• 제목/요약/키워드: History of Disease Classification

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한국 한의학 질병사인분류 체계에 관한 연구 (The research on the disease classifications of the traditional medicine in Korea)

  • 최선미;박경모;신민규;신현규
    • 대한예방한의학회지
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    • 제4권2호
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    • pp.93-107
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    • 2000
  • Korea follows the Korea standard classification of disease and causes of death according to the ICD(international classification of disease) Oriental medicine began to of officially follow the classification of disease for using the Korean classification of diseases in 1972. The classification of OM(oriental medicine) has changed in shape experiencing two amendments. The largest difficulty was to overcome the different names of diseases between OM and ICD. A one-to-one correspondence of the name of a disease between OM and ICD is impossible So in the primary stage one-to-one and one-to-many correspondence was made. During the first amendment the international disease names were re-classified on the oriental medicine disease name's basis and at the same time the classification of OM was corresponded on a one-to-one basis to the ICD . During the second amendment this changed to many-to-many correspondence . Analyzing the history of classification of OM during the first and second amendments, it was discovered that establishment of the standards of classification, the unification of oriental medical terms, and overcoming the difference of disease names between the OM and ICD is necessary Also th classification and standardazation of OM must not stop as a single round. It must go on for a long time. The hosts of this project Korean oriental medical society and AKOM(association of korean oriental medicine) need to build a independant department which will supervise the classification project and monitor any problems to come up. Also a route through which suggestions can be taken in and new solutions can be brought up needs to be secured and an atmosphere in which studies can take place about the basis of classifications needs to be developed.

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『의방유취(醫方類聚)·제허문(諸虛門)』을 통해 본 동아시아 전통의학에서의 허노(虛勞)의 역사 (The Historical Study of Consumptive Diseases in East Asian Medicine through the Chapter of All Deficiency in 『Euibangyoochui』)

  • 정지훈
    • 한국의사학회지
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    • 제32권2호
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    • pp.51-59
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    • 2019
  • All Deficiency section (諸虛門) in Euibangyoochui (醫方類聚), fills volumes 143-154 of Euibangyoochui's 266 volumes. In it, diverse and meaningful concepts such as Consumptive Disease (虛勞) and Fatigue Due to Overexertion (勞倦) are introduced to describe deficiency-oriented diseases. Before the 10th century, there are classified into six categories: muscle exhaustion, pulse exhaustion, flush exhaustion, Qi exhaustion, essence exhaustion, bone exhaustion, and prescribing treatments for treating diseases corresponding to each exhaustion. As medical knowledge was integrated through the medical books compiled by the government, awareness of Consumptive Disease was advanced to clarify the concept of pathways. The Confucian doctors have led to changes in recognition of the cause of the Consumptive Disease from damage of human factors to an internal problem. It can be seen that the classification of hurdles has become more diverse just before the outbreak of Euibangyoochui and that they include various diseases.

Update on the Vein of Galen Aneurysmal Malformation : Disease Concept and Genetics

  • Hyun-Seung Kang
    • Journal of Korean Neurosurgical Society
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    • 제67권3호
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    • pp.308-314
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    • 2024
  • Vein of Galen aneurysmal malformation is one of important pediatric arteriovenous shunt diseases, especially among neonates and infants. Here, early history of the disease identification, basic pathoanatomy with a focus on the embryonic median prosencephalic vein, classification and differential diagnoses, and recent genetic studies are reviewed.

체질진단분류(體質診斷分類)에 따른 질병(疾病) 및 증상유형(症狀類型)에 관한 임상적 연구 - 문진표를 중심으로 - (A CLINLCAL STUDY OF the TYPE OF DISEASE AND SYMTOM ACCORDING TO SASANG CONSTITUTION CLASSWICATION (in the field of questionnaire analysis))

  • 김종원
    • 사상체질의학회지
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    • 제8권1호
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    • pp.337-347
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    • 1996
  • 동의대학교 한의과대학 부속한방병원에 내원한 76명을 대상으로 체질진단분류와 질병 및 증상유형과의 관계를 문진표 (19개 항목 123문항)를 중심으로 비교 분석하여 다음과 같은 결론을 얻었다. 1. 체중감소증상은 체질에 따라 유의한 차이가 있었고 태음인이 소양인이나 소음인에 비하여 더욱 빈발하였다. 2. 구토증상은 체질에 따라 유의한 차이가 있었고 태음인이 소양인이나 소음인에 비하여 더욱 빈발하였다. 3. 목이 쉬는 증상은 체질에 따라 유의한 차이가 있었고 소음인이 소양인이나 태음인에 비하여 더욱 빈발하였다. 4. 호흡곤란 증상은 체질에 따라 유의한 차이가 있었고 태음인이 소양인이나 소음인에 비하여 더욱 빈발하였다. 5. 관절통 증상은 체질에 따라 유의한 차이가 있었고 소양인이 소음인이나 태음인에 비하여 더욱 빈발하였다. 6. 생리통증상은 체질에 따라 유의한 차이가 있었고 소음인이 소양인이나 태음인에 비하여 더욱 빈발하였다. 7. 과거력은 체질에 따라 유의한 차이가 없었으며 다만 과거력은 나이에 따라 일부 유의한 차이가 있었을 뿐이다. 이상의 결과로 볼 때 체질과 각종 질병이나 증상유형에 대한 임상적인 연구가 더욱 필요할 것으로 사려된다.

