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1992년도 한국자동제어학술회의논문집(국제학술편); KOEX, Seoul; 19-21 Oct. 1992
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    • pp.503-508
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    • 1992
  • A new method for making automatic electroencephalogram(EEG) report based on the automatic quantitative interpretation of awake EEG was developed. We first analysed a. relationship between EEG reports and quantitative EEG interpretation done by a qualified electroencephalographer(EEGer) for 22 subjects. Based on the analysed relationship and usual process of report making by the EEGer, we defined all terminology necessary for EEG report and established rules for EEG report making. By the combined use of the proposed EEG report making and the method for automatic quantitative EEG interpretation presented at '90 KACC, we were able to make the automatic EEG reports which were equivalent to the EEG reports written by the EEGer. As all the procedures were programmed in a personal computer equipped with an AD (analogue-to-digital) converter, the automatic EEG reports were obtained in almost real time in usual actual EEG recording situation with only a few seconds time lag for the analysis in the computer. The proposed report making method and the quantitative EEG interpretation method will be effectively applicable to the clinical use as an assistant tool for physicians.

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『강평상한론(康平傷寒論)』 내 '상한(傷寒)' 개념의 다양성에 대한 고찰 (A Study on the Diversity of Shanghan(傷寒) Concept in Gangpyeong-Sanghanlun(康平傷寒論))

  • 이숭인;정종길
    • 대한한의학원전학회지
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    • 제28권1호
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    • pp.97-110
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    • 2015
  • Objectives : Usually medical terminology of oriental mecidine has a multiple meaning. But concept of Shanghan(傷寒) should be simple, because Shanghanlun(傷寒論) is a clinical guideline book. So I researched to suggest many concept of Shanghan, which are suitable for each chapter of Shanghanlun. Methods : I enumerated provisions including Shnaghan from the original texts of Gangpyeong-Shanghanlun(康平傷寒論). And I translated and reviewed them. Results : 1. Shanghan of Preface(序文) means a disease of high fatality. 2. Shanghan of Shanghanrye(傷寒例) means diseases due to physical damage of cold weather. 3. Shanghan of Diagnosis of Daeyang Disease(辨大陽病) - Neck stiffness(痙), Dampness(濕), Sun stroke(暍) means certain disease names accompanying fever, chill. 4. Shanghan used in Diagnosis of Diseases is a premise of many provisions of Shanghanlun. And Shanghan is made up of finished fever, expected fever, chill, body pain, loss of appetite, image of tension. Conclusions : We can use a appropriate translation on Shanghan of each chapter of Gangpyeong-Sanghanlun. Especially Shanghan used in "Diagnosis of Diseases" should have more accurate meaning.

The Chinese Black Box - A Scientific Model of Traditional Chinese Medicine

  • Theodorou, Matthias;Fleckenstein, Johannes
    • Journal of Acupuncture Research
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    • 제36권1호
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    • pp.1-11
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    • 2019
  • Models of traditional Chinese medicine (TCM) are still difficult to grasp from the view of a Western-cultural background. For proper integration into science and clinical research, it is vital to think "out of the box" of classical sciences. Modern sciences, such as quantum physics, system theory, and information theory offer new models, that reveal TCM as a method to process information. For this purpose, we apply concepts of information theory to propose a "Chinese black box model," that allows for a non-deterministic, bottom-up approach. Considering a patient as an undeterminable complex system, the process of getting information about an individual in Chinese diagnostics is compared to the input-process-output principle of information theory and quantum physics, which is further illustrated by Wheeler's "surprise 20 questions." In TCM, an observer uses a decision-making algorithm to qualify diagnostic information by the binary polarities of "yang" (latin activity) and "yin" (latin structivity) according to the so called "8 principles" (latin 8 guiding criteria). A systematic reconstruction of ancient Chinese terms and concepts illuminates a scattered scientific method, which is specified in a medical context by Latin terminology of the sinologist Porkert [definitions of the Latin terms are presented in Porkert's appendix [1] (cf. Limitations)].

