• Title/Summary/Keyword: Hospital medicine

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Effects of infections with five sexually transmitted pathogens on sperm quality

  • Kim, Sung Jae;Paik, Doo-Jin;Lee, Joong Shik;Lee, Hyo Serk;Seo, Ju Tae;Jeong, Mi Seon;Lee, Jae-Ho;Park, Dong Wook;Han, Sangchul;Lee, Yoo Kyung;Lee, Ki Heon;Lee, In Ho;So, Kyeong A;Kim, Seon Ah;Kim, Juree;Kim, Tae Jin
    • Clinical and Experimental Reproductive Medicine
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    • v.44 no.4
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    • pp.207-213
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    • 2017
  • Objective: This study investigated the prevalence of infections with human papillomavirus, Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, and Mycoplasma genitalium in the semen of Korean infertile couples and their associations with sperm quality. Methods: Semen specimens were collected from 400 men who underwent a fertility evaluation. Infection with above five pathogens was assessed in each specimen. Sperm quality was compared in the pathogen-infected group and the non-infected group. Results: The infection rates of human papillomavirus, C. trachomatis, U. urealyticum, M. hominis, and M. genitalium in the study subjects were 1.57%, 0.79%, 16.80%, 4.46%, and 1.31%, respectively. The rate of morphological normality in the U. urealyticum-infected group was significantly lower than in those not infected with U. urealyticum. In a subgroup analysis of normozoospermic samples, the semen volume and the total sperm count in the pathogen-infected group were significantly lower than in the non-infected group. Conclusion: Our results suggest that infection with U. urealyticum alone and any of the five sexually transmitted infections are likely to affect sperm morphology and semen volume, respectively.

Mechanical ventilation in patients with idiopathic pulmonary fibrosis in Korea: a nationwide cohort study

  • Jae Kyeom Sim;Seok Joo Moon;Juwhan Choi;Jee Youn Oh;Young Seok Lee;Kyung Hoon Min;Gyu Young Hur;Sung Yong Lee;Jae Jeong Shim
    • The Korean journal of internal medicine
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    • v.39 no.2
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    • pp.295-305
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    • 2024
  • Background/Aims: The prognosis of patients with idiopathic pulmonary fibrosis (IPF) and respiratory failure requiring mechanical ventilation is poor. Therefore, mechanical ventilation is not recommended. Recently, outcomes of mechanical ventilation, including those for patients with IPF, have improved. The aim of this study was to investigate changes in the use of mechanical ventilation in patients with IPF and their outcomes over time. Methods: This retrospective, observational cohort study used data from the National Health Insurance Service database. Patients diagnosed with IPF between January 2011 and December 2019 who were placed on mechanical ventilation were included. We analyzed changes in the use of mechanical ventilation in patients with IPF and their mortality using the Cochran-Armitage trend test. Results: Between 2011 and 2019, 1,227 patients with IPF were placed on mechanical ventilation. The annual number of patients with IPF with and without mechanical ventilation increased over time. However, the ratio was relatively stable at approximately 3.5%. The overall hospital mortality rate was 69.4%. There was no improvement in annual hospital mortality rate. The overall 30-day mortality rate was 68.7%, which did not change significantly. The overall 90-day mortality rate was 85.3%. The annual 90-day mortality rate was decreased from 90.9% in 2011 to 83.1% in 2019 (p = 0.028). Conclusions: Despite improvements in intensive care and ventilator management, the prognosis of patients with IPF receiving mechanical ventilation has not improved significantly.

The Effect of Geopungchunghyul-dan on Circumferential Strain of Carotid Artery: A Case Series (거풍청혈단이 경동맥 탄력도에 미치는 영향: 증례 집적 연구)

  • Moon, Sang-Kwan;Jung, Minho;Kwon, Seungwon;Cho, Seung-Yeon;Park, Seong-Uk;Jung, Woo-Sang;Park, Jung-Mi;Ko, Chang-Nam;Cho, Ki-Ho
    • The Journal of Korean Medicine
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    • v.39 no.1
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    • pp.86-94
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    • 2018
  • Objectives: This study is aimed to examine the effect of Geopungchunghyul-dan on circumferential strain of carotid artery in outpatients of Kyung Hee University hospital of Korean Medicine. Methods: Retrospective chart review is used from June 2016 to August 2017 for outpatients of Kyung Hee University hospital of Korean Medicine. 14 patients taking Geopungchunghyul-dan over 1 month were speculated. Data of circumferential strain and intima-media thickness was taken from carotid ultrasonography and processed by Wilcoxon signed-rank test. Results: Geopungchunghyul-dan lowered circumferential strain of both carotid arteries after 1 month of administration (p<0.05). Intima-media thickness of both carotid arteries did not changed significantly. Conclusions: Geopungchunghyul-dan may ameliorate arterial stiffness.

Clinical practice guideline for the diagnosis and treatment of pediatric obesity: recommendations from the Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology Hepatology and Nutrition

  • Yi, Dae Yong;Kim, Soon Chul;Lee, Ji Hyuk;Lee, Eun Hye;Kim, Jae Young;Kim, Yong Joo;Kang, Ki Soo;Hong, Jeana;Shim, Jung Ok;Lee, Yoon;Kang, Ben;Lee, Yeoun Joo;Kim, Mi Jin;Moon, Jin Soo;Koh, Hong;You, JeongAe;Kwak, Young-Sook;Lim, Hyunjung;Yang, Hye Ran
    • Clinical and Experimental Pediatrics
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    • v.62 no.1
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    • pp.3-21
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    • 2019
  • The Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition newly developed the first Korean Guideline on the Diagnosis and Treatment of Obesity in Children and Adolescents to deliver an evidence-based systematic approach to childhood obesity in South Korea. The following areas were systematically reviewed, especially on the basis of all available references published in South Korea and worldwide, and new guidelines were established in each area with the strength of recommendations based on the levels of evidence: (1) definition and diagnosis of overweight and obesity in children and adolescents; (2) principles of treatment of pediatric obesity; (3) behavioral interventions for children and adolescents with obesity, including diet, exercise, lifestyle, and mental health; (4) pharmacotherapy; and (5) bariatric surgery.

