• Title/Summary/Keyword: History taking

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Association Assessment among Risk Factors and Breast Cancer in a Low Income Country: Bangladesh

  • Ahmed, Kawsar;Asaduzzaman, Sayed;Bashar, Mamun Ibn;Hossain, Goljar;Bhuiyan, Touhid
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7507-7512
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    • 2015
  • Background: In the low incoming country Bangladesh, breast cancer is second most common neoplasm and is increasing at an alarming rate among females. Lack of awareness and illiteracy are contributory factors for late presentation and therefore mortality. Purpose: To examine associations of different factors with breast cancer mortality and to raise awareness among the women of society in Bangladesh. Materials and Methods: This descriptive case-control study was conducted on 160 participants from April 2011 till July 2014. Through a valid questionnaire covering personal and family history, data were collected by face to face interview. For analyzing correlations among factors with breast cancer data, binary logistic regression, Pearson's ${\chi}^2$-value, odd ratios and p-value tests were conducted with SPSS version 20. Results: The mean age of the patients was 43.0 ($SD={\pm}11.12$). In ascending order the leading significant factors were hormone therapy (p<0.0000, OR=4.897), abortion (p<0.0001, OR=3.452), early start menarche (p<0.0002, OR=3.500), family history (p<0.0022, OR=3.235), and late menopause (p<0.0093, OR=3.674) with both ${\chi}^2$ test and logistic regression analyses. Non-significant factors were cancer experience, fatty food habits, marital status and taking alcohol. Conclusions: Regarding the investigation of this study, significant and insignificant factor's correlation visualization with breast cancer will be helpful to increase awareness among Bangladeshi women as well as all over the world.

The life and scholastic career of a New Math campaigner, Zoltan P. Dienes (새수학 운동가 Zoltan P. Dienes의 생애 및 연구 업적)

  • Kim, Soo-Mi
    • Journal for History of Mathematics
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    • v.22 no.3
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    • pp.153-170
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    • 2009
  • Zoltan, P. Dienes is a famous researcher and practitioner who has tried to teach mathematical structures to children for about 50 years. Even though his ideas of teaching mathematics and materials including MAB have been well known in Korea, they are only a part of his achievement he has developed for his whole life. So this article is designed for taking an overview of his whole life and achievement and getting some implications for today's mathematics education. In this article, his life story could be divided by five periods in terms of a scholastic career and his research achievement could be reorganized with respect to five theses: psychology of learning mathematics, mathematical curriculum, teacher education, games and material for mathematical learning. As a result, it is found that there is a deep connection between his personal life and his scholastic career.

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Surgical Correction of Congenital Type IV Atresia Ani with a URethrorectal Fistula in a Dog (개의 선천성 제4형 항문폐쇄증과 요도직장루의 외과 교정술)

  • Kim Jong Min;Lee Jae Yeong;Cho Ki-Rae;Han Tae-Sung;Kim So-Seob;Han Kyu-bo;Kim Gonhyung;Choi Seok Hwa
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.404-407
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    • 2005
  • A 4-week-old 0.5 kg male Shih Tzu with history of congenital abnormality, abnormality, was referred to Veterinary Teaching Hospital, Chungbuk National University for further evaluation and treatment. During physical examination, the dog revealed mild depression and dyschezia. In plain radiographs, a digital thermometer put in the anus and grasped blind end of the rectum. In contrast radiographs, a urethrorectal fistula was confirmed. Urine specimens were collected with cystocentesis. Bacteria of the urine were detected using an auto microorganism analyzer. According to history taking, physical examination, radiographic signs and urinalysis, it was diagnosed as type IV atresia ani with a urethrorectal fistula. The dog was treated by fistulectomy and anoplasty, and discharged with instruction. Three days after operation, mild dehiscence was appeared. Wound was left to heal by second intention. During the follow-up of eight weeks, wound showed it to be healed and defecation was normal.