Epilepsy Surgery in 2019 : A Time to Change

  • Phi, Ji Hoon;Cho, Byung-Kyu
    • Journal of Korean Neurosurgical Society
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    • 제62권3호
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    • pp.361-365
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    • 2019
  • Epilepsy has been known to humankind since antiquity. The surgical treatment of epilepsy began in the early days of neurosurgery and has developed greatly. Many surgical procedures have stood the test of time. However, clinicians treating epilepsy patients are now witnessing a huge tide of change. In 2017, the classification system for seizure and epilepsy types was revised nearly 36 years after the previous scheme was released. The actual difference between these systems may not be large, but there have been many conceptual changes, and clinicians must bid farewell to old terminology. Paradigms in drug discovery are changing, and novel anti-seizure drugs have been introduced for clinical use. In particular, drugs that target genetic changes harbor greater therapeutic potential than previous screening-based compounds. The concept of focal epilepsy has been challenged, and now epilepsy is regarded as a network disorder. With this novel concept, stereotactic electroencephalography (SEEG) is becoming increasingly popular for the evaluation of dysfunctioning neuronal networks. Minimally invasive ablative therapies using SEEG electrodes and neuromodulatory therapies such as deep brain stimulation and vagus nerve stimulation are widely applied to remedy dysfunctional epilepsy networks. The use of responsive neurostimulation is currently off-label in children with intractable epilepsy.

항암화학요법과 한방치료를 병행하여 치료한 하인두암 환자 1례 (A Case Report of Hypopharyngeal Cancer Improved with Chemotherapy and Korean Medicine Therapy)

  • 문향란;조온유;정성헌;윤민지;장권준;양정민;이지윤;황우석;신광순
    • 대한한방내과학회지
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    • 제43권1호
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    • pp.79-89
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    • 2022
  • This study examined the clinical effects of Korean medicine therapy in a patient with hypopharyngeal cancer treated with chemotherapy. A 53-year-old male patient suffering from hypopharyngeal cancer was treated with docetaxel as well as acupuncture and herbal medicine. Tumor size was measured by computed tomography (CT) and adverse events were evaluated according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. After two months of combined treatment, the size of the tumor mass was reduced at the left side of the neck, posterior to the CCA and at the lymph node in the left retropharyngeal area and medial aspect of the carotid sheath. The adverse events of chemotherapy also improved. This study indicates that Korean medicine therapy, such as acupuncture and herbal medicine, may lessen the side effects of chemotherapy and may be effective in the treatment of hypopharyngeal cancer.

An overview of Acne Vulgaris (Busoor Labaniya)

  • Mehnaz, Mehnaz;Shamsi, Yasmeen;Akhtar, Md. Wasi;Zaidi, Sahar;Mohanty, Sujata;Ahmad, Sayeed
    • 셀메드
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    • 제12권2호
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    • pp.9.1-9.5
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    • 2022
  • Acne vulgaris is a common dermatological condition affecting the pilosebaceous units and having a multifactorial etiology. In Unani terminology, acne vulgaris is referred as Busoor Labaniya, characterized by white lesions on the face, nose, and cheeks; on squeezing, release cheesy material. In conventional medicine, mild cases are best addressed with topical regimens, but more severe cases require systemic medications. Retinoids (retinoic acid, adapalene, isotretinoin, tazarotene), benzoyl peroxide, clindamycin, erythromycin, and azelaic acid are a few examples of topical medications, whereas systemic drugs include antibiotics (Doxycycline, minocycline, erythromycin, azithromycin). In the Unani System of Medicine, numerous single and compound drugs have been used to treat Busoor Labaniya. These drugs are considered harmless and do not have any major side effects. In Unani system of medicine, acne vulgaris is effectively managed with natural medicines as well as therapeutic regimens with minimal side effects even after long-term usage. Acne vulgaris is usually treated with systemic blood purifiers along with topical Unani drugs. Hence, clinical studies with proper scientific parameters are needed to be conducted to establish and validate their efficacy in the prevention and control of acne vulgaris.

위에서 전암병변의 분류와 임상적 의의 (Classification and Clinical Implications of Precancerous Lesions in the Stomach)

  • 김경미
    • Journal of Gastric Cancer
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    • 제9권2호
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    • pp.46-50
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    • 2009
  • 암종화 과정 중 침윤성 암종의 발생에 선행하는, 형태학적으로 인지되는 병변이 전암병변이다. 그러나 전암병변의 임상적인 중요성에도 불구하고 전암병변에 대한 목록이나 분류에 대한 노력은 거의 전무한 실정이었다. 2001년 미국암연구소 주최 전암병변의 분류에 대한 모임에서는 전암 병변이나 비침윤성 병변에 대한 통일된 전문용어가 없음을 결론짓고 모든 주요 장기에서 전암병변의 용어와 진단 기준에 대한 협약을 할 것을 권고하였다. 이 모임에서 결정된 바에 의하면 모든 전암병변이 종양으로 진행되는 것은 아니라는 것이다. 그리고 한편으로는 종양으로서의 특성이 명확히 밝혀지지는 않았으나 암과 밀접하게 연관이 있는 것으로 밝혀진 미만성의 증식성 병변도 전암병변으로 분류하였다. 본 종설은 이러한 전암병변의 정의 및 분류 체계에 맞추어 인체의 주요 장기인 위에서의 전암병변을 분류하고 그 임상적 의의를 알아보고자 한다.