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Chronic Obstructive Pulmonary Disease: Respiratory Review of 2014

  • Lee, Young-Min
    • Tuberculosis and Respiratory Diseases
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    • 제77권4호
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    • pp.155-160
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    • 2014
  • Chronic obstructive pulmonary disease (COPD) is characterized by a diverse array of pulmonary and nonpulmonary manifestations, but our understanding of COPD pathogenesis and the factors that influence its heterogeneity in disease presentation is poor. Despite this heterogeneity, treatment algorithms are primarily driven by a single measurement, forced expiratory volume in 1 second ($FEV_1$) as a percentage of its predicted value ($FEV_1%$). In 2011, a major shift in Global Initiative for Chronic Obstructive Lung Disease (GOLD) treatment recommendations was proposed that stratifies patients with COPD on the basis of symptoms and exacerbation history. This article reviews the work reported in 2013 that enlightens our understanding of COPD with respect to COPD classification systems, phenotype, biomarker, exacerbation, and management for patients with COPD.

한국 한의학에서 소갈 분류의 형성과정 (The formation of Sogal concept and classification in Korean Traditional Medicine)

  • 조선영;유원준;안상우;김남일
    • 한국한의학연구원논문집
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    • 제13권2호통권20호
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    • pp.1-14
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    • 2007
  • To overcome the limits of prevention and treatment against Diabetes Mellitus(DM) in Western medicine, there have been tendency finding solutions in traditional medicine based on Sogal. But Sogal had been so various concepts, classification and names. As a result there has been confusion in applying Sogal treatment to DM. So in order to clarify, it is necessary to study Sogal concepts and classification historically. The results of studying changes of Sogal concepts and classification are following : Untill AD 8 century, Sogal had not been only syndrome but also disease with throat and urinating difficulties. From 10c to 13c, Sogal had been divided three types in addition to the theories of internal organs, Samcho and complications. From 13c to 14c, the three types of Sogal theory was improved by various medical theory. But still Sogal covered the concepts of syndrome and disease. After 16c, in Chosun Dynasty. concepts of syndrome was eliminated and concepts of disease was strengthend by accounts on pathology, prognosis. complications and malignities. This tendeny was showed well in ${\ulcorner}DongEuiBoGam{\lrcorner}$ and connected to post doctors in Chosun. It was distiction with Chinese Traditional Medicine's view regarding Sogal as syndrome and disease as well, up to the present.

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The nature of triple-negative breast cancer classification and antitumoral strategies

  • Kim, Songmi;Kim, Dong Hee;Lee, Wooseok;Lee, Yong-Moon;Choi, Song-Yi;Han, Kyudong
    • Genomics & Informatics
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    • 제18권4호
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    • pp.35.1-35.7
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    • 2020
  • Identifying the patterns of gene expression in breast cancers is essential to understanding their pathophysiology and developing anticancer drugs. Breast cancer is a heterogeneous disease with different subtypes determined by distinct biological features. Luminal breast cancer is characterized by a relatively high expression of estrogen receptor (ER) and progesterone receptor (PR) genes, which are expressed in breast luminal cells. In ~25% of invasive breast cancers, human epidermal growth factor receptor 2 (HER2) is overexpressed; these cancers are categorized as the HER2 type. Triple-negative breast cancer (TNBC), in which the cancer cells do not express ER/PR or HER2, shows highly aggressive clinical outcomes. TNBC can be further classified into specific subtypes according to genomic mutations and cancer immunogenicity. Herein, we discuss the brief history of TNBC classification and its implications for promising treatments.

Is the Frozen Shoulder Classification a Reliable Assessment?