Induced Abortion and Breast Cancer: Results from a Population-Based Case Control Study in China

  • Wu, Jun-Qing;Li, Yu-Yan;Ren, Jing-Chao;Zhao, Rui;Zhou, Ying;Gao, Er-Sheng
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3635-3640
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    • 2014
  • Aim: To determine whether induced abortion (IA) increases breast cancer (BC) risk. Materials and Methods: A population-based case-control study was performed from Dec, 2000 to November, 2004 in Shanghai, China, where IA could be verified through the family planning network and client medical records. Structured questionnaires were completed by 1,517 cases with primary invasive epithelial breast cancer and 1,573 controls frequency-matched to cases for age group. The information was supplemented and verified by the family planning records. Statistical analysis was conducted with SAS 9.0. Results: After adjusting for potential confounders, induced abortions were not found to be associated with breast cancer with OR=0.94 (95%CI= 0.79-1.11). Compared to parous women without induced abortion, parous women with 3 or more times induced abortion (OR=0.66, 95%CI=0.46 to 0.95) and women with 3 or more times induced abortion after the first live birth (OR=0.66, 95%CI =0.45 to 0.97) showed a lower risk of breast cancer, after adjustment for age, level of education, annual income per capita, age at menarche, menopause, parity times, spontaneous abortion, age at first live birth, breast-feeding, oral contraceptives, hormones drug, breast disease, BMI, drinking alcohol, drinking tea, taking vitamin/calcium tablet, physical activity, vocation, history of breast cancer, eating the bean. Conclusions: The results suggest that a history of induced abortions may not increase the risk of breast cancer.

Surgical Correction of Single Extrahepatic Portosystemic Shunt Using Ameroid Constrictor in a Dog (Ameroid Constrictor를 이용한 개에서의 단순 간외성 간문맥전신단락증의 치료)

  • 정성목;이충호;양정환;김완희;최민철;윤정희;이주명;권오경;남치주
    • Journal of Veterinary Clinics
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    • v.18 no.4
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    • pp.442-447
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    • 2001
  • A 2-year-old 4.0-kg female Shih Tzu with history of hematemesis and melena was referred to Veterinary Medical Teaching Hospital, Seoul national University for further evaluation and treatment. During physical examination, the dog revealed mild depression, dry mucous membrane and abdominal pain. Hematologic values were normal and serum chemical values showed increased serum bile acid (53.47 umol/l, preprandial), fasting serum ammonia concentration (184 g/dl), alanine transferase (98 U/L), alkaline phosphatase (871 U/L) and gamma glutamyl transpeptidase (21 U/L), and decreased blood urea nitrogen (4 mg/dl), total protein (4.1 g/dl) and albumin (1.2 g/dl). Microhepatica was shown in abdominal radiography. During the ultrasound examination, dilated tortuous vein communicating with caudal vena cava ws observed near the stomach. Intraoperative jejunal vein portography was performed during laparotomy to confirm the location and size of shunt vessel. According to history taking, physical examination, hematologic and serum chemical examination and radiographic study, it was diagnosed as single extrahepatic portosystemic shunt. The anomalous vessel (7 mm, o.d.) that enter the caudal vena cava from the left gastric vein, near the level of the diaphragm, was identified. A Ameroid constrictor (5 mm, i.d.) was applied to the shunting vessel near the caudal vena cava. Hematologic and serum chemical values recovered gradually and were revealed normal values 4 months after surgery. Four month after surgery serum bile acids concentrations were 0.56 $\mu$mol/l (preprandial) and 18.45 umol/l (postprandial). Abdominal radiograph showed normal gastric axis and it revealed normal size of the liver. Fine texture and increased echogenecity of liver and enlargement of portal vein were shown in ultrasonography. Single extrahepatic portosystemic shunt might be treated surgically using Ameroid constrictor.

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A Study on Constitution Therapy Based on Hyeong-Gi Concept (형기(形氣)의 개념으로 이해한 체질치료 연구)