Anti-Platelet Aggregation Effect of Extract from Gamisopunghwalheol-tang in Vitro (가미소풍활혈탕의 혈소판 응집억제 작용에 대한 in vitro 연구)

  • Lee, Hae-Yong;Min, Kyoung-Yoon;Kim, Seul-Ji;Park, Youn-Ju;Yang, Ga-Eun;Lee, Mi-Jung;Lew, Jae-Whan;Lee, Beom-Joon;Cho, In-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.980-985
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    • 2009
  • The study was designed to test anti-platelet effect and find out anti-platelet mechanism of extract from Gamisopunghwalheol-tang in vitro. The extract was investigated for the inhibition against the aggregation of human platelet suspensions induced from collagen by aggregometer. And also the extract was investigated for the inhibition against the aggregation of human platelet suspensions who is taking aspirin or clopidogrel induced from collagen by aggregometer. In collagen-induced platelet aggregation test, the extract significantly inhibited collagen-induced platelet aggregation in a concentration-dependent manner(p<0.05). The extract significantly inhibited collagen-induced platelet aggregation of human platelet who is taking aspirin or clopidogrel ing 0 mg/ml concentration(p<0.05). And the extract inhibited more ingpatients who is taking aspirin. These results show that the extract from Gamisopunghwalheol-tang has anti-platelet aggregation effect.

A Case of Hantaan virus Inflammatory Symptom Treated by Galgunhegi-tang (한탄바이러스 감염증 환자에 대한 갈근해기탕을 이용한 치험례)

  • Kang Sei Young;Yoon Ji Won;Kim Hong Joon;Sim Kuk Jin;Lee Sung Geun;Lee Sang Gwan;Lee Jong Deok;Sung Kang Keyng
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.1
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    • pp.289-293
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    • 2004
  • Hantaviruses are found worldwide and are known to cause two serious and often fatal human disease: hemorrhagic fever with renal syndrome(HFRS) and hantavirus pulmonary syndrome(HPS). The typical clinical prodrome consists of fever, chills, myalgia, headache, and gastrointestinal symptoms. Treatment usually involves maintenance of fluids, blood pressure, ventilation and electrolytes. We report a patient who had multisystem inflammatory symptom with Hantaan virus antibody positive accompanied by mild fever and myalgia. This case was diagnosed as HFRS. This patient was treated by Galgun hegi-tang. As a result of this treatment, symptoms were markedly improved.

A Case Report of Using Korean Medicine for the Treatment of Anemia of Chronic Disease (ACD) in a Patient with Dizziness, Anorexia, and General Weakness (어지럼증, 식욕부진, 전신권태감 등을 동반한 만성 질환에 의한 빈혈 환자의 한방치료 1례)

  • Kim, Dong-won;Kil, Bong-hun;Jo, Hye-mi;Jung, Da-hae;Youn, Hye-soo;Lee, Eun-chang;Won, Jee-yeong;Lee, Jung-eun
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.1118-1130
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    • 2021
  • The purpose of this study was to report the clinical effect of Korean medicine in a patient with anemia of chronic disease (ACD). The patient was treated with herbal medicine, acupuncture, and moxibustion in combination with Western medicine for around 4 weeks. Although the patient's hemoglobin concentration was maintained at a similar level, the other clinical symptoms of ACD (anorexia, xerostomia, dizziness, and general weakness) were improved after the treatment with Korean medicine. Therefore, Korean medicine treatment may be effective for improving the clinical symptoms of ACD.

An Analysis of the Trends of Korean Medicine Treatments for Trigger Finger (방아쇠 수지에 대한 한의학적 치료 연구 동향 분석)

  • Choi, Jae-Yong;Lee, Sang-Gun;Kim, Ho;Yoo, Sang-Joon;Kang, Dong-Hyeob;Lee, Do-Hoon;Choi, Ki-Won;Lee, Yu-Jin
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.65-74
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    • 2021
  • Objectives The purpose of this review is to analyze the trends of Korean medicine treatment for trigger finger. Methods Clinical papers using Korean medicine to treat trigger finger were searched in five online databases-Koreanstudies Information Service System, Oriental Medicine Advanced Searching Integrated System, ScienceON, Research Information Sharing Service, and PubMed. Nine studies were selected, and we analyzed their characteristics according to the author, year, number/gender/age of patients, duration of disease, duration of treatment, intervention method, measurement methods, and results. Results Seven case report studies, one prospective observational study, and one randomized controlled trials (RCTs) were selected in online databases, and there were no review studies. The most frequently used therapies were pharmacopuncture and acupuncture treatment. visual analogue scale, Quinnell's classification of triggering, was frequently used for measurement methods. All nine studies had therapeutic effects. Conclusions We reviewed studies of Korean medicine treatments for trigger finger, in this study. However, there are limitations that seven of the nine selected papers were case papers, and the number of papers was small. This paper suggests that a higher level of research and more studies on Korean medicine treatments of trigger finger need to be conducted.