  • Gwark, Ji-Yong;Gahlot, Nitesh;Kam, Mincheol;Park, Hyung Bin
    • Clinics in Shoulder and Elbow
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    • 제21권2호
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    • pp.82-86
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    • 2018
  • Background: Although a common shoulder disease, there are no accepted classification criteria for frozen shoulder (FS). This study therefore aimed to evaluate the accuracy of the conventionally used FS classification system. Methods: Primary FS patients (n=168) who visited our clinic from January 2010 to July 2015 were included in the study. After confirming restrictions of the glenohumeral joint motion and absence of history of systemic disease, trauma, shoulder surgery, shoulder muscle weakness, or specific x-ray abnormalities, the Zuckerman and Rokito's classification was employed for diagnosing primary FS. Following clinical diagnosis, each patient underwent a shoulder magnetic resonance imaging (MRI) and blood tests (lipid profile, glucose, hemoglobin A1c, and thyroid function). Based on the results of the blood tests and MRIs, the patients were reclassified, using the criteria proposed by Zuckerman and Rokito. Results: New diagnoses were ascertained including blood test results (16 patients with diabetes, 43 with thyroid abnormalities, and 149 with dyslipidemia), and MRI revealed intra-articular lesions in 81 patients (48.2%). After re-categorization based on the above findings, only 5 patients (3.0%) were classified having primary FS. The remaining 163 patients (97.0%) had either undiagnosed systemic or intrinsic abnormalities (89 patients), whereas 74 patients had both. Conclusions: These findings demonstrate that most patients clinically diagnosed with primary FS had undiagnosed systemic abnormalities and/or intra-articular pathologies. Therefore, a modification of the Zuckerman and Rokito's classification system for FS may be required to include the frequent combinations, rather than having a separate representation of systemic abnormalities and intrinsic causes.

응급실 아나필락시스 상병등록의 정확도 (Accuracy of Disease Codes Registered for Anaphylaxis at Emergency Department)

  • 최진균;김선휴;이혜지;최병호;최욱진;안력
    • 대한임상독성학회지
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    • 제15권1호
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    • pp.24-30
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    • 2017
  • Purpose: This study was conducted to investigate the frequency and clinical characteristics of anaphylaxis patients who are registered inaccurately with other disease codes. Methods: Study subjects presenting at the emergency department (ED) were retrospectively collected using disease codes to search for anaphylaxis patients in a previous studies. The study group was divided into an accurate and inaccurate group according to whether disease codes were accurately registered as anaphylaxis codes. Results: Among 266 anaphylaxis patients, 144 patients (54%) received inaccurate codes. Cancer was the most common comorbidity, and the radio-contrast media was the most common cause of anaphylaxis in the accurate group. Cutaneous and respiratory symptoms manifested more frequently in the inaccurate group, while cardiovascular and neurological symptoms were more frequent in the accurate group. Blood pressure was lower, and shock and non-alert consciousness were more common in the accurate group. Administration of intravenous fluid and epinephrine use were more frequent in the accurate group. Anaphylaxis patients with a history of cancer, shock, and epinephrine use were more likely to be registered as anaphylaxis codes accurately, but patients with respiratory symptoms were more likely to be registered with other disease codes. Conclusion: In cases of anaphylaxis, the frequency of inaccurately registered disease codes was higher than that of accurately registered codes. Anaphylaxis patients who were not treated with epinephrine at the ED who did not have a history of cancer, but had respiratory symptoms were at increased risk of being registered with disease codes other than anaphylaxis codes.

수치료(水治療) 중 온천요법의 한의학적 문헌고찰 및 효능에 대한 연구 (A literature review and study on effect of Balneotherapy)

  • 김동건;허성규;김유진;허영진;공인표;한석훈;조영호;공경환;정수현;차윤엽
    • 한방안이비인후피부과학회지
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    • 제20권2호통권33호
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    • pp.132-141
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    • 2007
  • Objectives : The purpose of this study is to consider the definition, history, classification and clinical effect of balneotherapy. Methods : We researched oriental documents and recent sources of balneotherapy. Results and Conclusions : 1. Balneotherapy is medical cure method which uses physical chemistry effects of water. 2. Records of balneotherapy are seen in oriental documents such as Hwangjenaegyeong(黃帝內經), Sinnongbonchogyeong(神農本草經), Jaebyoungwonhuron(諸病源候論), Youmoonsachin(儒門事親), Bonchogangmok(本草綱目) and Donguibogam(東醫寶鑑) etc. 3. Spa can classify eleven types according to ingredient. The types were as following. Simple thermal spirng, Common salt spring, Sodium bicarbonated spring, Sulfate spring, Radioactive spring, Acid spring, Sulfur spring, Carbon dioxide spring, Iron spring, Alum spring & Sulfate-iron spring, Bicarbonatealkaline spring. 4. Physical, chemical and environmental effect of spa therapy have effectiveness on the chronic and we akness disease more than acute disease. And balneotherapy have more effectiveness on digestive disease, pulmonary disease, metabolic disease, circulatory disease, muscle skeletal disease and dermatologic disease than any other diseases.

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