  • Jeong, Hui-Seok;Kim, Do-Hoon
    • Journal of Korean Medical classics
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    • v.28 no.2
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    • pp.67-85
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    • 2015
  • Objectives : To find appropriate constitutional therapy by understanding Hyeong and Gi from the perspective that "Gi is inner position, and Hyeong is outer position, and Yang converts to Gi, Eum makes Hyeong(氣裏形表, 陽化氣 陰成形)". Methods : 1. Defined Hyeong(形)and Gi(氣)and studied Wonhyeong(圓形) and Banghyeong(方形), the shapes that are formed as a result of Gi-movement. 2. Used 'Hyeong-Gi' concept to analyze physiological and pathological phenomena; classifies parts of the body into Sasang by extrapolating from WonBang concept; and studied Sasangchejil. 3. Based on the above 1 and 2, studied medical direction of Sasangchejil written in Hwangjenaegyeongsomun Tongcheon Results : 1. Wonhyeong is the result of Yang(陽) movement, whereas Banghyeong is the result of Eum (陰) movement. 2. Hyeong(body) can be classified into Won(圓, circle) and Bang(方, square) or more specifically into Won of Won, Bang of Won, Won of Bang, Bang of Bang. Each corresponds to Taeyang(太陽), Soyang(少陽), Taeeum(太陰), and Soeum(少陰). 3. The constitutional therapy can be formulated by refering to "Tongcheon(通天)" and by taking into consideration that each Sasang constitution has a bias toward Mok(木), Hwa(火,) Gum(金), Su(水). Conclusions : Basic treatment for round shaped people needs to be focused on a cure of Boeum(補陰) and Bojeong(補精), whereas for angular shaped people, treatment should be about Bogi(補氣) and Boyang(補陽). Treatment for Taeyangin(太陽人) should be about strengthening Ganeum(肝陰) and reducing Paeyang(肺陽) and for Soyangin(少陽人), the treatment needs to be strengthening Sineum(腎陰) and diminish Biyang(脾陽). Taeeumin(太陰人) should receive a cure that reinforces Pyeyang(肺陽) and brings Ganeum(肝陰) down, whereas Soeumin(少陰人) should have a cure that strengthens Gi and increases Yang.

A Study on the Characteristics of Eight Extra Meridians:Focused on the Chapter of Pyoung Gi Kyoung Pal Maek Byoung of the Pulse Classic and the 27, 28 and 29th Question of the Classic of Difficult Issues (『맥경』 평기경팔맥병편과 『난경』 27, 28, 29난을 중심으로 한 기경팔맥에 관한 고찰)

  • Youn, Daehwan;Shin, Wook;Sheen, Yeong il;Lee, Namgu;Na, Changsu
    • Korean Journal of Acupuncture
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    • v.32 no.2
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    • pp.41-50
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    • 2015
  • Objectives : In this study we investigated characteristics of eight extra meridians based on the chapter of Pyoung Gi Kyoung Pal Maek Byoung(PGKPMB) of the Pulse Classic(Maijing; PC) and the 27, 28, and $29^{th}$ question of the Classic of Difficult Issues(Nanjing; CDI). Methods : We searched out the contents of eight extra meridians in historical background, the principal and circulation of eight extra meridians, and the symptoms and pulse diagnosis of eight extra meridians on the PGKPMB of the PC and the 27, 28, and $29^{th}$ question of the CDI. Results and Conclusions : About development of eight extra meridians, content which was scattered in the CDI was supplemented and developed in the CDI. Also taking over the content in the CDI, the meaning of the eight extra meridians was expanded and supplemented in the PC. In the PC, the mechanism about symptom of eight extra meridians especially has been described. Also materialization of symptom which linked to pathogenic pulse of eight extra meridians had a great impact on future generation.

The Study on the Jointing Method of Wooden Members at Unified Silla Architecture (통일신라건축 목조결구기법에 관한 연구)