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한의학 기초이론의 현대화와 한의학 이론용어 (Discussion on the Issues of the Modernization of the Fundamental Theories and Terms in Korean Medicine)

  • 이충열
    • 동의생리병리학회지
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    • 제27권5호
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    • pp.540-552
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    • 2013
  • This study focuses on discussing several issues that we encounter when we 'modernize' the fundamental theories of Korean Medicine(KM): It is pertinent to set the boundaries of the "fundamental theories" of the KM. The boundaries can be set based on: a) setting the medicine and the philosophy of medicine apart and b) re-evaluating the traditional theories of KM based on the needs of the modern practitioners of KM. The fundamental theories of KM should focus on how effectively they can observe, explain, and predict the clinical cases. The clinical cases and observations should not be distorted in order to satisfy the theory. "The modernization of KM" can be defined as the change in traditional medicine to fit the needs of the contemporary world, while not losing the focus and the nature of the KM. The fundamental theories of KM will play a key role in modernizing the KM, as the focus and the inherent nature of the KM comes from these fundamental theories. The modernization of the fundamental theories of KM will be crucial to both possible models of future healthcare system-the plural healthcare system, or the western medicine-centric integrated healthcare system. The modernization will also help in advancing the future medical studies. The key to modernization of the fundamental theories of the KM is in translating the key terms of KM in modern light. As a solution, this study suggests paying attention to the 'scientific metaphors', and especially to the 'theory-constitute metaphors' among those. More in-depth studies need to be done on these.

재발 진행성 위암 환자의 FOLFOX 유발 부작용 개선에 대한 한의 치료 1례 (A Case Report of FOLFOX-induced Adverse Events in a Patient with Recurrent Advanced Gastric Cancer Treated with Korean Medicine)

  • 고명현;양재호;전형준;조종관;이연월;박소정;유화승
    • 대한한방내과학회지
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    • 제41권1호
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    • pp.81-87
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    • 2020
  • Objective: The purpose of this study was to report the clinical effectiveness of Korean medicine treatment on FOLFOX-induced symptoms such as nausea and dizziness in a patient with recurrent advanced gastric adenocarcinoma. Methods: The patient was diagnosed with recurrent advanced gastric cancer and had FOLFOX-induced nausea and dizziness. The patient was treated with Samchulgunbi-tang and Banhasashim-tang for symptom management. The clinical outcomes were measured by National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) and a numeral rating scale (NRS). Results: After treatment, the patient's nausea and dizziness were relieved from NRS 9 to 2 and NRS 8 to 2 respectively. During and after treatment, no severe toxicities were detected on laboratory findings. Conclusion: This case study suggests that Samchulgunbi-tang and Banhasashim-tang may relieve symptoms of FOLFOX-induced nausea and dizziness.

고주파 온열치료와 소라페닙을 병용하여 호전된 재발성 간암환자 1례 (A Case Report of Recurred Hepatocellular Carcinoma Patient Treated with Radio-Frequency Hyperthermia in Conjunction with Sorafenib)

  • 김지혜;이종훈;주종천;이정복;조종관;유화승
    • 대한암한의학회지
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    • 제21권2호
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    • pp.63-74
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    • 2016
  • Objective : The purpose of this study is to report the effects of radio-frequency hyperthermia cancer treatment in conjunction with Sorafenib on hepatocellular carcinoma patient. Method : The patient was diagnosed with hepatocellular carcinoma at S6/7 and treated with right posterior sectionectomy. After 4 months, tumor recurrence was found at S4, 5 and 8. After transarterial chemoembolization, the patient was prescribed Sorafenib (proprietary name $Nexavar^{(R)}$ ) as well as proceeding with radio-frequency hyperthermia. The clinical outcomes were measured by computed tomography, laboratory findings including tumor markers (AFP, PIVKA-II), natural killer (NK) cell activity, and numeric rating scales (NRS). Results : After the treatment, tumor size was decreased accompanying by reducing the level of tumor markers (AFP, PIVKA-II). Major clinical symptoms were improved with increasing NK cell activity. There were no adverse events based on National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0. Conclusion : This case suggests that radio-frequency hyperthermia has synergistic effect for the treatment of hepatocellular carcinoma patient in conjunction with Sorafenib.