  • Hwang, Se-Ok;Hur, Bum-Pal
    • Journal of architectural history
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    • v.18 no.1
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    • pp.7-29
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    • 2009
  • In understranding the essence of the Korea traditional Architecture, it is important to consider the jointing methods of architectural members, architectural technologies, etc. Especially the purpose of this study is understanding on the Jointing Method of Wooden Members in the period of Unified Silla Architecture. It's conclusion is summarized as follows. 1. A section of column has very close to do with the foundation stone. The structures of foundation stone and column are generally concluded by butt joint, arrow-head joint, housed joint by Grang-e method. Judu is structured by arrow-head joint And, in general, beam is structured by Sagaematchum Chumcha and sagaljudu of Don direction. At the head of Pyungju and the body of Goju, Changbang is structed by Jangbumachum with arrow-head joint or by jumukchang-machum. Also, it is surmised that Gyisoseum and Anssolim methods had been applied to columns from former ages. The example can be found at Bagjae Mireuksaji stone pagoda. Bagjae Mireuksaji stone pagoda taking wooden-pagoda form adopts Gyisoseum and Anssolim methods. We can also find such a sort of methods from other stone constructions like Budo, etc. 2. Injahwaban is structured by short Changbumachum with arrowed-head joint at upper members, and by Anjangmachum at the lower part. This sort of Gongpo style can be seen in the mural painting of tomb of Koguryo and in Buplyungsa, Buplyunsa, Bupkisa-located in Japan, which are influenced by Bakjae or Unified Silla. It is considered that at the end of the late United Silla, Injawhaban had been replaced with Chumcha and Soro on the Pyungbang under influence of Dapo style from China.

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A Clinical Analysis of 140 cases of Seborrheic Dermatitis Patients (지루성 피부염 환자 140례의 임상 특성 연구)

  • Shin, Yoon-Jin;Lee, Jong-Woo
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.1
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    • pp.81-90
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    • 2018
  • Objectives : This study was performed to investigate the characteristic of Seborrheic Dermatitis(SD) patients who visited Korean medicine clinics. Methods : The study was carried out with 140 SD outpatients who visited fourteen Gowoongyul Korean traditional medical clinics from January to December 2016 and was completed by reviewing patients' survey. Results : 1. Among 140 patients, there were 61 male patients(43.6%), 79 female patients(56.4%). The average age of the patients was $32.6{\pm}10.9years$ old, with many in their 20s and 30s in the distribution. 2. The average duration of disease was $4.2{\pm}4.11years$. 3. 80% of the patients had experience of treatment, 58.6% only took Western medicine, 17.1% had experience of both Western and Korean medicine treatment, and 4.3% received only Korean medicine treatment. 4. Analysis of seasonal effects of SD showed that 48.6% of the respondents reported that skin disease always appeared regardless of the season, with 33.6% in winter, with 29.3% in summer and 25.7% in seasonal change. 5. The rate of family history of seborrheic dermatitis was low(6.4%), and 75.7% of the patients answered that they had no family history of skin disease. 6. The major lesion of SD appeared on face(87.9%) and scalp(36.4%). 7. 70.7% answered they do some kind of self-managements. 70.0% used moisturizers. Bathing therapy was performed in 17.1%, and 55% were taking the health supplement food, and 35.7% restricted the avoidance diet such as instant and fatty foods. Conclusions : This study demonstrated the various clinical characteristics of Korean patients with seborrheic dermatitis.

A Study on Pulse Pattern Using Ultrasonic Device (초음파기기를 이용한 맥상(脈象) 연구)

  • Kim, Hee Young;Park, Jeongbin;Keum, Yujeong;Yeo, Inkeum;Eom, Dongmyung;Song, Jichung
    • Journal of Korean Medical classics
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    • v.34 no.2
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    • pp.85-94
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    • 2021
  • Objectives : Pulse diagnosis is one of the main diagnostic methods of Korean Medicine that understands the patient's condition and illness by reading changes in the patient's pulse, which is described in terms of pulse condition While they are described in detail in medical texts, it is difficult to grasp their true nature, as the written descriptions fail to do justice to the experience of pulse taking it tries to convey. As a way to approach pulse condition the effect of the body's tension on the radial vein was measured using an ultrasonic device, after which the measured changes and how they could be reflected in pulse condition were studied. In other words, changes in the radial vein following induced tension were analyzed. Methods : 1) The thickness of the subject's radial vein was measured using a linear probe of an ultrasonic device[LOGIQ 5 Basic, GE, USA]. 2) Fatigue level was increased through artificial stimulation using the Gripmeter[ks-301, Lavisen, Korea]. 3) Thickness of the radial vein post tension induction was measured. 4) The results were analyzed with the Tukey test or paired t-test as post hoc tests. Results : Thickness of the radial vein of the subject pre- and post- Gripmeter stimulation decreased with significance. Conclusions : Constriction of the radial vein that happened after tension induction could be linked to the Tight Pulse[緊脈] that is related to patterns of contraction and pulling.